Association between occupational exposure and chronic obstructive pulmonary disease and respiratory symptoms in the Spanish population

Introduction: The aim of this study was to analyze the impact of occupational exposure on chronic obstructive pulmonary disease (COPD) and respiratory symptoms in the general Spanish population. Methods: This was a study nested in the Spanish EPISCAN II cross-sectional epidemiological study that inc...

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Autores: Loeb, Eduardo, Zock, Jan-Paul|||0000-0002-2941-6259, Miravitlles, Marc|||0000-0002-9850-9520, Rodríguez, Esther|||0000-0001-8572-5198, Soler-Cataluña, Juan José|||0000-0003-1134-0783, Soriano, Joan B.|||0000-0001-9740-2994, García-Rio, Francisco|||0000-0002-7227-2238, de Lucas-Ramos, Pilar|||0000-0002-9377-8262, Alfageme, Inmaculada|||0000-0002-5106-1669, Casanova, Ciro|||0000-0001-7364-7508, Rodríguez González-Moro, José Miguel|||0000-0002-8446-3373, Ancochea, Julio|||0000-0001-7451-4133, Cosio, Borja G.|||0000-0002-6388-8209, Ferrer Sancho, Jaume|||0000-0001-6616-0670
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:español
OAI Identifier:oai:ddd.uab.cat:302732
Acceso en línea:https://ddd.uab.cat/record/302732
https://dx.doi.org/urn:doi:10.1016/j.arbres.2023.10.014
Access Level:acceso abierto
Palabra clave:Chronic obstructive pulmonary disease
Spirometry
Occupational exposure
Respiratory symptoms
Enfermedad pulmonar obstructiva crónica
Espirometría
Exposición ocupacional
Síntomas respiratorios
Descripción
Sumario:Introduction: The aim of this study was to analyze the impact of occupational exposure on chronic obstructive pulmonary disease (COPD) and respiratory symptoms in the general Spanish population. Methods: This was a study nested in the Spanish EPISCAN II cross-sectional epidemiological study that included participants who had completed a structured questionnaire on their occupational history, a questionnaire on respiratory symptoms, and forced spirometry. The data were analyzed using Chi-square and Student's t tests and adjusted models of multiple linear regression and logistic regression. Results: We studied 7502 subjects, 51.1% women, with a mean age of 60 ± 11 years. Overall, 53.2% reported some respiratory symptoms, 7.9% had respiratory symptoms during their work activity, 54.2% were or had been smokers, and 11.3% (851 subjects) met COPD criteria on spirometry. A total of 3056 subjects (40.7%) reported exposure to vapors, gases, dust or fumes (VGDF); occupational exposure to VGDF was independently associated with the presence of COPD (OR 1.22, 95% CI: 1.03-1.44), respiratory symptoms (OR 1.45, 95%: CI 1.30-1.61), and respiratory symptoms at work (OR 4.69, 95% CI: 3.82-5.77), with a population attributable fraction for COPD of 8.2%. Conclusions: Occupational exposure is associated with a higher risk of COPD and respiratory symptoms in the Spanish population. These results highlight the need to follow strict prevention measures to protect the respiratory health of workers.

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