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Factors Associated With Obstructive Pattern Spirometry In Shipyard Workers
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 Title & Authors
Factors Associated With Obstructive Pattern Spirometry In Shipyard Workers
Kim, Jahyun; Kim, Young Wook; Chae, Chang Ho; Son, Jun Seok; Kim, Chan Woo; Lee, Jun Ho; Park, Hyung Wook; Cho, Byung Mann;
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Objectives: Alongside smoking, occupational exposure is an important risk factor for chronic obstructive pulmonary disease. The purpose of this study was to evaluate factors associated with occupational pulmonary function decline that can be used to create guidelines for the health management of shipyard workers Materials: This study analyzed spirometry from 10,597 male shipbuilding workers. Functional decline in spirometry was defined as FEV1/FVC <70% and logistic regression for work duration and occupational hazard exposure was performed Results: Among the subjects, 4.2% showed an obstructive pattern in pulmonary function. The odds ratios for hazard exposure were 1.67(indirect) and 3.54(direct), and for work duration 1.97(10-18 years), 2.29(19-27), and 5.02(28+). After adjusting for smoking and work-related factors, the odds ratios for work durations of over 10 years were 1.73(10-18 years), 1.99(19-27), and 4.09(28+), but for hazards exposure was 1.71(direct) alone after adjustment. Conclusions: Occupational COPD is insidious and chronic, and thus long-term hazard exposed(especially over 10 years) shipyard workers with functional decline in spirometry need to prevent and manage COPD. This study is important for establishing guidelines to manage hazard exposure among shipyard workers and prevent COPD.
occupational exposure;pulmonary disease chronic obstructive;respiratory function test;
 Cited by
Akbarkhanzadeh F. Long-term effects of welding fumes upon respiratory symptoms and pulmonary function. J Occup Med 1980;22(5):337-341 crossref(new window)

Antonini JM, Lewis AB, Roberts JR, Whaley DA. Pulmonary effects of welding fumes: Review of worker and experimental animal studies. Am J Ind Med 2003;43(4):350-360 crossref(new window)

Becklake MR. Occupational Exposures: Evidence for a causal association with chronic obstructive pulmonary disease. Am Rev Respir Dis 1989;140:85-91 crossref(new window)

Benke G, Sim M, Fritschi L, Aldred G. Beyond the job exposure matrix(JEM): The task exposure matrix(TEM). Ann Occup Hyg 2000;44(6):475-482 crossref(new window)

Benke G, Sim M, Fritschi L, Aldred G, Forbes A et al. Comparison of occupational exposure using tree different methods: Hygiene panel, job exposure matrix(JEM), and self reports. Appl Occup Environ Hyg 2001;16(1):84-91 crossref(new window)

Blanc PD, Iribarren C, Trupin L, Earnest G, Katz PP et al. Occupational exposures and the risk of COPD: dusty trades revisited. Thorax 2009;64(1):6-12

Boschetto P, Quintavalle S, Miotto D, Lo Cascio N, Zeni E et al. Chronic obstructive pulmonary disease(COPD) and occupational exposures. J Occup Med Toxicol 2006;1:11 crossref(new window)

Bose P, Bathri R. Association of microsatellite instability and chronic obstructive pulmonary disorder in isocyanate-exposed population of Bhopal. Indian J Hum Genet 2012;18(2):172-176 crossref(new window)

Bourgkard E, Wild P, Gonzalez M, Fevotte J, Penven E et al. Comparison of exposure assessment methods in a lung cancer case-control study: performance of a lifelong task-based questionnaire for asbestos and PAHs. Occup Environ Med 2013;70(12):884-891 crossref(new window)

Choi, JK, Paek D, Lee JO. Normal predictive values of spirometry in korean population. Tuberc Respir Dis 2005;58:230-242 crossref(new window)

COPD guideline 2014. The Korean Academy of Tuberculosis and Respiratory Disease 2014

Dewar R, Siemiatycki J, and Gerin M. Loss of statistical power associated with the use of a job-exposure matrix in occupational case-control studies. Appl Occup Environ Hyg 1991;6:508-515 crossref(new window)

Gold(Global initiative for chronic Obstructive Lung Disease). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. 2015 Global initiative for Chronic obstructive lung disease, Inc

Hnizdo E, Sullivan P, Bang K. Association between chronic obstructive pulmonary disease and employment by industry and occupation in the US population: A Study of data from the third national health and nutrition examination survey. Am J of Epidemiol 2002;156:738-746 crossref(new window)

