Predictors of Onset of Wheezing in Grain Elevator Workers

A longitudinal study of Canadian grain elevator workers over a 12-year period was conducted. Data on respiratory symptoms and pulmonary function tests were collected once every three years as part of the Grain Dust Medical Surveillance Program started by Labour Canada in 1978; each three-year interv...

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Main Authors: Punam Pahwa, Ambikaipakan Senthilselvan, Helen H McDuffie, James A Dosman
Format: Article
Language:English
Published: Wiley 1998-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/1998/495410
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author Punam Pahwa
Ambikaipakan Senthilselvan
Helen H McDuffie
James A Dosman
author_facet Punam Pahwa
Ambikaipakan Senthilselvan
Helen H McDuffie
James A Dosman
author_sort Punam Pahwa
collection DOAJ
description A longitudinal study of Canadian grain elevator workers over a 12-year period was conducted. Data on respiratory symptoms and pulmonary function tests were collected once every three years as part of the Grain Dust Medical Surveillance Program started by Labour Canada in 1978; each three-year interval was called a 'cycle'. Of workers who had two or more observations, 1848 subjects (67.2%) were free of respiratory symptoms (wheeze, dyspnea, cough or sputum) at the baseline (cycle II). Predictors of first episode of wheezing were examined in these symptoms-free grain workers. Baseline mean age ± SD of the grain workers was 34.0±11.4 years and mean duration of work in the industry was 9.9±8.7 years. Of the 1848 symptoms-free grain workers at cycle II, 203 (11.0%) subsequently reported wheezing during the study. Cox's proportional hazards model for analysis of survival data was used to determine significant predictors of first episode of wheezing. Significant predictors for first episode of wheezing were current smoking (relative risk [RR] 2.33; 95% CI 1.63 to 3.33; P<0.0001) and baseline forced expiratory volume in 1 s to forced vital capacity ratio [RR 0.02; 95% CI 0.003 to 0.20; P<0.0001). Baseline pulmonary function measurements and smoking habits appear to be important predictors of future development of asthma-like symptoms in grain elevator workers.
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spelling doaj-art-e549c79f52b24b80983769141058d59c2025-02-03T05:53:25ZengWileyCanadian Respiratory Journal1198-22411998-01-015320020510.1155/1998/495410Predictors of Onset of Wheezing in Grain Elevator WorkersPunam Pahwa0Ambikaipakan Senthilselvan1Helen H McDuffie2James A Dosman31Centre for Agricultural Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada1Centre for Agricultural Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada1Centre for Agricultural Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada1Centre for Agricultural Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, CanadaA longitudinal study of Canadian grain elevator workers over a 12-year period was conducted. Data on respiratory symptoms and pulmonary function tests were collected once every three years as part of the Grain Dust Medical Surveillance Program started by Labour Canada in 1978; each three-year interval was called a 'cycle'. Of workers who had two or more observations, 1848 subjects (67.2%) were free of respiratory symptoms (wheeze, dyspnea, cough or sputum) at the baseline (cycle II). Predictors of first episode of wheezing were examined in these symptoms-free grain workers. Baseline mean age ± SD of the grain workers was 34.0±11.4 years and mean duration of work in the industry was 9.9±8.7 years. Of the 1848 symptoms-free grain workers at cycle II, 203 (11.0%) subsequently reported wheezing during the study. Cox's proportional hazards model for analysis of survival data was used to determine significant predictors of first episode of wheezing. Significant predictors for first episode of wheezing were current smoking (relative risk [RR] 2.33; 95% CI 1.63 to 3.33; P<0.0001) and baseline forced expiratory volume in 1 s to forced vital capacity ratio [RR 0.02; 95% CI 0.003 to 0.20; P<0.0001). Baseline pulmonary function measurements and smoking habits appear to be important predictors of future development of asthma-like symptoms in grain elevator workers.http://dx.doi.org/10.1155/1998/495410
spellingShingle Punam Pahwa
Ambikaipakan Senthilselvan
Helen H McDuffie
James A Dosman
Predictors of Onset of Wheezing in Grain Elevator Workers
Canadian Respiratory Journal
title Predictors of Onset of Wheezing in Grain Elevator Workers
title_full Predictors of Onset of Wheezing in Grain Elevator Workers
title_fullStr Predictors of Onset of Wheezing in Grain Elevator Workers
title_full_unstemmed Predictors of Onset of Wheezing in Grain Elevator Workers
title_short Predictors of Onset of Wheezing in Grain Elevator Workers
title_sort predictors of onset of wheezing in grain elevator workers
url http://dx.doi.org/10.1155/1998/495410
work_keys_str_mv AT punampahwa predictorsofonsetofwheezingingrainelevatorworkers
AT ambikaipakansenthilselvan predictorsofonsetofwheezingingrainelevatorworkers
AT helenhmcduffie predictorsofonsetofwheezingingrainelevatorworkers
AT jamesadosman predictorsofonsetofwheezingingrainelevatorworkers