Hydration Status and Kidney Health of Factory Workers Exposed to Heat Stress: A Pilot Feasibility Study
| Autor: | William F. Clark, Marcos A. Vieira, Louise Moist, Fabiana Baggio Nerbass, Roberto Pecoits-Filho |
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| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Adult Male Wet-bulb globe temperature Drinking Occupational Health Services Medicine (miscellaneous) Renal function 030209 endocrinology & metabolism Pilot Projects Urine Heat Stress Disorders 03 medical and health sciences Young Adult 0302 clinical medicine Environmental health Medicine Humans Industry Occupations Renal Insufficiency Chronic Biochemical markers Hydration status Kidney 030109 nutrition & dietetics Nutrition and Dietetics business.industry Middle Aged medicine.disease Heat stress Occupational Diseases medicine.anatomical_structure Feasibility Studies Female business Kidney disease |
| Zdroj: | Annals of nutritionmetabolism. 74 |
| ISSN: | 1421-9697 |
| Popis: | Dehydration associated with heat stress increases the risk of workplace injury or illness, decreases productivity, and may contribute to the chronic kidney disease epidemic identified in outdoor workers from hot climates. There is limited research on the effects of chronic occupational heat stress among indoor workers. We aimed to test the feasibility of measuring markers of hydration and kidney function in foundry factory workers in Southern Brazil, exposed and not exposed to heat stress. Factory workers exposed to heat stress (wet bulb globe temperature ≥28.9) and not exposed to heat were identified by management and invited to participate. Clinical and biochemical markers of hydration and kidney function were evaluated before and after a single 8.5 h work shift (lunch time not included). Feasibility outcomes included rates of enrolment, % completion of study protocols, and time to complete data collection. This study was deemed feasible with 80% enrolment and 90% completion of the protocol. Among the preselected workers, the enrolment rate was 91%. All subjects completed the physiological measures and blood collection and 95% completed the urine studies. Mean time to complete data collection pre-shift was 19.1 ± 4.2 min and post-shift: 14.3 ± 4.0 min. Workers exposed to heat stress had a greater decline in estimated glomerular filtration rate compared to controls over the work shift (–13 ± 11 vs. –5 ± 7 mL/min; p < 0.01). We demonstrated the feasibility and challenges of conducting future hydration and kidney function research among indoor factory workers. Further study is needed to determine if exposure to indoor heat contributes to a decline in kidney function. |
| Databáze: | OpenAIRE |
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