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盐工人的职业热量压力和脏健康
Vidhya Venugopal1, Robin Lennqvist2, P K Latha1
1Department of Environmental Health Engineering, Sri Ramachandra Institute of Higher Education and Research, Chennai, India.
Kidney international reports
|July 13, 2023
概括
数以百万计的工人面临热应激,影响功能. 这项在印度盐盆的研究表明,高热量暴露和低水摄入量与脏过的减少有关,需要在工作场所进行干预.
科学领域:
- 职业健康 职业健康 职业健康
- 环境医学 环境医学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 热应激影响全球数以百万计的人,对非农业工人的研究有限.
- 沿海盐工人提供了一个独特的环境,可以研究热应激效应,而不会混有毒物质暴露.
研究的目的:
- 评估职业热应激对印度盐工人的功能的影响.
- 调查热暴露,水合状态和估计的膜过率 (eGFR) 之间的关系.
主要方法:
- 2017-2020年对7个印度盐进行的调查,涉及352名工人.
- 测量生理参数,包括心率,体温,尿液特异重量和出汗率.
- 使用湿球球体温度 (WBGT) 值极限值 (TLV) 评估热应激,并计算eGFR.
主要成果:
- 87%的工人超过了热应激的TLV,每天摄入的水量很低 (中位数为1升).
- 高热压力与脱水症状,体温升高,尿液比重升高和高出汗率相关.
- 41%的工作人员的eGFR在60-89毫升/分钟/1.73米2之间,7%的eGFR低于60毫升/分钟/1.73米2.
- 超过热应力TLV显著增加了降低EGFR的几率 (<90毫升/分钟/1.73米2).
结论:
- 需要紧急的工作场所干预,以减轻盐工人的热应激和脱水.
- 高热压力和不充分的水分是鉴定为功能障碍的风险因素,在这个人群中.
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