Work-related asthma in a sample of subjects with established asthma
To assess the impact of occupational exposure to irritants or sensitizers on the occurrence, recrudescence and worsening of asthma and to identify unrecognized cases of work related asthma (WRA) including Work-Exacerbated Asthma (WEA) and Occupational Asthma (OA), in a general asthma clinic populati...
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| Veröffentlicht in: | Respiratory medicine 2017-09, Vol.130, p.85-91 |
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| creator | Talini, Donatella Ciberti, Alessandro Bartoli, Dusca Del Guerra, Paolo Iaia, Tonina Enza Lemmi, Maria Innocenti, Andrea Di Pede, Francesco Latorre, Manuela Carrozzi, Laura Paggiaro, Pierluigi |
| description | To assess the impact of occupational exposure to irritants or sensitizers on the occurrence, recrudescence and worsening of asthma and to identify unrecognized cases of work related asthma (WRA) including Work-Exacerbated Asthma (WEA) and Occupational Asthma (OA), in a general asthma clinic population sample.
The study was a population-based cross sectional survey. 1289 asthmatic subjects (from 15 to 46 yrs old) living in a vast district of Tuscany (Italy) were identified from the Medical Reimbursement Register of the National Health System. 893 subjects agreed to take part in the study. Subjects who were currently working or had worked in past were classified in different categories of occupational risk exposure (No, Low or High) according to the italian standard classification for industries and job titles, associated with the judgment of occupational hygiene experts.
41% of subjects worked in industries and in job titles at risk for exposure to airway irritants and/or sensitizers, 48.6% reported an occupational exposure to gases, dust and fumes, more males than females. Prevalence of WEA and OA was higher in subjects who worked at higher risk exposure; these subjects reported a higher prevalence of markers of asthma severity (asthma control, level of treatment, FEV1) than subjects without WRA. Risk of WEA was significantly associated to female gender, older age, and self-reported exposure, while risk of OA was associated to job title with higher exposure risk to occupational asthmogens.
Our study shows a high prevalence of WRA (especially WEA) associated with employment in industries and job titles at risk for airways sensitizers and/or irritants; data also support a role for occupational exposure in determining a poor asthma control and a higher level of asthma severity.
•A large unselected group of asthmatic subjects was examined.•A high prevalence of WRA (especially WEA) was associated with occupational exposure.•Clinical and functional measurements were used.•Risk assessment was accurate. |
| doi_str_mv | 10.1016/j.rmed.2017.07.008 |
| format | Article |
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The study was a population-based cross sectional survey. 1289 asthmatic subjects (from 15 to 46 yrs old) living in a vast district of Tuscany (Italy) were identified from the Medical Reimbursement Register of the National Health System. 893 subjects agreed to take part in the study. Subjects who were currently working or had worked in past were classified in different categories of occupational risk exposure (No, Low or High) according to the italian standard classification for industries and job titles, associated with the judgment of occupational hygiene experts.
41% of subjects worked in industries and in job titles at risk for exposure to airway irritants and/or sensitizers, 48.6% reported an occupational exposure to gases, dust and fumes, more males than females. Prevalence of WEA and OA was higher in subjects who worked at higher risk exposure; these subjects reported a higher prevalence of markers of asthma severity (asthma control, level of treatment, FEV1) than subjects without WRA. Risk of WEA was significantly associated to female gender, older age, and self-reported exposure, while risk of OA was associated to job title with higher exposure risk to occupational asthmogens.
Our study shows a high prevalence of WRA (especially WEA) associated with employment in industries and job titles at risk for airways sensitizers and/or irritants; data also support a role for occupational exposure in determining a poor asthma control and a higher level of asthma severity.
