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Association of respiratory symptoms and lung function with occupation in the multinational Burden of Obstructive Lung Disease (BOLD) study

2023-01Journal article Open access
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dc.contributor.authorRatanachina, Jate
dc.contributor.authorAmaral, Andre F.S.
dc.contributor.authorDe Matteis, Sara
dc.contributor.authorLawin, Herve
dc.contributor.authorMortimer, Kevin
dc.contributor.authorObaseki, Daniel O.
dc.contributor.authorHarrabi, Imed
dc.contributor.authorDenguezli, Meriam
dc.contributor.authorWouters, Emiel F.M.
dc.contributor.authorJanson, Christer
dc.contributor.authorNielsen, Rune
dc.contributor.authorGulsvik, Amund
dc.contributor.authorCherkaski, Hamid Hacene
dc.contributor.authorMejza, Filip
dc.contributor.authorMahesh, Padukudru Anand
dc.contributor.authorElsony, Asma
dc.contributor.authorAhmed, Rana
dc.contributor.authorTan, Wan
dc.contributor.authorLoh, Li Cher
dc.contributor.authorRashid, Abdul
dc.contributor.authorStudnicka, Michael
dc.contributor.authorNafees, Asaad A.
dc.contributor.authorSeemungal, Terence
dc.contributor.authorAquart-Stewart, Althea
dc.contributor.authorAl Ghobain, Mohammed
dc.contributor.authorZheng, Jinping
dc.contributor.authorJuvekar, Sanjay
dc.contributor.authorSalvi, Sundeep
dc.contributor.authorJogi, Rain
dc.contributor.authorMannino, David
dc.contributor.authorGislason, Thorarinn
dc.contributor.authorBuist, A. Sonia
dc.contributor.authorCullinan, Paul
dc.contributor.authorBurney, Peter
dc.contributor.authorBOLD Collaborative Research Group
dc.contributor.authorDias, Hermínia Brites
dc.date.accessioned2023-04-20T15:46:10Z
dc.date.available2023-04-20T15:46:10Z
dc.date.issued2023-01
dc.description.abstractBackground: Chronic obstructive pulmonary disease has been associated with exposure in the workplace. We aimed to assess the association of respiratory symptoms and lung function with occupation in the Burden of Obstructive Lung Disease study. Methods: We analysed cross-sectional data from 28 823 adults (≥40 years) in 34 countries. We considered 11 occupations and grouped them by likelihood of exposure to organic dust, inorganic dust, and fumes. The association of chronic cough, chronic phlegm, wheeze, dyspnoea, forced vital capacity (FVC), and forced expiratory volume in 1 s (FEV1)/FVC with occupation was assessed, per study site, using multivariable regression. These estimates were then meta-analysed. Sensitivity analyses explored differences between sexes and gross national income. Results: Overall, working in settings with potentially high exposure to dust or fumes was associated with respiratory symptoms but not lung function differences. The most common occupation was farming. Compared to people not working in any of the 11 considered occupations, those who were farmers for ≥20 years were more likely to have a chronic cough (OR 1.52, 95% CI 1.19-1.94), wheeze (OR 1.37, 95% CI 1.16-1.63) and dyspnoea (OR 1.83, 95% CI 1.53-2.20), but not lower FVC (β=0.02 L, 95% CI -0.02-0.06 L) or lower FEV1/FVC (β=0.04%, 95% CI -0.49-0.58%). Some findings differed by sex and gross national income. Conclusion: At a population level, the occupational exposures considered in this study do not appear to be major determinants of differences in lung function, although they are associated with more respiratory symptoms. Because not all work settings were included in this study, respiratory surveillance should still be encouraged among high-risk dusty and fume job workers, especially in low- and middle-income countries.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRatanachina J, Amaral AF, De Matteis S, Lawin H, Mortimer K, Obaseki DO, et al; BOLD Collaborative Research Group [Dias HB]. Association of respiratory symptoms and lung function with occupation in the multinational Burden of Obstructive Lung Disease (BOLD) study. Eur Respir J. 2023;61(1):2200469.pt_PT
dc.identifier.doi10.1183/13993003.00469-2022pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/15920
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationWellcome Trust grant 085790/Z/08/Zpt_PT
dc.relation.publisherversionhttps://erj.ersjournals.com/content/61/1/2200469.longpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectLung functionpt_PT
dc.subjectChronic obstructive pulmonary diseasept_PT
dc.subjectOccupational exposurept_PT
dc.subjectBOLD studypt_PT
dc.titleAssociation of respiratory symptoms and lung function with occupation in the multinational Burden of Obstructive Lung Disease (BOLD) studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.startPage2200469pt_PT
oaire.citation.titleEuropean Respiratory Journalpt_PT
oaire.citation.volume61pt_PT
person.familyNameDias
person.givenNameMaria Hermínia Monteiro Brites
person.identifier.ciencia-idE211-FB1B-04E3
person.identifier.orcid0000-0003-1257-8734
person.identifier.ridAFL-8310-2022
person.identifier.scopus-author-id55671930200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationb7b7e7d9-83b2-4d63-9176-4ed73cf6b939
relation.isAuthorOfPublication.latestForDiscoveryb7b7e7d9-83b2-4d63-9176-4ed73cf6b939

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