Intervention to diminish dehydration and kidney damage among sugarcane workers
Intervention to diminish dehydration and kidney damage among sugarcane workers
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DOI：
10.5271/sjweh.3659
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发表时间：
2018-01-01
影响因子：
6.3
通讯作者：
Bodin, Theo
中科院分区：
文献类型：
--
作者：
Wegman, David H.;Apelqvist, Jenny;Bodin, Theo
目的本研究的目的是评估在实施水，休息，阴凉（WRS）和效率干预计划之间的甘蔗workers.Methods适应美国职业安全与健康管理局（OSHA）的WRS干预计划，再加上效率程序开始两个月到5个月的收获，以减少肾功能损害的潜力。研究的两组工人中的一组提供了便携式水库，移动的遮阳帐篷，并安排了休息时间。健康数据（人体测量和问卷调查），血液和尿液在基线和随后的三个时间在收获过程中收集。每日湿球地球仪温度（WBGT）recorded.Results在一个工作日有生物标志物的变化，表明脱水（尿渗透压）和血清白蛋白和减少估计肾小球滤过率（eGFR）。两组均出现交叉偏移eGFR降低; -10.5 mL/min/1.73 m（2）[95%置信区间（95% CI）-11.8- -9.1]，但干预组在接受该方案后降低幅度较小。在两组中均观察到5个月收获的eGFR降低：接受干预的一组为-3.4 mL/min/1.73 m（2）（95% CI -5.5- -1.3），另一组为-5.3（95% CI -7.9-2.7）。减少出现停止后，在组接收programme.Conclusion的干预措施成功地引入了WRS和效率的干预计划，工人在甘蔗田，似乎减少热应激对急性和过度收获的生物标志物肾功能的影响。需要进一步的研究来确定生物标志物的变化是否可以预测这类工作中慢性肾脏疾病的风险降低。
Objective The aim of this study was to assess the potential to reduce kidney function damage during the implementation of a water, rest, shade (WRS) and efficiency intervention program among sugarcane workers.Methods A WRS intervention program adapted from the US Occupational Safety and Health Administration (OSHA) coupled with an efficiency program began two months into the 5-month harvest. One of the two groups of workers studied was provided with portable water reservoirs, mobile shaded tents, and scheduled rest periods. Health data (anthropometric and questionnaires), blood, and urine were collected at baseline and at three subsequent times over the course of the harvest. Daily wet bulb globe temperatures (WBGT) were recorded.Results Across a working day there were changes in biomarkers indicating dehydration (urine osmolality) and serum albumin and reduced estimated glomerular filtration rate (eGFR). Cross-shift eGFR decrease was present in both groups; -10.5 mL/min/1.73m(2) [95% confidence interval (95% CI) -11.8- -9.1], but smaller for the intervention group after receiving the program. Decreased eGFR over the 5-month harvest was seen in both groups: in the one receiving the intervention -3.4 mL/min/1.73m(2) (95% CI -5.5- -1.3) and in the other -5.3 (95% CI -7.9-2.7). The decrease appeared to halt after the introduction of the intervention in the group receiving the program.Conclusion A WRS and efficiency intervention program was successfully introduced for workers in sugarcane fields and appears to reduce the impact of heat stress on acute and over-harvest biomarkers of kidney function. Further research is needed to determine whether biomarker changes predict reduced risk of chronic kidney disease in this type of work.