•A large unselected group of asthmatic subjects was examined.•A high prevalence of WRA (especially WEA) was associated with occupational exposure.•Clinical and functional measurements were used.•Risk assessment was accurate.</description><identifier>ISSN: 0954-6111</identifier><identifier>EISSN: 1532-3064</identifier><identifier>DOI: 10.1016/j.rmed.2017.07.008</identifier><identifier>PMID: 29206638</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Asthma ; Asthma - epidemiology ; Asthma - etiology ; Asthma - physiopathology ; Asthma, Occupational - epidemiology ; Asthma, Occupational - physiopathology ; Classification ; Cross-Sectional Studies ; Disease Progression ; Dust ; Employment ; Exacerbations ; Exposure ; Female ; Females ; Fumes ; Gases ; General population ; Health maintenance organizations ; Health risk assessment ; Health surveillance ; HMOs ; Humans ; Hygiene ; Irritants - adverse effects ; Italy - epidemiology ; Job titles ; Male ; Males ; Middle Aged ; Occupational diseases ; Occupational Diseases - epidemiology ; Occupational Diseases - etiology ; Occupational exposure ; Occupational Exposure - adverse effects ; Occupational hazards ; Occupational health ; Population ; Population studies ; Prevalence ; Public health ; Questionnaires ; Respiratory Function Tests ; Respiratory tract ; Risk ; Risk Factors ; Sex differences ; Work-related ; Workplace ; Young Adult</subject><ispartof>Respiratory medicine, 2017-09, Vol.130, p.85-91</ispartof><rights>2017 Elsevier Ltd</rights><rights>Copyright © 2017 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-bbe07b67573ff1d615cd6d1b4dd4f4ffb0e822ef1855ca25701ede0dc71b25ca3</citedby><cites>FETCH-LOGICAL-c428t-bbe07b67573ff1d615cd6d1b4dd4f4ffb0e822ef1855ca25701ede0dc71b25ca3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.rmed.2017.07.008$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29206638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Talini, Donatella</creatorcontrib><creatorcontrib>Ciberti, Alessandro</creatorcontrib><creatorcontrib>Bartoli, Dusca</creatorcontrib><creatorcontrib>Del Guerra, Paolo</creatorcontrib><creatorcontrib>Iaia, Tonina Enza</creatorcontrib><creatorcontrib>Lemmi, Maria</creatorcontrib><creatorcontrib>Innocenti, Andrea</creatorcontrib><creatorcontrib>Di Pede, Francesco</creatorcontrib><creatorcontrib>Latorre, Manuela</creatorcontrib><creatorcontrib>Carrozzi, Laura</creatorcontrib><creatorcontrib>Paggiaro, Pierluigi</creatorcontrib><title>Work-related asthma in a sample of subjects with established asthma</title><title>Respiratory medicine</title><addtitle>Respir Med</addtitle><description>To assess the impact of occupational exposure to irritants or sensitizers on the occurrence, recrudescence and worsening of asthma and to identify unrecognized cases of work related asthma (WRA) including Work-Exacerbated Asthma (WEA) and Occupational Asthma (OA), in a general asthma clinic population sample.
The study was a population-based cross sectional survey. 1289 asthmatic subjects (from 15 to 46 yrs old) living in a vast district of Tuscany (Italy) were identified from the Medical Reimbursement Register of the National Health System. 893 subjects agreed to take part in the study. Subjects who were currently working or had worked in past were classified in different categories of occupational risk exposure (No, Low or High) according to the italian standard classification for industries and job titles, associated with the judgment of occupational hygiene experts.
41% of subjects worked in industries and in job titles at risk for exposure to airway irritants and/or sensitizers, 48.6% reported an occupational exposure to gases, dust and fumes, more males than females. Prevalence of WEA and OA was higher in subjects who worked at higher risk exposure; these subjects reported a higher prevalence of markers of asthma severity (asthma control, level of treatment, FEV1) than subjects without WRA. Risk of WEA was significantly associated to female gender, older age, and self-reported exposure, while risk of OA was associated to job title with higher exposure risk to occupational asthmogens.
Our study shows a high prevalence of WRA (especially WEA) associated with employment in industries and job titles at risk for airways sensitizers and/or irritants; data also support a role for occupational exposure in determining a poor asthma control and a higher level of asthma severity.
