RT Journal Article SR Electronic T1 Lower limb venous and arterial peripheral diseases and work conditions: systematic review JF Occupational and Environmental Medicine JO Occup Environ Med FD BMJ Publishing Group Ltd SP 4 OP 14 DO 10.1136/oemed-2019-106375 VO 78 IS 1 A1 Samantha Huo Yung Kai A1 Jean Ferrières A1 Camille Carles A1 Marion Turpin A1 François-Xavier Lapébie A1 Frederic Dutheil A1 Alessandra Bura-Rivière A1 Yolande Esquirol YR 2021 UL http://oem.bmj.com/content/78/1/4.abstract AB Objectives The individual peripheral vascular disease risk factors are well documented, but the role of work conditions remains equivocal. This systematic review aims to assess relationships between lower limb peripheral venous diseases (lower limb varicose veins (LLVV), venous thromboembolism (VTE) comprising deep vein thrombosis and pulmonary embolism), peripheral arterial disease (intermittent claudication, aortic dissection, aortic aneurysm) and occupational constraints among working adults.Methods Several databases were systematically searched until February 2019 for observational studies and clinical trials. Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was used for article selection. Quality assessment and risk of bias were evaluated using Strengthening the Reporting of Observational Studies in Epidemiology and Newcastle-Ottawa scales.Results Among the 720 screened articles, 37 remained after full-text evaluation. Among the 21 studies on LLVV, prolonged standing was significantly associated to a higher risk of varicose veins with a threshold probably around >3 to 4 hours/day but exposure duration in years was not sufficiently considered. Seated immobility was often observed in workers, with no sufficient evidence to prove that prolonged sitting at work is related to VTE. Carrying heavy loads, stress at work and exposure to high temperatures have emerged more recently notably in relation to varicose veins but need to be better explored. Only three studies discussed the potential role of work on peripheral arterial disease development.Conclusions Although some observational studies showed that prolonged standing can be related to varicose veins and that seated immobility at work could be linked to VTE, very little is known about peripheral arterial disease and occupational constraints. Clinical trials to determine preventive strategies at work are needed.PROSPERO registration number CRD42019127652.