Association of Varicose Veins with Quality of Sleep among Traffic Police
DOI:
https://doi.org/10.61581/mjsp.v6i3.308Keywords:
Prolong standing, Sleep Quality, Traffic Poulice, Varicose VeinAbstract
Introduction
Varicose veins are a prevalent medical condition characterized by twisted and enlarged veins, primarily found in the legs, causing discomfort and pain. Chronic venous insufficiency (CVI) encompasses various venous disorders, including varicose veins, with potential complications such as venous ulcers and thrombosis. This study explores the association between varicose veins and sleep quality among traffic police officers, considering the occupational factors that may exacerbate venous insufficiency.
Objective
This study aims to assess the relationship between the presence of varicose veins and the quality of sleep among traffic police, recognizing the potential impact of occupational factors on venous health and sleep patterns.
Material and Methods
A cross-sectional study design involved 377 diagnosed traffic police officers aged 30 to 55. Data was collected using convenient sampling methods from traffic police in Lahore, Pakistan. Variables, including varicose vein presence, sleep quality, age, gender, occupation, and working hours, were analyzed. Sleep quality was evaluated using a standardized sleep quality scale questionnaire. The Schwartz test was used to diagnose varicose veins.
Results
The study shows that participants had a high prevalence of varicose veins, with significant associations discovered between prolonged standing and varicose vein development. Furthermore, a considerable proportion reported pain and sleep disturbances, emphasizing varicose veins' impact on sleep quality.
Conclusion
The study finds a positive association between sleep quality and varicose veins among traffic cops, with prolonged standing identified as a critical contributing factor that might affect vascular health and sleep quality.
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References
1. Wang M, Sharma AK. Varicose veins. Journal of Radiology Nursing. 2019;38(3):150-4.
2. DePopas E, Brown M, editors. Varicose veins and lower extremity venous insufficiency. Seminars in interventional radiology; 2018: Thieme Medical Publishers.
3. Davies AH. The seriousness of chronic venous disease: a review of real-world evidence. Advances in therapy. 2019;36(Suppl 1):5-12.
4. Kim Y, Png CM, Sumpio BJ, DeCarlo CS, Dua A, editors. Defining the human and health care costs of chronic venous insufficiency. Seminars in Vascular Surgery; 2021: Elsevier.
5. Elamrawy S, Darwish I, Moustafa S, Elshaer N, Ahmed N. Epidemiological, lifestyle, and occupational factors associated with lower limb varicose veins: a case-control study. Journal of the Egyptian Public Health Association. 2021;96:1-11.
6. Modarai B, Patel A. The arteries, veins, and lymphatics. Browse's Introduction to the Symptoms & Signs of Surgical Disease: CRC Press; 2021. p. 329-72.
7. Ortega MA, Fraile-Martínez O, García-Montero C, Álvarez-Mon MA, Chaowen C, Ruiz-Grande F, et al. Understanding chronic venous disease: a critical overview of its pathophysiology and medical management. Journal of Clinical Medicine. 2021;10(15):3239.
8. Youn YJ, Lee J. Chronic venous insufficiency and varicose veins of the lower extremities. The Korean journal of internal medicine. 2019;34(2):269.
9. Brittenden J, Cooper D, Dimitrova M, Scotland G, Cotton SC, Elders A, et al. Five-year outcomes of a randomized trial of treatments for varicose veins. New England Journal of Medicine. 2019;381(10):912-22.
10. Mansilha A. Early stages of chronic venous disease: medical treatment alone or in addition to endovenous treatments. Advances in Therapy. 2020;37(Suppl 1):13-8.
11. Labropoulos N. How does chronic venous disease progress from the first symptoms to the advanced stages? A review. Advances in therapy. 2019;36:13-9.
12. Bilal S, Mehmood F, Fazil M, Nasim S, Qureshi M, Ashraf M. Assessment of occupational hazards among the traffic police of Rawalpindi & Islamabad. Pakistan Armed Forces Medical Journal. 2019;69(5):1024-28.
13. Yetkin E, Kutlu Karadag M, Ileri M, Atak R, Erdil N, Tekin G, et al. Venous leg symptoms, ecchymosis, and coldness in patients with peripheral varicose vein: A multicenter assessment and validation study (VEIN-VIOLET study). Vascular. 2021;29(5):767-75.
