Cumulative Occupational Exposures and Lung-Function Decline in Two Large General-Population Cohorts

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Cumulative Occupational Exposures and Lung-Function Decline in Two Large General-Population Cohorts

Lytras, T. (author): Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain.;Univ Pompeu Fabra, Barcelona, Spain.

Beckmeyer-Borowko, A. (author): Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland.;Univ Basel, Basel, Switzerland.

Kogevinas, M. (author): Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ, Madrid, Spain.;Hosp del Mar Med Res Inst, Barcelona, Spain.

Kromhout, H. (author): Univ Utrecht, IRAS, Utrecht, Netherlands.

Carsin, A. E. (author): Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ, Madrid, Spain.

Anto, J. M. (author): Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ, Madrid, Spain.;Hosp del Mar Med Res Inst, Barcelona, Spain.

Bentouhami, H. (author): Univ Antwerp, Fac Med & Hlth Sci, Dept Epidemiol & Social Med, Social Epidemiol & Hlth Policy, Antwerp, Belgium.

Weyler, J. (author): Univ Antwerp, Fac Med & Hlth Sci, Dept Epidemiol & Social Med, Social Epidemiol & Hlth Policy, Antwerp, Belgium.

Heinrich, J. (author): Ludwig Maximilians Univ Munchen, Inst & Outpatient Clin Occupat Social & Environm, Univ Hosp, Munich, Germany.;German Ctr Lung Res, Comprehens Pneumol Ctr Munich, Munich, Germany.

Nowak, D. (author): Ludwig Maximilians Univ Munchen, Inst & Outpatient Clin Occupat Social & Environm, Univ Hosp, Munich, Germany.;German Ctr Lung Res, Comprehens Pneumol Ctr Munich, Munich, Germany.

Urrutia, I. (author): Galdakao Hosp, Pulmonol Dept, Galdakao, Spain.

Martinez-Moratalla, J. (author): Complejo Hosp Univ, Serv Neumol, Albacete, Spain.;Univ Castilla La Mancha, Albacete Fac Med, Ciudad Real, Spain.

Gullon, J. A. (author): San Agustin Univ Hosp, Resp Dept, Aviles, Asturias, Spain.

Vega, A. P. (author): Juan Ramon Jimenez Univ Hosp, Pulmonol & Allergy Clin Unit, Huelva, Spain.

Semjen, C. R. (author): Univ Bordeaux, Bordeaux Populat Hlth Res Ctr, Team EPICENE, INSERM,UMR 1219, Bordeaux, France.

Pin, I. (author): CHU Grenoble Alpes, Dept Pediat, Grenoble, France.;INSERM, U1209, IAB, Team Environm Epidemiol Appl Reprod & Resp Hlth, Grenoble, France.;Univ Grenoble Alpes, Grenoble, France.

Demoly, P. (author): Univ Hosp Montpellier, Montpellier, France.;Sorbonne Univ, INSERM UMR S 1136, Paris, France.,Univ Calif San Francisco, San Francisco, CA 94143 USA.;San Francisco Vet Affairs Hlth Care Syst, San Francisco, CA USA.

Leynaert, B. (author): Univ Paris Diderot, Inserm UMR 1152, Equipe Epidemiol, Paris, France.

Villani, S. (author): Univ Pavia, Dept Publ Hlth Expt & Forens Med, Unit Biostat & Clin Epidemiol, Pavia, Italy.

Gislason, T. (author): Landspitali Univ Hosp, Dept Resp Med & Sleep, IS-108 Reykjavik, Iceland.;Univ Iceland, Fac Med, Reykjavik, Iceland.

Svanes, O. (author): Univ Bergen, Dept Clin Sci, Bergen, Norway.

Holm, M. (author): Sahlgrens Univ Hosp, Dept Occupat & Environm Med, Gothenburg, Sweden.

Forsberg, Bertil (author): Umeå universitet,Avdelningen för hållbar hälsa,Umeå Univ, Dept Publ Hlth & Clin Med, Sect Sustainable Hlth, Umeå, Sweden.

Norbäck, Dan (author): Uppsala universitet,Arbets- och miljömedicin

Mehta, A. J. (author): Univ Copenhagen, Dept Publ Hlth, Sect Epidemiol, Copenhagen, Denmark.

Keidel, D. (author): Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland.;Univ Basel, Basel, Switzerland.

Vernez, D. (author): Univ Lausanne, Ctr Primary Care & Publ Hlth, Lausanne, Switzerland.

Benke, G. (author): Monash Univ, Monash Ctr Occupat & Environm Hlth, Sch Publ Hlth & Prevent Med, Victoria, Australia.

