Chronic Obstructive Pulmonary Disease in Never-Smoking Female Workers Exposed to Cotton Dust

Authors

  • Jordan Minov Institute for Occupational Health of Republic of Macedonia, Skopje
  • Jovanka Karadzinska-Bislimovska Institute for Occupational Health of Republic of Macedonia, Skopje
  • Engin Tutkun Ankara Occupational Diseases Hospital, Ankara
  • Kristin Vasilevska Institute for Epidemiology and Biostatistics, Skopje
  • Snezana Risteska-Kuc Institute for Occupational Health of Republic of Macedonia, Skopje
  • Saso Stoleski Institute for Occupational Health of Republic of Macedonia, Skopje
  • Dragan Mijakoski Institute for Occupational Health of Republic of Macedonia, Skopje

DOI:

https://doi.org/10.3889/oamjms.2014.056

Keywords:

airflow limitation, bronchodilator reversibility testing, occupational exposure, questionnaire, spirometry, textile industry.

Abstract

AIM: Textile workers in their work environment are exposed to airborne particulate from natural and synthetic origin. In the present study we aimed at assessment of prevalence and characterstics of  COPD in never-smoking female workers employed at cotton weaving sector in textile manufacture.

MATERIAL AND METHODS: In order to assess chronic prevalence and characteristics of chronic obstructive pulmonary disease (COPD) in textile industry we performed a cross-sectional study including 47 never-smoking female cotton workers (aged 36 to 56 years) and an equal number of never-smoking female office workers studied as a control. Evaluation of examined subjects consisted of completion of a questionnaire, baseline spirometry, and bronchodilator reversibility testing.

RESULTS: We found higher prevalence of respiratory symptoms in cotton workers with significant difference for phlegm and dyspnea. Majority of the chronic respiratory symptoms in cotton workers were work-related. With exception of the mean value of forced vital capacity (FVC), the mean values of all other measured spirometric parameters in cotton workers were significantly lower than in office workers. The prevalence of COPD was significantly higher in cotton workers than in office workers (11.4% vs. 2.3%, P = 0,027). COPD in cotton workers was significantly associated with age higher than 45 years and with duration of exposure longer than 20 years.

CONCLUSION: Our findings support data about relationship between occupational exposure to organic dust in textile workers and persistent airflow limitation.

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References

Behrendt CE. Mild and moderate-to-severe COPD in non-smokers. Distinct demographic profiles. Chest. 2005; 128: 1239-1244. DOI: https://doi.org/10.1378/chest.128.3.1239

Celli BR, Halbert RJ, Nordyke RJ, Schan B. Airway obstruction in never smokers: results from the Third National Health and Nutrition Examination Survey. Am J Med. 2005; 118: 1364-1372. DOI: https://doi.org/10.1016/j.amjmed.2005.06.041

Matheson MC, Benke G, Raven J, Sim MR, Kromhout H, Vermeulen R, Johns DP, Walters EH, Abramson MJ. Biological dust exposure in the workplace is a risk factor for chronic obstructive pulmonary disease. Thorax. 2005; 60: 645-651. DOI: https://doi.org/10.1136/thx.2004.035170

Hnizdo E, Sullivan PA, Bang KM, Wagner G. Airflow obstruction attributable to work in industry and occupation among U.S. race/ethnic groups: a study of NHANES III data. Am J Ind Med. 2004; 46: 126-135. DOI: https://doi.org/10.1002/ajim.20042

Hnizdo E, Sullivan PA, Bang KM, Wagner G. Association between chronic obstructive pulmonary disease and employment by industry and occupation in the US population: a study of data from the Third National Health and Nutrition Examination Survey. Am J Epidemiol. 2002; 156: 738-746. DOI: https://doi.org/10.1093/aje/kwf105

Balmes J, Becklake M, Blanc P, Henneberger P, Kreiss K, Mapp C, Milton D, Schwartz D, Toren K, Viegi G. American Thoracic Society Statement: Occupational contribution to the burden of airway disease. Am J Respir Crit Care Med. 2003; 167: 787-797. DOI: https://doi.org/10.1164/rccm.167.5.787

Heederik D, Kromhout H, Burema J, Biersteker K, Kromhout D. Occupational exposure and 25-year incidence rate of nonspecific lung disease: the Zutphen Study. Int J Epidemiol. 1990; 19: 945-952. DOI: https://doi.org/10.1093/ije/19.4.945

Oldenburg M, Latza U, Baur X. Exposure-response relationship between endotoxin exposure and lung function impairment in cotton textile workers. Int Arch Occup Environ Health. 2007; 80: 388-395. DOI: https://doi.org/10.1007/s00420-006-0145-0

Cotton Dust. Proceedings of the 10th Cotton Dust Research Conference, 1986.

