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Occupation and three-year incidence of respiratory symptoms and lung function decline: the ARIC Study.

TitleOccupation and three-year incidence of respiratory symptoms and lung function decline: the ARIC Study.
Publication TypeJournal Article
Year of Publication2012
AuthorsMirabelli MC, London SJ, Charles LE, Pompeii LA
Secondary AuthorsWagenknecht LE
JournalRespir Res
Volume13
Pagination24
Date Published2012 Mar 20
ISSN1465-993X
KeywordsAsthma, Atherosclerosis, Bronchitis, Chronic, Cohort Studies, Cough, Female, Follow-Up Studies, Humans, Incidence, Longitudinal Studies, Lung, Lung Diseases, Male, Middle Aged, Occupational Diseases, Occupations, Prospective Studies, Respiratory Function Tests, Risk Factors
Abstract

BACKGROUND: Specific occupations are associated with adverse respiratory health. Inhalation exposures encountered in these jobs may place workers at risk of new-onset respiratory disease.

METHODS: We analyzed data from 8,967 participants from the Atherosclerosis Risk in Communities (ARIC) study, a longitudinal cohort study. Participants included in this analysis were free of chronic cough and phlegm, wheezing, asthma, chronic bronchitis, emphysema, and other chronic lung conditions at the baseline examination, when they were aged 45-64 years. Using data collected in the baseline and first follow-up examination, we evaluated associations between occupation and the three-year incidence of cough, phlegm, wheezing, and airway obstruction and changes in forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) measured by spirometry. All associations were adjusted for age, cigarettes per day, race, smoking status, and study center.

RESULTS: During the approximately three-year follow-up, the percentage of participants developing chronic cough was 3%; chronic phlegm, 3%; wheezing, 3%; and airway obstruction, defined as FEV1

CONCLUSIONS: Employment in mechanic and repair jobs and cleaning and building service occupations are associated with increased incidence of respiratory symptoms. Specific occupations affect the respiratory health of adults without pre-existing respiratory health symptoms and conditions, though long-term health consequences of inhalation exposures in these jobs remain largely unexplored.

DOI10.1186/1465-9921-13-24
Alternate JournalRespir Res
PubMed ID22433119
PubMed Central IDPMC3352304
Grant ListHHSN268201100005C / / PHS HHS / United States
HHSN268201100009C / / PHS HHS / United States
HHSN268201100010C / / PHS HHS / United States
/ / Intramural NIH HHS / United States
HHSN268201100008C / / PHS HHS / United States
HHSN268201100012C / / PHS HHS / United States
HHSN268201100007C / / PHS HHS / United States
HHSN268201100011C / / PHS HHS / United States
HHSN268201100006C / / PHS HHS / United States