•A large unselected group of asthmatic subjects was examined.•A high prevalence of WRA (especially WEA) was associated with occupational exposure.•Clinical and functional measurements were used.•Risk assessment was accurate.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Asthma</subject><subject>Asthma - epidemiology</subject><subject>Asthma - etiology</subject><subject>Asthma - physiopathology</subject><subject>Asthma, Occupational - epidemiology</subject><subject>Asthma, Occupational - physiopathology</subject><subject>Classification</subject><subject>Cross-Sectional Studies</subject><subject>Disease Progression</subject><subject>Dust</subject><subject>Employment</subject><subject>Exacerbations</subject><subject>Exposure</subject><subject>Female</subject><subject>Females</subject><subject>Fumes</subject><subject>Gases</subject><subject>General population</subject><subject>Health maintenance organizations</subject><subject>Health risk assessment</subject><subject>Health surveillance</subject><subject>HMOs</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Irritants - adverse effects</subject><subject>Italy - epidemiology</subject><subject>Job titles</subject><subject>Male</subject><subject>Males</subject><subject>Middle Aged</subject><subject>Occupational diseases</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupational hazards</subject><subject>Occupational health</subject><subject>Population</subject><subject>Population studies</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Respiratory Function Tests</subject><subject>Respiratory tract</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Sex differences</subject><subject>Work-related</subject><subject>Workplace</subject><subject>Young Adult</subject><issn>0954-6111</issn><issn>1532-3064</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpaTZp_0APwdBLL97O6MP2Qi5laZNAoJeWHoU-Rqxce72R7JT--2rZJIceAgMCzfO-DA9jHxDWCNh87tdpJL_mgO0aykD3iq1QCV4LaORrtoKNknWDiGfsPOceADZSwlt2xjccmkZ0K7b9NaXfdaLBzOQrk-fdaKq4r0yVzXgYqJpClRfbk5tz9SfOu4rybOwQ8-6Zf8feBDNkev_4XrCf377-2N7Ud9-vb7df7moneTfX1hK0tmlVK0JA36ByvvFopfcyyBAsUMc5BeyUcoarFpA8gXctWl5-xAX7dOo9pOl-KXfoMWZHw2D2NC1Z46YVssSUKOjH_9B-WtK-XFcoIVSHHKBQ_ES5NOWcKOhDiqNJfzWCPirWvT4q1kfFGspAV0KXj9WLPe6eIk9OC3B1Aqi4eIiUdHaR9o58TEWj9lN8qf8fSiuMYw</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Talini, Donatella</creator><creator>Ciberti, Alessandro</creator><creator>Bartoli, Dusca</creator><creator>Del Guerra, Paolo</creator><creator>Iaia, Tonina Enza</creator><creator>Lemmi, Maria</creator><creator>Innocenti, Andrea</creator><creator>Di Pede, Francesco</creator><creator>Latorre, Manuela</creator><creator>Carrozzi, Laura</creator><creator>Paggiaro, Pierluigi</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>ASE</scope><scope>FPQ</scope><scope>H94</scope><scope>K6X</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Work-related asthma in a sample of subjects with established asthma</title><author>Talini, Donatella ; 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The study was a population-based cross sectional survey. 1289 asthmatic subjects (from 15 to 46 yrs old) living in a vast district of Tuscany (Italy) were identified from the Medical Reimbursement Register of the National Health System. 893 subjects agreed to take part in the study. Subjects who were currently working or had worked in past were classified in different categories of occupational risk exposure (No, Low or High) according to the italian standard classification for industries and job titles, associated with the judgment of occupational hygiene experts.
41% of subjects worked in industries and in job titles at risk for exposure to airway irritants and/or sensitizers, 48.6% reported an occupational exposure to gases, dust and fumes, more males than females. Prevalence of WEA and OA was higher in subjects who worked at higher risk exposure; these subjects reported a higher prevalence of markers of asthma severity (asthma control, level of treatment, FEV1) than subjects without WRA. Risk of WEA was significantly associated to female gender, older age, and self-reported exposure, while risk of OA was associated to job title with higher exposure risk to occupational asthmogens.
Our study shows a high prevalence of WRA (especially WEA) associated with employment in industries and job titles at risk for airways sensitizers and/or irritants; data also support a role for occupational exposure in determining a poor asthma control and a higher level of asthma severity.
•A large unselected group of asthmatic subjects was examined.•A high prevalence of WRA (especially WEA) was associated with occupational exposure.•Clinical and functional measurements were used.•Risk assessment was accurate.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>29206638</pmid><doi>10.1016/j.rmed.2017.07.008</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Asthma Asthma - epidemiology Asthma - etiology Asthma - physiopathology Asthma, Occupational - epidemiology Asthma, Occupational - physiopathology Classification Cross-Sectional Studies Disease Progression Dust Employment Exacerbations Exposure Female Females Fumes Gases General population Health maintenance organizations Health risk assessment Health surveillance HMOs Humans Hygiene Irritants - adverse effects Italy - epidemiology Job titles Male Males Middle Aged Occupational diseases Occupational Diseases - epidemiology Occupational Diseases - etiology Occupational exposure Occupational Exposure - adverse effects Occupational hazards Occupational health Population Population studies Prevalence Public health Questionnaires Respiratory Function Tests Respiratory tract Risk Risk Factors Sex differences Work-related Workplace Young Adult |
| title | Work-related asthma in a sample of subjects with established asthma |
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