Six year longitudinal study of respiratory function in dairy farmers in the Doubs province

A previous study, carried out in 1986 in France, showed the prevalence of respiratory symptoms and of respiratory function impairment to be higher in dairy farmers than in a control group of nonexposed subjects living in a rural zone. In order to confirm the harmful effect of dairy farming, the two...

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Veröffentlicht in:The European respiratory journal 1998-06, Vol.11 (6), p.1287-1293
Hauptverfasser: Dalphin, JC, Maheu, MF, Dussaucy, A, Pernet, D, Polio, JC, Dubiez, A, Laplante, JJ, Depierre, A
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container_end_page 1293
container_issue 6
container_start_page 1287
container_title The European respiratory journal
container_volume 11
creator Dalphin, JC
Maheu, MF
Dussaucy, A
Pernet, D
Polio, JC
Dubiez, A
Laplante, JJ
Depierre, A
description A previous study, carried out in 1986 in France, showed the prevalence of respiratory symptoms and of respiratory function impairment to be higher in dairy farmers than in a control group of nonexposed subjects living in a rural zone. In order to confirm the harmful effect of dairy farming, the two groups were re-studied 6 yrs later at the same period of the year. One hundred and ninety-four (77.6%) farmers and 155 (62%) control subjects were available for re-examination. Non-re-evaluated subjects were comparable to re-evaluated subjects for age, sex, smoking and respiratory symptoms and function at initial evaluation. Dairy farmers consistently had more respiratory symptoms and lower levels of respiratory function than did control subjects. In the study populations as a whole, the mean annual decline in vital capacity (VC) and forced expiratory volume in one second (FEV1) was slightly, but nonsignificantly, higher in farmers than in control subjects: in mL x yr(-1) (SD), -43.1 (68.2) versus -37.9 (60.2) for VC and -32.8 (56.7) versus -30 (47.2) for FEV1. There was a positive interaction between farming and age (i.e. duration of exposure in this cohort) on respiratory function decline, and in male subjects aged > or = 45 yrs, dairy farming was associated with an accelerated loss in VC (p
doi_str_mv 10.1183/09031936.98.11061287
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In order to confirm the harmful effect of dairy farming, the two groups were re-studied 6 yrs later at the same period of the year. One hundred and ninety-four (77.6%) farmers and 155 (62%) control subjects were available for re-examination. Non-re-evaluated subjects were comparable to re-evaluated subjects for age, sex, smoking and respiratory symptoms and function at initial evaluation. Dairy farmers consistently had more respiratory symptoms and lower levels of respiratory function than did control subjects. In the study populations as a whole, the mean annual decline in vital capacity (VC) and forced expiratory volume in one second (FEV1) was slightly, but nonsignificantly, higher in farmers than in control subjects: in mL x yr(-1) (SD), -43.1 (68.2) versus -37.9 (60.2) for VC and -32.8 (56.7) versus -30 (47.2) for FEV1. There was a positive interaction between farming and age (i.e. duration of exposure in this cohort) on respiratory function decline, and in male subjects aged &gt; or = 45 yrs, dairy farming was associated with an accelerated loss in VC (p&lt;0.05) and FEV1 (p&lt;0.05) after controlling for age, smoking, height and geographic location in a multiple linear regression model. Initial values of respiratory function, age and pack-years smoked (only for VC) were the other variables found to be significant determinants of decline in lung function. 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identifier ISSN: 0903-1936
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subjects Adult
Age Factors
Agricultural Workers' Diseases - diagnosis
Agricultural Workers' Diseases - etiology
Biological and medical sciences
Cross-Sectional Studies
Dairying
Female
Forced Expiratory Volume
Humans
Investigative techniques of respiratory function
Investigative techniques, diagnostic techniques (general aspects)
Longitudinal Studies
Male
Medical sciences
Middle Aged
Regression Analysis
Respiratory Tract Diseases - diagnosis
Respiratory Tract Diseases - etiology
Spirometry
Vital Capacity
title Six year longitudinal study of respiratory function in dairy farmers in the Doubs province
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