Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka

Abstract Fuel dispensing at fuel stations is performed manually by unprotected male gas station attendants in Sri Lanka, who have long working hours. These workers are exposed to hydrocarbon fuels associated with multiple health effects by modulation of the autonomic nervous system. This study was p...

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Main Authors: Tania Warnakulasuriya, Kushan Medagoda, Dulani Kottahachchi, Dunya Luke, Dilesha Wadasinghe, Prasanna Rathnayake, Janaki Ariyawansa, Tharuka Dissanayake, Pavani Sandeepani, Deepthi C. De Silva, Niranga Manjuri Devanarayana
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Physiological Reports
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Online Access:https://doi.org/10.14814/phy2.70071
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author Tania Warnakulasuriya
Kushan Medagoda
Dulani Kottahachchi
Dunya Luke
Dilesha Wadasinghe
Prasanna Rathnayake
Janaki Ariyawansa
Tharuka Dissanayake
Pavani Sandeepani
Deepthi C. De Silva
Niranga Manjuri Devanarayana
author_facet Tania Warnakulasuriya
Kushan Medagoda
Dulani Kottahachchi
Dunya Luke
Dilesha Wadasinghe
Prasanna Rathnayake
Janaki Ariyawansa
Tharuka Dissanayake
Pavani Sandeepani
Deepthi C. De Silva
Niranga Manjuri Devanarayana
author_sort Tania Warnakulasuriya
collection DOAJ
description Abstract Fuel dispensing at fuel stations is performed manually by unprotected male gas station attendants in Sri Lanka, who have long working hours. These workers are exposed to hydrocarbon fuels associated with multiple health effects by modulation of the autonomic nervous system. This study was performed to determine cardiovascular autonomic functions among fuel pump attendants in Sri Lanka. Fuel pump attendants (n = 50) aged between 19 and 65 years were identified for the study from seven fuel stations. They were compared with age‐ and gender‐matched controls (n = 46) without occupational exposure to fuel. A physical examination was performed before the autonomic function and heart rate variability (HRV) assessment. There were no significant differences in weight, height, or BMI between the study and the control populations (p > 0.05). Both the systolic blood pressure (SBP) (Mann Whitney U (MWU) = 743.5, p = 0.003) and diastolic blood pressure (DBP) (MWU = 686.5, p = 0.001) were significantly higher among the gas station attendants compared to controls. Valsalva ratio was significantly higher among the study group (MW U = 874.00, p = 0.043) compared to controls. The HRV analysis showed significantly higher SDNN and SD2 (MWU = 842.00, p = 0.034, and MWU = 843.50, p = 0.035 respectively) among the gas station attendants compared to controls. The changes to the cardiovascular autonomic parameters among those exposed to fuel vapor as a gas station attendant indicate an increase in sympathetic outflow to the vessels. In the occupational setting as fuel pump attendants need periodic monitoring.
format Article
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institution Kabale University
issn 2051-817X
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publishDate 2024-11-01
publisher Wiley
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spelling doaj-art-89309450d51541c294c88cd7807751b32025-01-25T06:41:00ZengWileyPhysiological Reports2051-817X2024-11-011221n/an/a10.14814/phy2.70071Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri LankaTania Warnakulasuriya0Kushan Medagoda1Dulani Kottahachchi2Dunya Luke3Dilesha Wadasinghe4Prasanna Rathnayake5Janaki Ariyawansa6Tharuka Dissanayake7Pavani Sandeepani8Deepthi C. De Silva9Niranga Manjuri Devanarayana10Department of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaDepartment of Physiology, Faculty of Medicine University of Kelaniya Sri LankaAbstract Fuel dispensing at fuel stations is performed manually by unprotected male gas station attendants in Sri Lanka, who have long working hours. These workers are exposed to hydrocarbon fuels associated with multiple health effects by modulation of the autonomic nervous system. This study was performed to determine cardiovascular autonomic functions among fuel pump attendants in Sri Lanka. Fuel pump attendants (n = 50) aged between 19 and 65 years were identified for the study from seven fuel stations. They were compared with age‐ and gender‐matched controls (n = 46) without occupational exposure to fuel. A physical examination was performed before the autonomic function and heart rate variability (HRV) assessment. There were no significant differences in weight, height, or BMI between the study and the control populations (p > 0.05). Both the systolic blood pressure (SBP) (Mann Whitney U (MWU) = 743.5, p = 0.003) and diastolic blood pressure (DBP) (MWU = 686.5, p = 0.001) were significantly higher among the gas station attendants compared to controls. Valsalva ratio was significantly higher among the study group (MW U = 874.00, p = 0.043) compared to controls. The HRV analysis showed significantly higher SDNN and SD2 (MWU = 842.00, p = 0.034, and MWU = 843.50, p = 0.035 respectively) among the gas station attendants compared to controls. The changes to the cardiovascular autonomic parameters among those exposed to fuel vapor as a gas station attendant indicate an increase in sympathetic outflow to the vessels. In the occupational setting as fuel pump attendants need periodic monitoring.https://doi.org/10.14814/phy2.70071air pollutioncardiovascular autonomic functionsfuel vapor exposureheart rate variabilityoccupation health
spellingShingle Tania Warnakulasuriya
Kushan Medagoda
Dulani Kottahachchi
Dunya Luke
Dilesha Wadasinghe
Prasanna Rathnayake
Janaki Ariyawansa
Tharuka Dissanayake
Pavani Sandeepani
Deepthi C. De Silva
Niranga Manjuri Devanarayana
Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
Physiological Reports
air pollution
cardiovascular autonomic functions
fuel vapor exposure
heart rate variability
occupation health
title Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
title_full Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
title_fullStr Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
title_full_unstemmed Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
title_short Exploring the impact of occupational exposure: A study on cardiovascular autonomic functions of male gas station attendants in Sri Lanka
title_sort exploring the impact of occupational exposure a study on cardiovascular autonomic functions of male gas station attendants in sri lanka
topic air pollution
cardiovascular autonomic functions
fuel vapor exposure
heart rate variability
occupation health
url https://doi.org/10.14814/phy2.70071
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