[Respiratory function and smoking habit among shipyard and dock workers]

The aim of the study is to compare the loss of lung function in a group of 196 male workers employed in shipbuilding/repairing and port activities ("cases") with a group of 109 healthcare workers ("controls"). "Cases" were grouped by radiological examination (chest X-ray/HRCT) depending on the presence or absence of pleural plaques. Smoking habit was assessed in all subjects. Lung function assessment included two measures of VC, FEV1 and TLC (the latter for "cases" only). The mean interval between the two examinations was five years; changes in spirometric results (value at second examination minus value at first) were expressed as ml/year. The results showed that there was no difference in loss of lung function in the three groups over the follow-up period, even when differences in smoking habit were taken into account. The results suggest that radiological findings of pleural plaques had no bearing on deterioration in lung function. Lung function testing is widely accepted as an integral part of medical surveillance of occupational lung diseases, but the high inter and intra-subjects variability of spirometric data underlines the difficulties and limitations of lung function follow-up studies.