Respiratory allergy in apprentice bakers: do occupational allergies follow the allergic march?

Walusiak, Jolanta; Hanke, Wojciech; Górski, Paweł; Pałczyński, Cezary

doi:10.1111/j.1398-9995.2003.00418.x

Cited by 104 publications

(97 citation statements)

References 27 publications

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“…A previous longitudinal study 33 indicated that the incidence of positive SPT to occupational allergens in apprentice bakers increases with the duration of exposure and that positive SPT to occupational allergens at the commencement of training was a significant risk factor for asthma. Further longitudinal genetic studies are required to elucidate the genetic effects of TLR4 on allergic sensitization to new allergen exposure.…”

Section: Discussionmentioning

confidence: 99%

Effect of Toll-like receptor 4 gene polymorphisms on work-related respiratory symptoms and sensitization to wheat flour in bakery workers

Cho

Kim

et al. 2011

Annals of Allergy, Asthma & Immunology

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Section: Discussionmentioning

confidence: 99%

Effect of Toll-like receptor 4 gene polymorphisms on work-related respiratory symptoms and sensitization to wheat flour in bakery workers

Cho

Kim

et al. 2011

Annals of Allergy, Asthma & Immunology

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“…To date, results from general population studies were based on surveillance schemes and national disease registers. High-risk workforce cohort studies comprise a few recently published studies among apprentices [5][6][7][8] and newly hired workers [9], designed to reduce the selection biases in those cohorts. Both showed high incidences of work-related rhinitis and asthma, with very short latency periods, especially for rhinitis.…”

mentioning

confidence: 99%

First months of employment and new onset of rhinitis in adolescents

Riu¹,

Dressel²,

Windstetter³

et al. 2007

Eur Respir J

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The aim of the present study was to investigate the incidence of rhinitis in adolescents, taking into account the duration and type of employment in holiday and vocational jobs, and to study latency until development of symptoms.Participants of the International Study of Asthma and Allergies in Childhood (ISAAC)-II study in Munich and Dresden (Germany), who were enrolled in 1995, were re-contacted by a postal questionnaire in 2002 (aged 16-18 yrs). The questionnaire focused on allergic rhinitis, type and duration of all jobs, and potential confounders. All jobs held for o8 h?week -1 and o1 month were coded and occupational exposure was assigned by a job-exposure matrix. Out of the 3,785 participants, 964 reported an employment history. The median (25th-75th percentile) duration of employment was 10 (1-16) months. After adjusting for potential confounders, those working in high-risk occupations (odds ratio (OR) 1.4, 95% confidence interval (CI) 1.0-2.1) had an increased risk for new onset of rhinitis, especially those exposed to low molecular weight agents (OR 1.8, 95% CI 1.1-2.8). The incidence of rhinitis was highest among those currently employed in a high-risk job for ,10 months.Teenagers who start working in high-risk occupations have a higher incidence of rhinitis compared with those not working. This increased risk might occur early on during employment.

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“…apprentice pastry makers, bakery workers and workers exposed to laboratory animals) and, thus, in contrast to our study, did not include an unexposed reference group [10,11,34]. However, having such a group is crucial in estimating the excess risk that is attributable to a certain exposure compared to the background risk in the population without that exposure.…”

Section: Strengths and Limitationsmentioning

confidence: 76%

“…Most studies on the incidence of asthma and allergies during the first years of work life were performed in occupational cohorts, e.g. bakery apprentices [10,11]. In one of the few population-based studies assessing risk of occupational exposure, the ECRHS (European Community Respiratory Health Survey) [12], an increased risk was seen for asthma [13], but not for allergic rhinitis [14].…”

Section: Introductionmentioning

confidence: 99%

Predictors of work-related sensitisation, allergic rhinitis and asthma in early work life

Kellberger¹,

Peters-Weist²,

Heinrich³

et al. 2014

Eur Respir J

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Although work-related asthma and allergies are a huge burden for society, investigation of occupational exposures in early work life using an unexposed reference group is rare. Thus, the present analyses aimed to assess the potential impact of occupational exposure and other risk factors on the prevalence of work-related sensitisation and incidence of allergic rhinitis/asthma using a population-based approach and taking into account an unexposed reference group.In SOLAR (Study on Occupational Allergy Risks) II, German participants of ISAAC (International Study of Asthma and Allergies in Childhood) phase II were followed from childhood (9-11 years) until early adulthood (19-24 years). Data on 1570 participants were available to fit predictive models.Occupational exposure was not statistically significantly associated with disease prevalence/incidence. Sensitisation in childhood, parental asthma, environmental tobacco smoke exposure during puberty, sex and study location were statistically significant predictors of outcome.Our results indicate that occupational exposure is of little relevance for work-related sensitisation prevalence and allergic rhinitis/asthma incidence in early work life, while other risk factors can be used to improve career guidance for adolescents. Further research on the role of a potential healthy hire effect and the impact of longer exposure duration is needed. @ERSpublications Occupational exposure not predictive of work-related sensitisation, allergic rhinitis and asthma in early work life

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Respiratory allergy in apprentice bakers: do occupational allergies follow the allergic march?

Cited by 104 publications

References 27 publications

Effect of Toll-like receptor 4 gene polymorphisms on work-related respiratory symptoms and sensitization to wheat flour in bakery workers

Effect of Toll-like receptor 4 gene polymorphisms on work-related respiratory symptoms and sensitization to wheat flour in bakery workers

First months of employment and new onset of rhinitis in adolescents

Predictors of work-related sensitisation, allergic rhinitis and asthma in early work life

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