Kim DS, Kim YS, Jung KS, Chang JH, Lim CM et al. Prevalence of chronic obstructive pulmonary disease in Korea. Am J Respir Crit Care Med 2005;172: 842-847 crossref(new window)

Kim SJ, MH Suk, HM Choi, KC Kim, KH Jung et al. The local prevalence of COPD by post-bronchodilator GOLD criteria in Korea. Int J Tuberc Lung Dis 2006;10(12):1393-1398

Knudson RJ, Lebowitz MD, Holberg CJ, Burrows B. Changes in the normal maximal expiratory flowvolume curve with growth and aging. Am Rev Respir Dis 1983;127(6):725-734

Kor DH, Kim JI, Kim KH, You SW and Korea Welders Cohort Group. Welding fume exposure and chronic obstructive pulmonary disease in welders. Occup Med(Lond) 2015;65(1):72-77 crossref(new window)

Korczynski RE. Occupational health concerns in the welding industry. Appl Occup Environ Hyg 2000;15: 936-945 crossref(new window)

Lee HP, Koh DH, Lee EC. Occupational chronic obstructive pulmonary disease cases evaluated by workers' compensation in Korea. Korean J Occup Environ Med 2009;21:53-62

Lee JO, Choi BS. Changes of pulmonary disability grades according to the spirometry reference equations. Tuberc Respir Dis 2010;69:108 crossref(new window)

Lillienberg L, Zock JP, Kromhout H, Plana E, Jarvis D et al. A Population-based study on welding exposures at work and respiratory symptoms. Ann Occup Hyg 2008;52:107-115 crossref(new window)

Mannino M, Buist A. Global burden of COPD: risk factors, prevalence, and future trends. Lancet 2007;370: 765-773 crossref(new window)

Marongiu A, Minelli C, Canova C, Schofield S, Szram J et al. P129 Systematic review and meta-analysis of cross-sectional studies on arc welding fume effects and obstructive lung disease. Thorax 2014;69: a135-a136

Meo SA, AlKhlaiwi T. Health hazards of welding fumes. Saudi Medical Journal 2003;24:1176-1182

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R et al. Standardization of spirometry. Eur Respir J 2005;26:319-338. crossref(new window)

Morris JF, Koski A, Johnson LC. Spirometric standards for healthy nonsmoking Adults. J Occup Environ Med 1971;13

Occupational Safety and Health Research Institute. Pulmonary function test. Korea Occupational Safety & Health Agency 2012

Ozdemir O, Numanoglu N, Gonullu U, Savas I, Alper D et al. Chronic effects of welding exposure on pulmonary function tests and respiratory symptoms. Occup Environ Med 1995;52(12):800-803 crossref(new window)

Paek D, Choi JK, Choi BS. Normal predictive values of FVC and FEV1 for healthy Korean male workers. Korean J Occup Environ Med 1994;6:175-186

Puntoni R, Merlo F, Borsa L, Reggiardo G, Garrone E et al. A historical cohort mortality study among shipyard workers in Genoa, Italy. Ame J Ind Med 2001;40: 363-370 crossref(new window)

Rastogi SK, Gupta BN, Husain T, Mathur N, Srivastava S. Spirometric abnormalities among welders. Environ Res 1991;56(1):12-24

Salvi S, Barnes P. Chronic obstructive pulmonary disease in non-smokers. Lancet 2009;374:733-743 crossref(new window)

Sohn HS, Kim SJ, Kim JH, Lee CU, Jeong KW et al. Radiolographic findings by the state of exposure to welding fumes and pulmonary function test in pneumoconiosis of shipyard welders. Korean J Occup Environ Med 1991;3(2):200-208

Song EH, Oh YM, Hond SB, Shim TS, Lim CM et al. Selection of reference equations for lung volumes and diffusing capacity in Korea. Tuberc Respir Dis 2006;61:218 crossref(new window)

Temel O, Sakar C, Yaman N, Sarioglu N, Alkac C et al. Occupational asthma in welders and painters. Tuberk Toraks 2010;58(1):64-70

Weinmann S, Vollmer M, Breen V, Heumann M, Hnizdo E et al. COPD and occupational exposures: A casecontrol study. J Occup Environl Med 2008;50

Yoo KH, Sung K. Prevalence of chronic obstructive pulmonary disease in Korea: The fourth Korean National Health and Nutrition Examination Survey, 2008. Respirology 2011;16:659-665 crossref(new window)