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Effects of occupational exposures and smoking on lung function in tile factory workers

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Abstract

Purpose

The aims of this study were to investigate the relations of occupational exposures in tile industry to lung function and to evaluate potential interaction between smoking and tile dust exposure containing silica.

Methods

A cross-sectional study of 232 workers (response rate 100%) in a tile factory and 76 office workers (response rate 73%) from four factories in Thailand was conducted in 2006–2007. Participants answered a questionnaire and performed spirometry.

Results

Factory workers had lower spirometric functions than office workers, especially those with high dust exposure. There was a dose–response relation between duration of dust exposure and FEV1 and FVC, the adjusted effect of ≥21 years of exposure on FEV1 being −240 ml (−100 to −380) and on FVC −300 ml (−140 to −460). The adverse effect of dust on lung function was larger in current smokers suggesting synergism between smoking and tile dust exposure.

Conclusions

This study provides evidence that long-term exposure to dust in tile industry is related to lung function reduction. There was a suggestion of synergistic effect between dust exposure and smoking. Tile factories should consider measures to reduce dust exposure and arrange spirometry surveillance for workers with such exposure. Smoking cessation should be promoted to prevent harmful effects of occupational tile dust exposure.

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References

  • Altekruse EB, Chaudhary BA, Pearson MG, Morgan WKC (1984) Kaolin dust concentrations and pneumoconiosis at a kaolin mine. Thorax 39:436–441

    Article  CAS  Google Scholar 

  • American Conference of Governmental Industrial Hygienists (2001) Silica crystalline quartz. The documentation of the threshold limit values and biological exposure indices, 7th edn. ACGIH, Cincinnati

    Google Scholar 

  • American Thoracic Society (ATS) (1995) Standardization of spirometry 1994 update. Am J Respir Crit Care Med 152:1107–1136

    Google Scholar 

  • American Thoracic Society (ATS) (1997) Committee of the Scientific Assembly on Environmental and Occupational Health: Adverse effects of crystalline silica exposure. Am J Respir Crit Care Med 155:761–768

    Google Scholar 

  • American Thoracic Society (ATS) (2003) Document: American thoracic society statement: occupational contribution to the Burden of Airway Disease. Am J Respir Crit Care Med 167:787–797

    Article  Google Scholar 

  • Becklake MR (1989) Occupational exposures: evidence for a causal association with chronic obstructive pulmonary disease. Am Rev Respir Dis 140:S85–S91

    CAS  Google Scholar 

  • Becklake MR, Lalloo U (1990) The ‘healthy smoker’: a phenomenon of health selection? Respiration 57:137–144

    Article  CAS  Google Scholar 

  • Blanc P, Iribarren C, Trupin L, Earnest G, Katz PP, Balmes J, Sidney S, Eisner MD (2009) Occupational exposures and the risk of COPD: dusty trades revisited. Thorax 64:6–12

    Article  CAS  Google Scholar 

  • Checkoway H, Pearce N, Kriebel D (2004) Research methods in occupational epidemiology, 2nd edn. Oxford University Press, Oxford, pp 236–241

    Google Scholar 

  • Davies R (1983) Factors involved in the cytotoxicity of kaolinite towards macrophages in Vitro. Environ Health Perspect 51:249–252

    Article  CAS  Google Scholar 

  • de Meer G, Kerkhof M, Kromhout H, Schouten JP, Heederik D (2004) Interaction of atopy and smoking on respiratory effects of occupational dust exposure: a general population-based study. Environ Health 3:1–7

    Article  Google Scholar 

  • Dejsomritrutai W, Maranetra N, Maneechotesuwan K, Chierakul N, Tscheikuna J, Suthamsmai T, Nana A, Chuaychoo B, Wongsurakiat P, Charoenratanakul S, Juengprasert W, Naruman C (2000) Reference spirometric values for healthy lifetime nonsmokers in Thailand. J Med Assoc Thai 83:457–466

    CAS  Google Scholar 

  • Forastiere F, Goldsmith D, Sperati A, Rapiti E, Miceli M, Cavariani F, Perucci CA (2002) Silicosis and lung function decrements among female ceramic workers in Italy. Am J Epidemiol 156:851–856

    Article  Google Scholar 

  • Hnizdo E, Vallyathan V (2003) Chronic obstructive pulmonary disease due to occupational exposure to silica dust: a review of epidemiological and pathological evidence. Occup Environ Med 60:237–243

    Article  CAS  Google Scholar 

  • Humerfelt S, Eide GE, Gulsvik A (1998) Association of years of occupational quartz exposure with spirometric airflow limitation in Norwegian men aged 30–46 years. Thorax 53:649–655

    Article  CAS  Google Scholar 

  • Jaakkola MS (2009) Smoke and dust get in your eyes: what does it mean in the workplace? Thorax 64:1–2

    Article  Google Scholar 

  • Jaakkola MS, Jaakkola JJK (2007) Office work exposures and adult-onset asthma. Environ Health Perspect 115:1007–1011

