Occupational exposure to solvents and lung function decline: A population based study.

Occupational exposure to solvents and lung function decline: A population based study.

Alif, Sheikh M;Dharmage, Shyamali;Benke, Geza;Dennekamp, Martine;Burgess, John;Perret, Jennifer L;Lodge, Caroline;Morrison, Stephen;Johns, David Peter;Giles, Graham;Gurrin, Lyle;Thomas, Paul S;Hopper, John Llewelyn;Wood-Baker, Richard;Thompson, Bruce;Feather, Iain;Vermeulen, Roel;Kromhout, Hans;Jarvis, Debbie;Garcia Aymerich, Judith;Walters, E Haydn;Abramson, Michael J;Matheson, Melanie Claire;
Thorax 2019 Vol. 74 pp. 650-658
281
alif2019occupationalthorax

Abstract

While cross-sectional studies have shown associations between certain occupational exposures and lower levels of lung function, there was little evidence from population-based studies with repeated lung function measurements.We aimed to investigate the associations between occupational exposures and longitudinal lung function decline in the population-based Tasmanian Longitudinal Health Study.Lung function decline between ages 45 years and 50 years was assessed using data from 767 participants. Using lifetime work history calendars completed at age 45 years, exposures were assigned according to the ALOHA plus Job Exposure Matrix. Occupational exposures were defined as ever exposed and cumulative exposure -unit- years. We investigated effect modification by sex, smoking and asthma status.Compared with those without exposure, ever exposures to aromatic solvents and metals were associated with a greater decline in FEV (aromatic solvents 15.5 mL/year (95% CI -24.8 to 6.3); metals 11.3 mL/year (95% CI -21.9 to - 0.7)) and FVC (aromatic solvents 14.1 mL/year 95% CI -28.8 to - 0.7; metals 17.5 mL/year (95% CI -34.3 to - 0.8)). Cumulative exposure (unit years) to aromatic solvents was also associated with greater decline in FEV and FVC. Women had lower cumulative exposure years to aromatic solvents than men (mean (SD) 9.6 (15.5) vs 16.6 (14.6)), but greater lung function decline than men. We also found association between ever exposures to gases/fumes or mineral dust and greater decline in lung function.Exposures to aromatic solvents and metals were associated with greater lung function decline. The effect of aromatic solvents was strongest in women. Preventive strategies should be implemented to reduce these exposures in the workplace.

Citation

ID: 65514
Ref Key: alif2019occupationalthorax
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
65514
Unique Identifier:
10.1136/thoraxjnl-2018-212267
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet