A nationwide follow-up study of occupational organic dust exposure and risk of chronic obstructive pulmonary disease (COPD).


Journal

Occupational and environmental medicine
ISSN: 1470-7926
Titre abrégé: Occup Environ Med
Pays: England
ID NLM: 9422759

Informations de publication

Date de publication:
02 2019
Historique:
received: 26 06 2018
revised: 17 10 2018
accepted: 07 11 2018
pubmed: 2 1 2019
medline: 13 11 2019
entrez: 2 1 2019
Statut: ppublish

Résumé

To study exposure-response relations between cumulative organic dust exposure and incident chronic obstructive pulmonary disease (COPD) among subjects employed in the Danish farming and wood industry. We studied exposure-response relations between cumulative organic dust exposure and incident COPD (1997-2013) among individuals born during 1950-1977 in Denmark ever employed in the farming or wood industry (n=1 75 409). Industry-specific employment history (1964-2007), combined with time-dependent farming and wood industry-specific exposure matrices defined cumulative exposure. We used logistic regression analysis with discrete survival function adjusting for age, sex and calendar year. Adjustment for smoking status was explored in a subgroup of 4023 with smoking information available. Cumulative organic dust exposure was inversely associated with COPD (adjusted rate ratios (RR Our findings show no increased risk of COPD with increasing occupational exposure to organic dust in the farming or wood industry. Potential residual confounding by smoking can, however, not be ruled out.

Identifiants

pubmed: 30598459
pii: oemed-2018-105323
doi: 10.1136/oemed-2018-105323
pmc: PMC6581073
doi:

Substances chimiques

Air Pollutants, Occupational 0
Dust 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

105-113

Informations de copyright

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Anne Vested (A)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
Department of Public Health, Section of Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Ioannis Basinas (I)

Department of Public Health, Section of Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
Centre for Human Exposure Science (CHES), Institute of Occupational Medicine (IOM), Edinburgh, UK.

Alex Burdorf (A)

Department of Public Health, Erasmus MC, Rotterdam, The Netherlands.

Grethe Elholm (G)

Department of Public Health, Section of Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Dick J J Heederik (DJJ)

Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.

Gitte H Jacobsen (GH)

Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West, Herning, Denmark.

Henrik A Kolstad (HA)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.

Hans Kromhout (H)

Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.

Øyvind Omland (Ø)

Department of Occupational Medicine, Danish Ramazzini Centre, Aalborg University Hospital, Aalborg, Denmark.

Torben Sigsgaard (T)

Department of Public Health, Section of Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.

Ane M Thulstrup (AM)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.

Gunnar Toft (G)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.

Jesper M Vestergaard (JM)

Department of Occupational Medicine, Danish Ramazzini Centre, Aarhus University Hospital, Aarhus, Denmark.
Department of Occupational Medicine, Danish Ramazzini Centre, University Research Clinic, Regional Hospital West, Herning, Denmark.

Inge M Wouters (IM)

Division of Environmental Epidemiology, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands.

Vivi Schlünssen (V)

Department of Public Health, Section of Environment, Occupation and Health, Danish Ramazzini Centre, Aarhus University, Aarhus, Denmark.
National Research Centre for the Working Environment, Copenhagen, Denmark.

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