    Article  Google Scholar 

  • Jaakkola MS, Nordman H, Piipari R, Uitti J, Laitinen J, Karjalainen A, Hahtola P, Jaakkola JJK (2002) Indoor dampness and molds and development of adult-onset asthma: a population-based incident case-control study. Environ Health Perspect 110:543–547

    Article  Google Scholar 

  • Jaakkola JJK, Piipari R, Jaakkola MS (2003a) Occupation and asthma: a population-based incident case-control study. Am J Epidemiol 158:981–987

    Article  Google Scholar 

  • Jaakkola MS, Piipari R, Jaakkola N, Jaakkola JJK (2003b) Environmental tobacco smoke and adult-onset asthma: a population-based incident case-control study. Am J Public Health 93:2055–2060

    Article  Google Scholar 

  • Jaakkola JJK, Ieromnimon A, Jaakkola MS (2006a) Interior surface materials and asthma in adults: a population-based incident case-control study. Am J Epidemiol 164:742–749

    Article  Google Scholar 

  • Jaakkola MS, Ieromnimon A, Jaakkola JJK (2006b) Are atopy and specific IgE to mites and molds important for adult asthma? J Allergy Clin Immunol 117:642–648

    Article  CAS  Google Scholar 

  • Love RG, Waclawski ER, Maclaren WM, Wetherill GZ, Groat SK, Porteous RH, Soutar CA (1999) Risks of respiratory disease in the heavy clay industry. Occup Environ Med 56:124–133

    Article  CAS  Google Scholar 

  • Low RB, Leffingewell CM, Bulman CA (1980) Effects of kaolinite on amino acid transport and incorporation into protein by rabbit pulmonary alveolar macrophages. Arch Environ Health 35:217–223

    CAS  Google Scholar 

  • Morgan WK, Donner A, Higgins IT, Pearson MG, Rawling W Jr (1988) The effects of kaolin on the lung. Am Rev Respir Dis 138:813–820

    CAS  Google Scholar 

  • Neukirch F, Cooreman J, Korobaeff M, Pariente R (1994) Silica exposure and chronic airflow limitation in pottery workers. Arch Environ Health 49:459–464

    Article  CAS  Google Scholar 

  • Ogle CJ, Rundle EM, Sugar ET (1989) China clay workers in the south west of England: analysis of chest radiograph readings, ventilatory capacity, and respiratory symptoms in relation to type and duration of occupation. Br J Ind Med 46:261–270

    CAS  Google Scholar 

  • Prowse K, Allen MB, Bradbury SP (1989) Respiratory symptoms and pulmonary impairment in male and female subjects with pottery workers’ silicosis. Ann Occ Hyg 33:375–385

    Article  CAS  Google Scholar 

  • Raymond LW, Wintermeyer S (2006) ACOEM evidence-based statement. Medical surveillance of workers exposed to crystalline silica. J Occ Environ Med 48:95–101

    Article  Google Scholar 

  • Rees D, Cronje R, du Toit RSJ (1992) Dust exposure and pneumoconiosis in a South African pottery. 1. Study objectives and dust exposure. Br J Ind Med 49:459–464

    CAS  Google Scholar 

  • Sepulveda MJ, Vallyathan V, Attfield MD, Picatelli L, Tucker JH (1983) Pneumoconiosis and lung function in a group of kaolin workers. Am Rev Respir Dis 127:231–235

    CAS  Google Scholar 

  • Sripaiboonkij P, Phanprasit W, Jaakkola MS (2008) Respiratory effects of occupational exposures in a milk powder factory. Eur Respir J 31:807–814

    Article  CAS  Google Scholar 

  • Sripaiboonkij P, Phanprasit W, Jaakkola MS (2009a) Respiratory and skin effects of exposure to wood dust from the rubbertree Hevea brasiliensis. Occup Environ Med 66:442–447

    Article  CAS  Google Scholar 

  • Sripaiboonkij P, Sripaiboonkij N, Phanprasit W, Jaakkola MS (2009b) Respiratory and skin health among glass microfiber production workers: a cross-sectional study. Environ Health 8:36

    Article  Google Scholar 

  • Yassin A, Yebesi F, Tingle R (2005) Occupational exposure to crystalline silica dust in the United States, 1988–2003. Environ Health Perspect 113:255–260

    Article  CAS  Google Scholar 

  • Zock JP, Sunyer J, Kogevinas M et al (2001) Occupation, chronic bronchitis, and lung function in young adults. An international study. Am J Respir Crit Care Med 163:1572–1577

    CAS  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Associate Professor Chalermchai Chaikittiporn and Professor Wantanee Phanprasit for supporting the data collection in Thailand. This study was supported by a grant from the Royal Thai Government.

Conflict of interest

The authors declare no competing interests.

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Corresponding author

Correspondence to Maritta S. Jaakkola.

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Appendix 1

Appendix 1

See Table 3.

Table 3 Characteristics of total study population and by being office or factory worker

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Jaakkola, M.S., Sripaiboonkij, P. & Jaakkola, J.J.K. Effects of occupational exposures and smoking on lung function in tile factory workers. Int Arch Occup Environ Health 84, 151–158 (2011). https://doi.org/10.1007/s00420-010-0603-6

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