Paudyal P, Semple S, Niven R, Tavernier G, Ayres JG. Exposure to dust and endotoxin in textile processing workers. Ann Occup Hyg. 2011; 55 (4): 403-409. DOI: https://doi.org/10.1136/oemed-2011-100382.303

Hendrick DJ. Occupation and chronic obstructive pulmonary disease. Thorax. 1996; 947-955. DOI: https://doi.org/10.1136/thx.51.9.947

Smit LA, Heederik D, Doekes G, Lammers JW, Wouters IM. Occupational endotoxin exposure reduces the risk of atopic sensitization but increases risk of bronchial hyperresponsiveness. Int Arch Allergy Immunol. 2010; 152: 151-158. DOI: https://doi.org/10.1159/000265536

World Health Organization. Guidelines for controlling and monitoring the tobbaco epidemic. Geneva, WHO, 1998.

Leffondre K, Abrahamowicz M, Siemiatycki J, Rachet B. Modelling smoking history: A comparison of different approaches. Am J Epidemiol. 2002; 156: 813-823. DOI: https://doi.org/10.1093/aje/kwf122

Spirometry Guide: 2010 Update. http://www.goldcopd.org/uploads/users/files/GOLD_Spirometry_2010.pdf. Accessed 09.10.2013.

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CPM, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J. Standardisation of spirometry. Eur Respir J. 2005; 26: 319-338. DOI: https://doi.org/10.1183/09031936.05.00034805

Minette A. Questionnaire of the European Community for Coal and Steel (ECSC) on respiratory symptoms. 1987 - updating of the 1962 and 1967 questionnaires for studying chronic bronchitis and emphysema. Eur Respir J. 1989; 2:165-177.

European Community Respiratory Health Survey. Variations in the prevalence of respiratory symptoms, self-reported asthma attacks, and use of asthma medication in the European Respiratory Health Survey (ECRHS). Eur Respir J. 1996; 9: 687-695. DOI: https://doi.org/10.1183/09031936.96.09040687

Meijer E, Grobbe DE, Heederik DJJ. Health surveillance for occupational chronic obstructive disease. J Occup Environ Med. 2001; 43: 444-450. DOI: https://doi.org/10.1097/00043764-200105000-00003

U.S. Department of Health and Human Services. The health consequences of smoking: chronic obstructive pulmonary disease. A report of the Surgeon General. US Department of Health and Human Services, Public Health Service, Office of the Assistant for Health, Office of Smoking and Health. DHHS Publication No. 84-50 205, 1984.

Janson C, Chinn S, Jarvis D, Zock JP, Toren K, Burney P, for the European Community Respiratory Health Survey. Effects of passive smoking on respiratory symptoms, bronchial responsiveness, lung function, and total serum IgE in the European Community Respiratory Health Survey: a cross-sectional study. Lancet. 2001; 358: 2103-2109. DOI: https://doi.org/10.1016/S0140-6736(01)07214-2

Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: Updated 2013. Available at: http://www.goldcopd.org/uploads/users/files/ GOLD_Report_2013_Feb20.pdf. Accessed 09.10.2013.

Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: 2010 Update. Available at: http://www.goldcopd.org/Guidelines/guideline-2010-gold-report.html. Accessed 09.10.2013.

Lopez AD, Shibuya K, Rao C, Mathers CD, Hansell AL, Held LS, Schmid V, Buist S. Chronic obstructive pulmonary disease: current burden and future perspectives. Eur Respir J. 2006; 27: 397-412. DOI: https://doi.org/10.1183/09031936.06.00025805

Salvi SS, Barnes PJ. Chronic obstructive pulmonary disease in non-smokers. Lancet. 2009; 374: 733-743. DOI: https://doi.org/10.1016/S0140-6736(09)61303-9

Trupin L, Earnest G, San Pedro M, Balmes JR, Eisner MD, Yelin E, Katz PP, Blanc PD. The occupational burden of chronic obstructive pulmonary disease. Eur Respir J. 2003; 22: 462-469. DOI: https://doi.org/10.1183/09031936.03.00094203

Burge PS. Occupation and chronic obstructive pulmonary disease (COPD). Eur Respir J. 1994; 7: 1032-1034.

