Risk of Kidney Injury among Construction Workers Exposed to Heat Stress: A Longitudinal Study from Saudi Arabia
Risk of Kidney Injury among Construction Workers Exposed to Heat Stress: A Longitudinal Study from Saudi Arabia
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DOI：
10.3390/ijerph17113775
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发表时间：
2020-06-01
影响因子：
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通讯作者：
Wegman, David H.
中科院分区：
文献类型：
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作者：
Al-Bouwarthan, Mohammed;Quinn, Margaret M.;Wegman, David H.
沙特阿拉伯（SA）是世界上最热的国家之一。本研究旨在评估南非东南部夏季热应激对建筑施工工人短期肾损伤（KI）的影响，并确定相关危险因素。2016年6月和9月，从南非Al-Ahsa省的一组建筑工人（n = 65）中收集了尿白蛋白-肌酐比值（ACR）、身高、体重、水合作用、症状、日常工作和行为因素的测量结果。KI定义为ACR >= 30 mg/g。多元线性回归分析被用来评估ACR跨夏变化的相关因素。在研究期间，大多数工人的ACR显著增加; KI的发生率为18%。与ACR增加相关的风险因素包括脱水、睡眠不足和肥胖。研究结果表明，暴露于夏季高温可能会导致KI在该地区的建筑工人的发展。适当的补水和促进工人的健康习惯可能有助于降低KI的风险。减少工作时间可能是最有效的干预措施，因为这一行动可以减少热暴露并改善睡眠质量。
Saudi Arabia (SA) is one of the hottest countries in the world. This study was conducted to assess the impact of summer heat stress in Southeastern SA on short-term kidney injury (KI) among building construction workers and to identify relevant risk factors. Measurements of urinary albumin-creatinine ratio (ACR), height, weight, hydration, symptoms, daily work and behavioral factors were collected in June and September of 2016 from a cohort of construction workers (n = 65) in Al-Ahsa Province, SA. KI was defined as ACR >= 30 mg/g. Multivariate linear regression analysis was used to assess factors related to cross-summer changes in ACR. A significant increase in ACR occurred among most workers over the study period; incidence of KI was 18%. Risk factors associated with an increased ACR included dehydration, short sleep, and obesity. The findings suggest that exposure to summer heat may lead to the development of KI among construction workers in this region. Adequate hydration and promotion of healthy habits among workers may help reduce the risk of KI. A reduction in work hours may be the most effective intervention because this action can reduce heat exposure and improve sleep quality.