Respiratory and cardiovascular function at rest and during exercise testing in a
healthy working population: effects of outdoor traffic air pollution

Volpino, P.; Tomei, Francesco; Valle, C. La; Tomao, Enrico; Rosati, Maria Valeria; Ciarrocca, Manuela; Sio, Simone De; Cangemi, B; Vigliarolo, Rossana; Fedele, Francesco

doi:10.1093/occmed/kqh102

Cited by 55 publications

(38 citation statements)

References 38 publications

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“…8 When compared with other studies conducted on traffic policemen by Thippanna G. and Lakhtakia, Volpino et al and Karita et al it was observed that 37% to 43% traffic policemen were current smokers, which was more than that observed in the present study (7.02%). [16][17][18] In the study carried out by Charles et al it was observed that 12.9% male police officers were current smokers and 79.4% male police officers were used to take alcohol. 19 In the study carried out by Shabana et al it was found that 22.6% policemen had habit of smoking, 8.5% policemen had habit of tobacco chewing and 31.1% policemen had habit of alcohol intake.…”

Section: 32%mentioning

confidence: 99%

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Study of socio-demographic factors and morbidity profile of traffic policemen in Solapur city of Maharashtra

Haralkar

Gite²

2017

Int J Community Med Public Health

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Background: The traffic policemen are engaged in controlling vehicular traffic and exposed to higher concentrations of air pollution as well as noise pollution daily. Hence they are at a risk of developing various health problems due to their occupation. Methods: The aim of study was to study socio-demographic characteristics and morbidity profile of traffic policemen. A cross sectional study was carried out on 114 traffic policemen form the traffic control branch of the city from the police headquarter of the city. History regarding symptoms experienced at the workplace, history of present illness, past history, personal history and family history was obtained and clinical examination was done. Statistical analysis was done with the help of percentages, chi-square test. Results: Majority (89.47%) of the traffic policemen were married. Nuclear family type was seen in majority (64.91%) of traffic policemen. Annoyance to noise (51.75%) and eye irritation (32.46%) were most common symptoms experienced at work place by the traffic policemen. Obesity was a major health problem in the study subjects (63.16%). Respiratory morbidity like URTI (14.91%) and chronic rhinitis (14.04%) were found significantly more in the traffic policemen. Conclusions: Annoyance to noise and eye irritation were most common symptoms experienced at work place by the traffic policemen. Respiratory morbidity like URTI, chronic rhinitis and chronic bronchitis were most common.

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Section: 32%mentioning

confidence: 99%

“…In the present study 29.82% traffic policemen were found with hypertension which was more than that observed in 16% and 25% traffic policemen in the studies carried out by Volpino et al and Satapathy respectively. 17,26 The URTI was observed in 17 (14.91%) traffic policemen. Chronic rhinitis was found in 14.04% traffic policemen.…”

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confidence: 97%

Study of socio-demographic factors and morbidity profile of traffic policemen in Solapur city of Maharashtra

Haralkar

Gite²

2017

Int J Community Med Public Health

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“…Systolic and diastolic blood pressure, evaluated in eight studies (12,13,(28)(29)(30)(31)(32)(33), and heart rate, in two studies (31,34), show no statistically significant differences in the exposed compared to controls. The studies were heterogeneous between them.…”

Section: Results Of Continuous Variables: Class Imentioning

confidence: 98%

“…Even if the process implying this connection is not yet fully explained, it is possible to recognize some risk factors, such as the exposition to chemical agents shortterm (2,(8)(9)(10)(11) and long-term (2,5,(12)(13)(14)(15) exposition to particulate matter, lead (16)(17)(18)(19)(20)(21), cadmium (4), carbon monoxide (22) and to traffic noise (12,13,23,24). The aim of this meta-analysis is to conduct a systematic revision of the scientific evidence on cardiovascular effects in workers exposed to urban pollution (25).…”

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confidence: 99%

Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Sancini¹

2012

P. & R.

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SummaryBackground: many studies showed a connection between exposition to high levels of urban pollution (especially to particulate and traffic noise) and the onset of even deadly cardiovascular diseases. Design: meta-analysis of case-control design. Objectives: the aim of this study is to estimate the association between cardiovascular effects and occupational exposition to atmospheric pollution in urban environment. There has not been any kind of language or typological restriction. Criteria of Elegibility: the research on cardiovascular effects includes control cases of workers exposed to urban pollution, compared with non-exposed subjects. Participants and Interventions: the selected studies present outdoor workers exposed to urban pollution (drivers and petrol pump attendants) and a control group of indoor workers (managers, university students and other selected subjects). Study Appraisal and Synthesis Methods: the evidences (independently token from two different authors) have been grouped in two classes, the first one formed by continuous variables (systolic blood pressure, diastolic blood pressure, heart rate, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides) and the second one by discontinuous variables (electrocardiographic abnormalities prevalence, hypertension prevalence, hypercholesterolemia prevalence). The studies related to both classes and presenting more than one variable for each class have been included and used, in order to elaborate the results. We calculated heterogeneity in each variable (ES calculation for continuous variables and OR calculation for discontinuous variables). Results: on 378 publications, we have selected and included 16 articles. The variables show statistically irrelevant differences between exposed group and control group, except regarding the triglycerides. Limitations: The controlled studies are limited and characterized by a non-homogeneous evaluation of both expositional times of workers to urban pollution and of professional expositional values. Conclusions: considering the heterogeneity and the lack of studies, it is impossible at the moment to document effects on the cardiovascular system in workers exposed to urban pollution. The results of this meta-analysis only suggest the association of urban pollution with alteration of triglycerides blood levels (referring to just three studies). As reported in scientific literature on this subject, it is necessary to conduct a future professional investigation on this subject with more qualified and homogeneous studies.