Minov J, Karadzinska-Bislimovska J, Vasilevska K, Risteska-Kuc S, Stoleski S. Exposure to environmental tobacco smoke in the workplace in Macedonia: Where are we now? Arh Hig Rada Toksikol. 2008; 59: 103-109. DOI: https://doi.org/10.2478/10004-1254-59-2008-1870

Minov J, Karadzinska-Bislimovska J, Vasilevska K, Nelovska Z, Risteska-Kuc S, Stoleski S, Mijakoski D. Smoking among Macedonian workers five years after the anti-smoking campaign. Arh Hig Rada Toksikol. 2012; 63: 207-213. DOI: https://doi.org/10.2478/10004-1254-63-2012-2150

Zuskin E, Neil Schachter E, Kanceljak B, Witek TJ. Immunological and respiratory reactions in workers exposed to organic dusts. Int Arch Occup Environ Health. 1994; 66: 317-324. DOI: https://doi.org/10.1007/BF00378364

Mustajbegovic J, Zuskin E, Neil Schachter E, Kern J, Vitale K, Ebling Z, Vrcic-Keglevic M. Respiratory findings in chemical workers exposed to low concentrations of organic and inorganic air pollutants. Am J Ind Med. 2000; 38: 431-440. DOI: https://doi.org/10.1002/1097-0274(200010)38:4<431::AID-AJIM9>3.0.CO;2-Q

Minov J, Karadzinska-Bislimovska J, Vasilevska K, Risteska-Kuc S, Stoleski S. Exercise-induced bronchoconstriction in textile and agricultural workers and in bakers. Arh Hig Rada Toksikol. 2006; 57: 379-386.

Minov J, Karadzinska-Bislimovska J, Vasilevska K, Risteska-Kuc S, Stoleski S. Bronchial hyperresponsiveness in workers exposed to organic dusts: effect of smoking. Allergy Hypersensitivity Asthma. 2006; 4 (1): 11-20.

Dimich-Ward H, Kennedy S, Chan-Yeung M. Occupational exposures and chronic airflow limitation. Can Respir J. 1996; 133-140. DOI: https://doi.org/10.1155/1996/146138

Noertjojo HK, Dimich-Ward H, Peelen S, Dittrick M, Kennedy S, Chan-Yeung M. Western red cedar dust exposure and lung function loss: a dose-response relationship. Am J Respir Crit Care Med. 1996; 154: 968-973. DOI: https://doi.org/10.1164/ajrccm.154.4.8887593

Mandryk J, Alwis KU, Hocking AD. Work-related symptoms and dose-response relationship for personal exposures and pulmonary function among woodworkers. Am J Ind Med. 1999; 35: 481-490. DOI: https://doi.org/10.1002/(SICI)1097-0274(199905)35:5<481::AID-AJIM5>3.0.CO;2-N

Glindemeyer HW, Lefante JJ, Jones RN, Rando RJ, Weill H. Cotton dust and across-shift change FEV1 as predictors of annual change in FEV1. Am J Respir Crit Care Med. 1994; 149: 584-590. DOI: https://doi.org/10.1164/ajrccm.149.3.8118622

Zuskin E, Ivankovic D, Schachter EN, Witek TJ jr. A ten year follow-up study of cotton textile workers. Am Rev Resp Dis. 1991; 143: 301-305. DOI: https://doi.org/10.1164/ajrccm/143.2.301

Enarson DA, Vedal S, Chan-Yeung M. Rapid decline in FEV1 in grain handlers. Relation to level of exposure. Am Rev Respir Dis. 1985; 132: 814-817.

Reynolds SJ, Donham KJ, Whitten P, Merchant JA, Burmeister LF, Poppendorf WJ. Longitudinal evaluation dose-response relationships for environmental exposures and pulmonary function in swine production workers. Am J Ind Med. 1996; 29: 33-40. DOI: https://doi.org/10.1002/(SICI)1097-0274(199601)29:1<33::AID-AJIM5>3.0.CO;2-#

Glindmeyer HW, Lefante JJ, Jones RN, Rando RJ, Abdel Kader HM, Weill H. Exposure-related declines in the lung function of cotton textile workers. Relationship to current workplace standards. Am Rev Resp Dis. 1991; 144: 675-683. DOI: https://doi.org/10.1164/ajrccm/144.3_Pt_1.675

Zock JP, Sunyer J, Kogevinas M, Kromhout H, Burney P, Antó JM. Occupation, chronic bronchitis, and lung function in young adults: an international study. Am J Respir Crit Care Med. 2001; 163: 1572-1577. DOI: https://doi.org/10.1164/ajrccm.163.7.2004195

Mastrangelo G, Tartari M, Fedeti U, Faddia E, Saia B. Ascertaining the risk of chronic obstructive pulmonary disease in relation to occupation using a case-control design. Occupational Medicine. 2003; 53: 165-172. DOI: https://doi.org/10.1093/occmed/kqg041

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Published

2014-06-15

How to Cite

1.
Minov J, Karadzinska-Bislimovska J, Tutkun E, Vasilevska K, Risteska-Kuc S, Stoleski S, Mijakoski D. Chronic Obstructive Pulmonary Disease in Never-Smoking Female Workers Exposed to Cotton Dust. Open Access Maced J Med Sci [Internet]. 2014 Jun. 15 [cited 2024 Apr. 26];2(2):320-6. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2014.056

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Section

E - Public Health

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