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Longitudinal decline in lung function in former asbestos exposed workers.

Authors
Algranti-E; Mendonca-EMC; Hnizdo-E; De Capitani-EM; Freitas-JBP; Raile-V; Bassacos-MA
Source
Occup Environ Med 2013 Jan; 70(1):15-21
NIOSHTIC No.
20041936
Abstract
Background: This study was designed to assess the effect of asbestos exposure on longitudinal lung function decline. Methods: A group of 502 former asbestos-cement workers with at least two spirometry tests 4 years apart. Repeated evaluations included respiratory symptoms questionnaire, spirometry and chest imaging. Asbestos exposure was ascertained as years of exposure, an index of cumulative exposure and latency time. The mixed effects model was used to evaluate the effect of exposure on the level and rate of change in forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC). Results: Mean age at entry was 51 (SD 9.9) years, mean latency time 25.6 (SD 10.0) years, mean follow-up time 9.1 (SD 2.8) years and mean number of spirometry tests 3.5. The FEV1 level was significantly related to pack-years of smoking at entry and during the follow-up, the index of cumulative asbestos exposure at entry, and the presence of asbestosis at follow-up. The FVC level was significantly related to pack-years of smoking during the follow-up, cumulative asbestos exposure at entry, asbestosis and pleural thickening at follow-up, and body mass index at entry. Asbestos exposure was not associated with increasing rates of FEV1 and FVC decline. However, FEV1 regression slopes with age, estimated by terciles of cumulative exposure, showed significant differences. Combined effects of smoking and exposure conferred further acceleration in lung function decline. Conclusion: Occupational exposure in asbestoscement industry was a risk factor for increased lung function decline. The effect seems to be mostly concentrated during the working period. Smoking and exposure had synergic effects.
Keywords
Asbestos-dust; Asbestos-cement; Asbestos-fibers; Exposure-levels; Lung; Lung-disease; Lung-function; Pulmonary-system; Pulmonary-disorders; Pulmonary-function; Lung-fibrosis; Workers; Questionnaires; Chest-X-rays; Models; Humans; Men; Women; Age-groups; Asbestosis; Smoking; Body-weight; Weight-factors; Risk-factors; Epidemiology; Statistical-analysis; Demographic-characteristics
Contact
Dr Eduardo Algranti, Division of Medicine, FUNDACENTRO DMe/CST, R. Capote Valente 710, São Paulo, 05409-002, Brazil
CODEN
OEMEEM
CAS No.
1332-21-4
Publication Date
20130101
Document Type
Journal Article
Email Address
eduardo@fundacentro.gov.br
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
B20130124
Issue of Publication
1
ISSN
1351-0711
NIOSH Division
DRDS
Source Name
Occupational and Environmental Medicine
State
WV
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