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“…Innymi ocenianymi parametrami są np. : zużycie tlenu (oxygen uptake -VO 2 ), eliminacja dwutlenku węgla (CO 2 production -VCO 2 ), zuży-cie tlenu na progu anaerobowym (oxygen uptake on anaerobic treshold -VO 2 AT) oraz wielkość wentylacji (ventilation -VE) (3). Niektóre z nich są używane do oceny rokowania pacjentów z niewydolnością serca i mogą być pomocne w kwalifikacji chorych do przeszczepu serca.…”

Section: Wstępunclassified

Cardiopulmonary exercise testing – its application in cardiology and occupational medicine

Kurpesa¹,

Jerka²,

Bortkiewicz³

2015

Med Pr

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StreszczenieSpiroergometryczna próba wysiłkowa jest wykorzystywana do oceny wydolności fizycznej. W kardiologii znajduje zastosowanie w diagnostyce, planowaniu terapii, ocenie jej skuteczności i ocenie rokowania. Badanie to jest również wykorzystywane przez lekarzy innych specjalizacji, np. medycyny sportowej i medycyny pracy. Test spiroergometryczny polega na bezpośrednim pomiarze wymiany gazowej podczas próby wysiłkowej. W artykule przedstawiono najważniejsze parametry oceniane podczas testu oraz wskazania i przeciwwskazania do jego przeprowadzenia. Opisano też wyniki, najciekawszych według autorów, opublikowanych w ostatnim czasie badań klinicznych dotyczących wykorzystania testu spiroergometrycznego u pacjentów z chorobami układu krążenia i osób narażonych na niekorzystne dla zdrowia czynniki związane z pracą zawodową. W publikacjach tych oceniano zmienność parametrów oddechowych podczas testu spiroergometrycznego i po jego zakończeniu oraz ich wpływ na wartość prognostyczną badania. W niniejszej pracy przedstawiono ponadto doniesienia na temat optymalnego doboru obciąże-nia w treningu interwałowym w oparciu o zużycie tlenu na szczycie wysiłku. Med. Pr. 2014;65(5):665-674 Słowa kluczowe: ergometria, próba wysiłkowa, wysiłek fizyczny, medycyna pracy AbstractCardiopulmonary exercise testing is a method used to assess the exercise capacity. It is used in cardiology to define the diagnostic and prognostic information, the treatment and its effectiveness. This method is also useful in sport medicine and in occupational medicine. The cardiopulmonary exercise test involves measuring of gas exchange during exercise testing. The article presents the main parameters assessed during the test and the indications and contraindications for conducting the test. It also reveals the results of recently published clinical trials on the use of cardiopulmonary exercise test in patients with cardiovascular disease and in the working population. The study included variability of respiratory parameters during the cardiopulmonary exercise test and after its completion, as well as their impact on the prognostic value. In addition, the results of a study involving an optimal choice of interval training on the basis of oxygen consumption at peak exercise are summarized. Med Pr 2014;65 (5) WSTĘPSpiroergometryczna próba wysiłkowa (cardiopulmonary exercise test -CPET) jest najbardziej wiarygodną metodą wykorzystywaną do oceny wydolności fizycznej w celu uzyskania informacji prognostycznych niezbędnych w planowaniu leczenia i ocenie jego skuteczności. Dzięki tej szeroko stosowanej metodzie diagnostycznej uzyskuje się szczegółowe parametry pozwalające na dokładną ocenę kliniczną stanu pacjenta. Spiroergometryczna próba wysiłkowa, przeprowadzana na bieżni ruchomej lub cykloergometrze, jest połą-czeniem klasycznej próby wysiłkowej i pomiaru gazów w powietrzu oddechowym, co daje możliwość dokład-nej oceny odpowiedzi organizmu na wysiłek fizyczny oraz wydolności fizycznej badanego.Wydolność fizyczna to zdolność do wykonywania ciężkiej lub dłu...

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Respiratory and cardiovascular function at rest and during exercise testing in a healthy working population: effects of outdoor traffic air pollution

Abstract: The findings suggest that chronic occupational exposure to urban pollutants reduces resistance to physical effort and increases the risk of cardiovascular and respiratory changes including slight hypoxemia.

Cited by 55 publications

References 38 publications

Study of socio-demographic factors and morbidity profile of traffic policemen in Solapur city of Maharashtra

Study of socio-demographic factors and morbidity profile of traffic policemen in Solapur city of Maharashtra

Meta-analysis: cardiovascular effects in workers occupationally exposed to urban pollution

Cardiopulmonary exercise testing – its application in cardiology and occupational medicine

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