Skip to main content
Log in

Serial nasal peak expiratory flow measurements in woodwork teachers

  • Original Articles
  • Published:
International Archives of Occupational and Environmental Health Aims and scope Submit manuscript

Abstract

Serial nasal peak expiratory flow rate (PEFRN) recordings and symptom ratings were used on 39 woodwork teachers exposed mainly to wood dust and on 31 control subjects (other school personnel) during a working week. The objective was to study whether the peak flow method is useful for the assessment of work-related nasal obstructive symptoms. By comparison with the controls, the woodwork teachers reported a higher level of nasal blockage, with a pattern of gradual increase during the working week, over which period the PEFRN deteriorated gradually. The method is considered useful for detecting work-related nasal obstruction in groups with exposure to airborne irritants and can be recommended for such purposes. But because of the great variability of peak flow values, many measurements on a great number of individuals must be performed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andersen HC, Andersen I, Solgaard J (1977) Nasal cancers, symptoms and upper airway function in woodworkers. Br J Ind Med 34:201–207

    Google Scholar 

  2. Anonymous (1992) Assess and monitor severity with objective measures of lung function. Allergy 47(Suppl 13):16–20

    Google Scholar 

  3. Borg G (1982) A category scale with ratio properties for intermodal and interindividual comparison. In: Geissler H-G, Petzold P (eds) Psychophysical judgment and the process of perception. VEB Deutscher Verlag der Wissenschaften, Berlin, pp 25–34

    Google Scholar 

  4. Burge PS (1987) Problems in the diagnosis of occupational asthma. Br J Dis Chest 1:105–115

    Google Scholar 

  5. Cartier A, Pineau L, Malo J-L (1984) Monitoring of maximum expiratory peak flow rates and histamine inhalation tests in the investigation of occupational asthma. Clin Allergy 14:193–196

    Google Scholar 

  6. Epstein SW, Fletcher CM, Oppenheimer EA (1969) Daily peak flow measurements in the assessment of steroid therapy for airway obstruction. Br Med J 1:223–225

    Google Scholar 

  7. Golbert TM, Patterson R, Slavin RG (1980) Psychiatric aspects of allergic diseases In: Patterson r (ed) Allergic diseases-diagnosis and management, 2 edn. J.B. Lippincott, Philadelphia, pp 627–645

    Google Scholar 

  8. Holmström M, Rosén G, Wilhelmsson B (1991) Symptoms, airway physiology and histology of workers exposed to medium-density fiber board. Scand J Work Environ Health 17:409–413

    Google Scholar 

  9. Holmström M, Wilhelmsson B (1988) Respiratory symptoms and pathophysiological effects of occupational exposure to formaldehyde and wood dust. Scand J Work Environ Health 14:306–311

    Google Scholar 

  10. Kongerud j, Rambjør Ø (1991) The influence of the helmet respirator on peak flow rate in aluminium potroom. Am Ind Hyg Assoc J 52:243–248

    Google Scholar 

  11. Lee HS, Ng TP, Ng YL, Phoon WH (1991) Diurnal variation in peak expiratory flow rate among polyvinylchloride compounding workers. Br J Ind Med 48:275–278

    PubMed  Google Scholar 

  12. Malo J-L (1992) Application of provocative challenge studies in the diagnosis of occupational asthma. Immunol Allergy Clin North Am 12:879–896

    Google Scholar 

  13. Pisaniello DL, Tkaczuk MN, Owen N (1992) Occupational wood dust exposures, life style variables, and respiratory symptoms. J Occup Med 34:788–792

    Google Scholar 

  14. Ruppe K (1973) Diseases and functional disturbances of the respiratory tract in the woodworking industry. Z Gesamte Hyg Grenzgeb 19:261–264

    Google Scholar 

  15. Tarlo SM, Broder I (1991) Outcome of assessments for occupational asthma. Chest 100:329–335

    Google Scholar 

  16. Taylor G, Path D, Macheil AR, Freed DLJ (1973) Assessing degree of nasal patency by measuring peak expiratory flow through the nose. J Allergy Clin Immunol 52:193–198

    Google Scholar 

  17. Waalkens HJ, Gerritsen J, Koëter GH, Krouwels FH, van Aalderen WMC, Knol K (1991) Budesonide and terbutaline or terbutaline alone in children with mild asthma: effects on bronchial hyperresponsiveness and diurnal variation in peak flow. Thorax 46:499–503

    Google Scholar 

  18. Werner U (1979) Zur Einwirkung von Holzstäuben und Reizgasen auf den oberen Atemtrakt. Z Gesamte Hyg Grenzgeb 25:290–293

    Google Scholar 

  19. Wihl JÅ (1986) Methodological aspects of nasal allergen challenges based on a three-year tree pollen immunotherapy study. Allergy 61:357–364

    Google Scholar 

  20. Wilhelmsson B, Drettner B (1984) Nasal problems in wood furniture workers. Acta Otolaryngol 98:548–555

    PubMed  Google Scholar 

  21. Youlten LJF (1980) The peak nasal inspiratory flow meter: a new instrument for the assessment of the response to immunotherapy in seasonal allergic rhinitis. Allergol Immunopathol (Madr) 8:344

    Google Scholar 

  22. Ahman M (1992) Nasal peak flow rate records in work related nasal blockage. Acta Otolaryngol (Stockh) 112:839–844

    Google Scholar 

  23. Åhman M (1995) Studies on nasal symptoms and pathophysiology in woodwork teachers. Dissertation from the Division of Occupational and Environmental Medicine/Department of Medicine, Karolinska Institute, and the Department of Occupational and Environmental Medicine, Huddinge University Hospital, S-141 86 Huddinge, Sweden

    Google Scholar 

  24. Åhman M, Söderman E, Cynkier I, Kolmodin-Hedman B (1995) Work-related respiratory problems in industrial arts teachers. Int Arch Environ Health 67:111–118

    Google Scholar 

  25. Åhman M, van Hage-Hamsten M, Johasson SGO (1995) IgE-mediated allergy to woods dusts probably does not explain the high prevalence of respiratory symptoms among Swedish woodwork teachers. Allergy 50:559–562

    Google Scholar 

  26. Åhman M, Wrangsjö K (1994) Nasal peak-flow-rate recording is useful in detecting allergic nasal reactions—a case report. Allergy 49:785–787

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Åhman, M., Söderman, E. Serial nasal peak expiratory flow measurements in woodwork teachers. Int. Arch Occup Environ Heath 68, 177–182 (1996). https://doi.org/10.1007/BF00381628

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00381628

Key words

Navigation