园丁对热应激的生理反应:一项观察性现场研究
Hillary A Yoder1,2, Anne M Mulholland2,3, Evan C Johnson4
1Department of Kinesiology, New Mexico State University, Las Cruces, NM, USA.
概括
园丁在炎热的条件下工作会导致脱水和脏紧张,许多开始工作的人已经脱水了. 高血压和肥胖可能会恶化功能和急性损伤 (AKI) 风险.
科学领域:
- 职业健康 职业健康 职业健康
- 环境生理学环境生理学
- 腎臟醫學 腎臟醫學
背景情况:
- 园丁在热潮湿的环境中工作,会造成热应变,脱水和功能下降的风险.
- 在夏季工作日对园丁健康的具体影响尚不清楚.
研究的目的:
- 为了评估在热湿条件下工作的地面护理人员的热量和心血管应变,水分状态和功能.
- 确定导致潜在功能障碍和急性损伤 (AKI) 的因素.
主要方法:
- 在两天的夏季工作日中,对20名园丁进行了监控.
- 测量包括人口统计数据,血压,心率,胃肠道温度,液体摄入量,尿液度和血液中的功能标志物 (eGFR,SCr).
主要成果:
- 45%的参与者在工作前血压升高.
- 峰值心率和胃肠道温度表明中度的热应激.
- 大多数受试者开始工作时使用缩的尿液,而水分状态在工作期间没有得到改善.
- 六名受试者估计减少了淋巴细胞过率 (eGFR),五人经历了急性损伤 (AKI).
结论:
- 在炎热的条件下,园丁可能会经历脱水和脏紧张,即使没有普遍的高温症.
- 在这个人群中,先前存在的高血压,肥胖和不充分的水分摄入似乎是功能受损和AKI的危险因素.
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