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Occupational heat e...
Occupational heat exposure and the risk of chronic kidney disease of nontraditional origin in the United States
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Chapman, C. L. (författare)
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Hess, H. W. (författare)
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Lucas, R. A. I. (författare)
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Glaser, J. (författare)
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Saran, R. (författare)
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Bragg-Gresham, J. (författare)
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Wegman, D. H. (författare)
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- Hansson, Erik, 1987 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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Minson, C. T. (författare)
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Schlader, Z. J. (författare)
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(creator_code:org_t)
- American Physiological Society, 2021
- 2021
- Engelska.
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Ingår i: American Journal of Physiology-Regulatory Integrative and Comparative Physiology. - : American Physiological Society. - 0363-6119 .- 1522-1490. ; 321:2
- Relaterad länk:
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Occupational heat exposure is linked to the development of kidney injury and disease in individuals who frequently perform physically demanding work in the heat. For instance, in Central America, an epidemic of chronic kidney disease of nontraditional origin (CKDnt) is occurring among manual laborers, whereas potentially related epidemics have emerged in India and Sri Lanka. There is growing concern that workers in the United States suffer with CKDnt, but reports are limited. One of the leading hypotheses is that repetitive kidney injury caused by physical work in the heat can progress to CKDnt. Whether heat stress is the primary causal agent or accelerates existing underlying pathology remains contested. However, the current evidence supports that heat stress induces tubular kidney injury, which is worsened by higher core temperatures, dehydration, longer work durations, muscle damaging exercise, and consumption of beverages containing high levels of fructose. The purpose of this narrative review is to identify occupations that may place US workers at greater risk of kidney injury and CKDnt. Specifically, we reviewed the scientific literature to characterize the demographics, environmental conditions, physiological strain (i.e., core temperature increase, dehydration, heart rate), and work durations in sectors typically experiencing occupational heat exposure, including farming, wildland firefighting, landscaping, and utilities. Overall, the surprisingly limited available evidence characterizing occupational heat exposure in US workers supports the need for future investigations to understand this risk of CKDnt.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Urologi och njurmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Urology and Nephrology (hsv//eng)
Nyckelord
- biomarker
- exercise
- heat strain
- heat stress
- Mesoamerican nephropathy
- climate-change
- stress
- strain
- workers
- injury
- productivity
- illness
- health
- communities
- performance
- Physiology
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Chapman, C. L.
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Hess, H. W.
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Lucas, R. A. I.
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Glaser, J.
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Saran, R.
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Bragg-Gresham, J ...
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visa fler...
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Wegman, D. H.
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Hansson, Erik, 1 ...
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Minson, C. T.
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Schlader, Z. J.
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visa färre...
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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American Journal ...
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Göteborgs universitet