title: Prevalence of cold-related complaints, symptoms and injuries in the general population: the FINRISK 2002 cold substudy.
abstract: The prevalence of cold-related complaints and symptoms in the general population has remained unknown. As part of the nationwide FINRISK 2002 health survey performed in Finland, 8,723 people aged 25-64 years filled in a questionnaire asking about the number of hours spent weekly in cold air, their sensations during cold exposure, cold-related complaints, symptoms of diseases, and degradation of performance. Cold thermal sensations at +5 degrees C to -5 degrees C were reported by 35% of men and 46% of women. Almost all subjects reported at least some cold-related complaints, most commonly musculoskeletal pain (men 30%, women 27%), followed by respiratory (25% / 29%), white finger (15% / 18%) and episodic peripheral circulation symptoms (12% / 15%). Decreased mental or physical performance in cold was reported by 75% of men and 70% of women, most commonly impairing manual dexterity and tactile sense. With declining temperature, the first symptom to emerge was pain in the elbow or the forearm (at -3 degrees C), followed by increased excretion of mucus from the lungs (-5 degrees C), while most other symptoms appeared only at lower temperatures of -15 degrees C to -20 degrees C. Most symptoms showed little or no association with the weekly duration of exposure, with the exception of cold-induced pain at most sites. Although, in general, Finns are well adapted to the cold climate, the high prevalence of cold-related complaints poses a challenge to the health care system in terms of decreased performance and the possibility that such symptoms predict more serious health effects, such as increased mortality.
authors.affiliation: Department of Public Health Science and General Practice, University of Oulu, P.O. Box 5000, 90014 Oulu, Finland.
authors.forename: Veli-Pekka
authors.initials: VP
authors.lastname: Raatikka
authors.forename: Mika
authors.initials: M
authors.lastname: Rytkönen
authors.forename: Simo
authors.initials: S
authors.lastname: Näyhä
authors.forename: Juhani
authors.initials: J
authors.lastname: Hassi
mesh_terms: D000064:Acclimatization; D000328:Adult; D000368:Aged; D003081:Cold Climate / Q000009:adverse effects*; D005260:Female; D005387:Finland; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D011795:Surveys and Questionnaires; D013696:Temperature; D013997:Time Factors; D014947:Wounds and Injuries / Q000209:etiology