Jogi, R. (author): Tartu Univ Hosp, Lung Clin, Tartu, Estonia.

Torén, Kjell, 1952 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Univ Gothenburg, Sahlgrenska Acad, Sch Publ Hlth & Community Med, Occupat & Environm Med, Gothenburg, Sweden.

Sigsgaard, T. (author): Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Sect Environm Occupat & Hlth, Aarhus, Denmark.

Schlunssen, V. (author): Aarhus Univ, Danish Ramazzini Ctr, Dept Publ Hlth, Sect Environm Occupat & Hlth, Aarhus, Denmark.;Natl Res Ctr Working Environm, Copenhagen, Denmark.

Olivieri, M. (author): Univ Verona, Dept Diagnost & Publ Hlth, Unit Occupat Med, Verona, Italy.

Blanc, P. D. (author)

Watkins, J. (author): Cardiff Univ, Sch Med, Publ Hlth Wales, Cardiff, Wales.

Bono, R. (author): Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy.

Squillacioti, G. (author): Univ Turin, Dept Publ Hlth & Pediat, Turin, Italy.

Buist, A. S. (author): Oregon Hlth & Sci Univ, Pulm & Crit Care Med, Portland, OR 97201 USA.

Vermeulen, R. (author): Univ Utrecht, IRAS, Utrecht, Netherlands.

Jarvis, D. (author): Imperial Coll London, Populat Hlth & Occupat Dis, Natl Heart & Lung Inst, London, England.;Imperial Coll London, MRC PHE Ctr Environm & Hlth, London, England.

Probst-Hensch, N. (author): Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland.;Univ Basel, Basel, Switzerland.

Zock, J. P. (author): Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain.;Univ Pompeu Fabra, Barcelona, Spain.;CIBER Epidemiol & Salud Publ, Madrid, Spain.

Svanes, Øistein (author)

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Barcelona Inst Global Hlth, Barcelona Biomed Res Pk PRBB,Doctor Aiguader 88, Barcelona 08003, Spain;Univ Pompeu Fabra, Barcelona, Spain. Swiss Trop & Publ Hlth Inst, Dept Epidemiol & Publ Hlth, Basel, Switzerland.;Univ Basel, Basel, Switzerland. (creator_code:org_t)

New York : American Thorax Society, 2021
2021
English.
In: Annals of the American Thoracic Society. - New York : American Thorax Society. - 1546-3222 .- 2329-6933 .- 2325-6621 .- 1943-5665. ; 18:2, s. 238-246

Related links:: https://gup.ub.gu.se...; show more...; https://doi.org/10.1...; https://urn.kb.se/re...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Rationale: Few longitudinal studies have assessed the relationship between occupational exposures and lung-function decline in the general population with a sufficiently long follow-up. Objectives: To examine the potential association in two large cohorts: the ECRHS (European Community Respiratory Health Survey) and the SAPALDIA (Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults). Methods: General-population samples of individuals aged 18 to 62 were randomly selected in 1991-1993 and followed up approximately 10 and 20 years later. Spirometry (without bronchodilation) was performed at each visit. Coded complete job histories during follow-up visits were linked to a job-exposure matrix, generating cumulative exposure estimates for 12 occupational exposures. Forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were jointly modeled in linear mixed-effects models, fitted in a Bayesian framework, taking into account age and smoking. Results: A total of 40,024 lung-function measurements from 17,833 study participants were analyzed. We found accelerated declines in FEV1 and the FEV1/FVC ratio for exposure to biological dust, mineral dust, and metals (FEV1 = -15.1 ml, -14.4 ml, and -18.7 ml, respectively; and FEV1/FVC ratio = -0.52%, -0.43%, and -0.36%, respectively; per 25 intensity-years of exposure). These declines were comparable in magnitude with those associated with long-term smoking. No effect modification by sex or smoking status was identified. Findings were similar between the ECRHS and the SAPALDIA cohorts. Conclusions: Our results greatly strengthen the evidence base implicating occupation, independent of smoking, as a risk factor for lung-function decline. This highlights the need to prevent or control these exposures in the workplace.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Lungmedicin och allergi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Respiratory Medicine and Allergy (hsv//eng)

Keyword

spirometry
lung function
occupational exposure
occupational disease
longitudinal studies
obstructive pulmonary-disease
american thoracic society
ventilatory
function
air-pollution
follow-up
risk
burden
workers
swiss
copd
Respiratory System
spirometry

Publication and Content Type

ref (subject category)
art (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Respiratory Medi ...

Articles in the publication: Annals of the Am ...

By the university: University of Gothenburg; Umeå University; Uppsala University

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