Luca Fontana1, Soo-Jeong Lee, Ilaria Capitanelli, Antonina Re, Mauro Maniscalco, Maria Chiara Mauriello, Ivo Iavicoli. 1. Section of Occupational Medicine, Institute of Public Health, Catholic University of Sacred Heart, Rome (Dr Fontana, Dr Capitanelli); Department of Community Health Systems, University of California San Francisco, San Francisco, California (Dr Lee); Unit of Pneumology, Department of Internal Medicine, Hospital of Vittorio Veneto, Vittorio Veneto (Dr Re); Laboratory of Respiratory Inflammation, IRCCS Istituti Clinici Scientifici Maugeri, Telese Terme, Benevento (Dr Maniscalco); Section of Occupational Medicine, Department of Public Health, University of Naples "Federico II", Naples (Dr Mauriello, Dr Iavicoli), Italy.
Abstract
OBJECTIVE: Chronic obstructive pulmonary disease (COPD) is a significant public health problem but it is unclear whether agricultural work causes an increased risk of disease. The aim of this review was to study COPD risk among farmers and analyze occupational exposures in agricultural workplaces. METHODS: A systematic literature search was conducted to identify epidemiological studies investigating COPD prevalence in farmers. RESULTS: In the 14 studies reviewed, COPD prevalence ranged from 3% to 68% due to different characteristics of study population, working activities, case definition/diagnosis. Livestock farmers were at higher risk and significant associations were observed for exposure to organic dusts, endotoxins, mites, ammonia, and hydrogen sulfide. CONCLUSIONS: Farming work was associated with greater risk of developing COPD. However, considering the several variables that may influence the disease prevalence in farmers, we suggest the adoption of a standardized research strategy.
OBJECTIVE:Chronic obstructive pulmonary disease (COPD) is a significant public health problem but it is unclear whether agricultural work causes an increased risk of disease. The aim of this review was to study COPD risk among farmers and analyze occupational exposures in agricultural workplaces. METHODS: A systematic literature search was conducted to identify epidemiological studies investigating COPD prevalence in farmers. RESULTS: In the 14 studies reviewed, COPD prevalence ranged from 3% to 68% due to different characteristics of study population, working activities, case definition/diagnosis. Livestock farmers were at higher risk and significant associations were observed for exposure to organic dusts, endotoxins, mites, ammonia, and hydrogen sulfide. CONCLUSIONS: Farming work was associated with greater risk of developing COPD. However, considering the several variables that may influence the disease prevalence in farmers, we suggest the adoption of a standardized research strategy.
Authors: Jill A Poole; Ted R Mikuls; Michael J Duryee; Kristi J Warren; Todd A Wyatt; Amy J Nelson; Debra J Romberger; William W West; Geoffrey M Thiele Journal: Respir Res Date: 2017-12-22
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