Silica Exposure and Effect on Peak Expiratory Flow: Slate Pencil Workers' Study.

Abstract:

BACKGROUND:Peak expiratory flow (PEF) is a spirometric test that detects obstructive changes in the respiratory tract; has good correlation with the FEV1; and is much less expensive, simpler, and easier to perform under field conditions than FEV1. Chronic silicosis is also known to have obstructive features in advanced stages. Thus, this study was performed to assess the effect of silica exposure on PEF and the factors related to it. METHODS:The present study was carried out among 193 slate pencil cutting workers of Multanpura village of Madhya Pradesh, India. An interview technique was used to record demographic characteristics and occupational history on a predesigned form, which included a questionnaire regarding occupational history and silica-related respiratory morbidities. This was followed by a complete medical examination and measurement of PEF using a spirometer. RESULTS:The mean age was 43.35 ± 11.31 y, and the mean duration of exposure was 18.72 ± 9.33 y. In the present study, PEF was found to be significantly reduced in those age ≥40 y, those who were female, those having duration of exposure >10 y, and those having respiratory morbidity, whereas the reduction in PEF was statistically nonsignificant for smokers. CONCLUSIONS:Higher age, female sex, higher duration of exposure, and respiratory morbidity were found to be important correlates of PEF.

journal_name

Respir Care

journal_title

Respiratory care

authors

Tiwari RR

doi

10.4187/respcare.04903

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1659-1663

issue

12

eissn

0020-1324

issn

1943-3654

pii

respcare.04903

journal_volume

61

pub_type

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