Association of environmental tobacco smoke at work and forced expiratory lung function among never smoking asthmatics and non-asthmatics. The SAPALDIA-Team. Swiss Study on Air Pollution and Lung Disease in Adults

Détails

ID Serval
serval:BIB_1BB8A2B35742
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Association of environmental tobacco smoke at work and forced expiratory lung function among never smoking asthmatics and non-asthmatics. The SAPALDIA-Team. Swiss Study on Air Pollution and Lung Disease in Adults
Périodique
Sozial- und Praventivmedizin
Auteur⸱e⸱s
Kunzli  N., Schwartz  J., Stutz  E. Z., Ackermann-Liebrich  U., Leuenberger  P.
ISSN
0303-8408 (Print)
Statut éditorial
Publié
Date de publication
2000
Volume
45
Numéro
5
Pages
208-17
Notes
Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Résumé
Inconsistencies across studies on the association of environmental tobacco smoke (ETS) and pulmonary function may be clarified addressing potentially susceptible subgroups. We determined the association of ETS exposure at work with FVC, FEV1, and FEF25-75% in life-time never smokers (N = 3534) of the SAPALDIA random population sample (age 18-60). We considered sex, bronchial reactivity, and asthma status as a priori indicators to identify susceptible riskgroups. The multivariate regression models adjusted for height, age, education, dust/aerosol exposure, region, and ETS at home. Overall, ETS was not significantly associated with FVC (0.7%; -0.4 to +1.8), FEV1 (-0.1%; 95% CI: -1.3 to +1.1) or FEF25-75% (-1.9%; -4.2 to +0.5). Effects were observed among asthmatics (n = 325), FEV1 (-4.8%; 0 to -9.2); FEF25-75% (-12.4%; -3.7 to -20.4); FVC: (-1.7%; +2.1 to -5.5), particularly in asthmatic women (n = 183): FVC -4.4% (-9.6 to +1.1); FEV1: -8.7% (-14.5 to -2.5); FEF25-75%: -20.8% (-32 to -7.6), where duration of ETS exposure at work was associated with lung function (FEV1 -6% per hour of ETS exposure at work (p = 0.01); FEF25-75%: -3.4%/h (p < 0.05). In non-asthmatic women (n = 1963) and in men no significant effect was observed. The size of the observed effect among susceptible subgroups has to be considered clinically relevant. However, due to inherent limitations of this cross-sectional analysis, selection or information biases may not be fully controlled. For example, asthmatic women reported higher ETS exposure at work than asthmatic men. Given the public health importance to identify susceptible subgroups, these results ought to be replicated.
Mots-clé
Adolescent Adult Air Pollutants, Occupational/*adverse effects Asthma/diagnosis/*etiology Cross-Sectional Studies Female Humans *Lung Volume Measurements Male Middle Aged Multicenter Studies Occupational Diseases/diagnosis/*etiology Risk Factors Switzerland Tobacco Smoke Pollution/*adverse effects
Pubmed
Web of science
Création de la notice
25/01/2008 10:50
Dernière modification de la notice
20/08/2019 13:52
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