14. Lattimer C, Kalodiki E, Azzam M, Geroulakos G. Varicose veins and severity of chronic venous disorder. Acta Phlebologica. 2012;13(2):93-9.
15. Łastowiecka-Moras E. Standing and sitting postures at work and symptoms of venous insufficiency–results from questionnaires and a Doppler ultrasound study. International Journal of Occupational Safety and Ergonomics. 2021;27(4):963-9.
16. Timilsina R, Prasad M, Angolkar M, Patil N. Risk assessment for varicose veins among city police cross-sectional study. Clinical Epidemiology and Global Health. 2021;12:100886.
17. Raetz J, Wilson M, Collins K. Varicose veins: diagnosis and treatment. American family physician. 2019;99(11):682-8.
18. Aslam MR, Muhammad Asif H, Ahmad K, Jabbar S, Hayee A, Sagheer MS, et al. Global impact and contributing factors in varicose vein disease development. SAGE Open Medicine. 2022;10:20503121221118992.
19. Ilyas I, Ashfaq HB, ul Ain Q. Prevalence of Varicose Veins Among Teachers in Lahore, Pakistan. Pakistan Journal of Physical Therapy (PJPT). 2021.
20. Gaire T, Pathak KP. Knowledge regarding prevention of varicose veins among traffic police working in Kathmandu. Acta Scientific Medical Sciences. 2020;4(8).
21. Kiran Q, Riaz S, Hashmi Z, Khan RR, Athar ZR, Aamir T. A Cross-Sectional Survey on Musculoskeletal Pain Among Postmenopausal Women with Overall and Central Obesity. Pakistan Journal of Medical and Health Sciences[Internet]. 2021;15(5):1369-71.
22. Butt MT, Manzoor I, Ahmad M, Shah MA. Assessment of health status of traffic constables: An occupationally exposed group in Pakistan. Journal of Fatima Jinnah Medical University. 2020;14(1):19-24.
23. Ashraf S, Kiran Q, Malik A, Mubashar H, Subhani AH, Ahmed S, et al. Effects of Different Testing Postures on Hand Grip Strength among Healthy Individuals. Pakistan BioMedical Journal. 2022:164-7.
24. Agarwal V, Agarwal S, Singh A, Nathwani P, Goyal P, Goel S. Prevalence and risk factors of varicose veins, skin trophic changes, and venous symptoms among northern Indian population. Int J Res Med Sci. 2016;4(5):1678-82.
25. Tan M, Campbell B, Parsi K, Davies AH, UIP. Management of bleeding varicose veins. Phlebology. 2024;39(4):273-5.
26. Shahzad A, Kiran Q, Imtiaz S, Ali A, Subhani AH, Ahmed S, Masood R. Effectiveness of soft tissue release of paracervical muscles on the cantho-limbal distance among young adults. Pakistan BioMedical Journal. 2022:128-31.
27. Whiteley MS. Current best practice in the management of varicose veins. Clinical, Cosmetic, and Investigational Dermatology. 2022:567-83.
28. Sridher S, Thulasiram S, Vishwanath R, Sakthivel G, Rahul V, Uma Maheswari R. Health status of traffic police personnel in Chennai city. Alcohol. 2017;20(67):48.2.
29. Prajapati P, Modi K, Rahul K, Shah A. A study related to the effects of job experience on the health of traffic police personnel of Ahmedabad City, Gujarat, India. Int J Interdiscip Multidiscip Stud. 2015;2:127-33.
30. Shadrina AS, Sharapov SZ, Shashkova TI, Tsepilov YA. Varicose veins of lower extremities: Insights from the first large-scale genetic study. PLoS genetics. 2019;15(4):e1008110.
31. Matei S-C, Dumitru CȘ, Radu D. Measuring the quality of life in patients with chronic venous disease before and short term after surgical treatment—a comparison between open surgical procedures. Journal of Clinical Medicine. 2022;11(23):7171.
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Copyright (c) 2025 Qurba Kiran, Hafsa Liaquat, Maham Qaisar, Kalsoom Khan , Moqadass Fatima , Muhammad Ehsan

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