Bronchial Hyperresponsiveness in Women Cooks and Cleaners

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Bronchial Hyperresponsiveness in Women Cooks and Cleaners

The aim of this cross-sectional study was to assess the prevalence and characteristics of bronchial hyperresponsiveness (BHR) in 43 women cleaners (aged 26 to 57) and 37 women cooks (aged 29 to 55) and compare them with 45 controls (women office workers aged 27 to 58). The evaluation of all subjects included a questionnaire, skin prick tests to common aeroallergens, spirometry, and histamine challenge (PC20≤8 mg mL-1). We found higher BHR prevalence in cleaners and cooks than in office workers (30.2 % and 29.7 %, vs. 17.7 %, respectively), but statistical significance was not reached. The prevalence of mild and moderate to severe BHR was similar in all groups. Borderline BHR prevalence was significantly higher in cleaners than in controls (16.2 % vs. 6.6 %, P=0.032) whereas the difference was on the verge of significance in cooks (13.5 % vs. 6.6 %, P=0.081). Moderate to severe BHR was strongly associated with positive family history of asthma and atopy in all groups. Mild BHR was significantly associated with daily smoking in cleaners (P=0.031) and cooks (P=0.021), as well as with the duration of exposure in cleaners (P=0.038). Borderline BHR was closely related to daily smoking and duration of exposure in both cleaners and cooks. Our findings indicate an important role of workplace exposure in borderline BHR development, as well as the significant effect of smoking on mild BHR development in women cleaners and cooks.

Sterk PJ, Bel EH. Bronchial hyperresponsiveness: the need for a distinction between hypersensitivity and excessive airway narrowing. Eur Respir J 1989;2:267-74.

Joos GF, O'Connor B. Indirect airway challenge. Eur Respir J 2003;21:1050-68.

Saric M. Bronchial hyperreactivity and occupational asthma (Editorial). Am J Ind Med 1986;9:217-219.

Bel EH, Chanez P. Diagnosis and assessment of asthma. Eur Respir Mon 2003;8:180-94.

Tashkin DP, Alose MD, Bleecker ER, Connett JE, Kanner RE, Lee WW, Wise R. The lung health study: airway responsiveness to inchalant metacholine in smokers with mild to moderate airway limitation. Am Rev Respir Dis 1992;145:301-10.

Norrman E, Plashcke P, Bjornsson E, Rosenhall L, Lundback B, Jansson C, Llindholm N, Boman G. Prevalence of bronchial hyperresponsiveness in the southern, central and northern parts of Sweden. Respir Med 1998;92:480-7.

Leynaert B, Bousquet J, Henry C, Liard R, Neukirch F. Is bronchial hyperresponsiveness more frequent in women than in men? A population-based study. Am J Respir Crit Care Med 1997;156:1413-20.

Wassmer G, Jorres RA, Heinrich J, Wjst M, Reitmeir P, Wichmann HE. The association between baseline lung function and bronchial responsiveness to metacholine. Eur J Med Res 1997;2:47-54.

Paoletti P, Carrozzi L, Viegi G, Modena P, Ballerin L, Di Pede F, Grado L, Baldacci S, Pedreschi M, Vellutini M, Paggiaro P, Mammini U, Fabbri L, Giuntini C. Distribution of bronchial responsiveness in a general population: effect of sex, age, smoking, and level of pulmonary function. Am J Respir Crit Care Med 1995;151:1770-9.

Cacciola RR, Sarva M, Polosa R. Adverse respiratory effects and allergic susceptibility in relation to particulate air pollutants: flirting with disaster. Allergy 2002;57:281-6.

Kogevinas M, Anto JM, Soriano JB, Tobias A, Burney P, and the Spanish Group of the European Asthma Study. The risk of asthma attributable to occupational exposures: a population-based study in Spain. Am J Respir Crit Care Med 1996;154:137-43.

Sterk PJ, Fabbri LM, Quanjer PhH, Cockcroft DW, O'Byrne PM, Anderson SD, Juniper EF, Malo JL. Airways responsiveness. Standardized challenge testing with pharmacological, physical and sensitizing stimuli in adults. Eur Respir J 1993;6:58-83.

American Thoracic Society. Guidelines for metacholine and exercise challenge testing -1999. Am Respir Crit Care Med 2000;161:309-29.

Minette A. Questionnaire of the European Community for Coal and Steel (ECSC) on respiratory symptoms. 1987 - updating of the 1962 and 1967 questionnaires for studying chronic bronchitis and emphysema. Eur Respir J 1989;2:165-77.

European Community Respiratory Health Survey. Variations in the prevalence of respiratory symptoms, self-reported asthma attacks, and use of asthma medication in the European Respiratory Health Survey (ECRHS). Eur Respir J 1996;9:687-95.

World Health Organization (WHO). Guidelines for controlling and monitoring the tobacco epidemic. Geneva: WHO; 1998.

US Department of Health and Human Services. The health consequences of smoking: chronic obstructive pulmonary disease. A report of the Surgeon General. US Department of Health and Human Services, Public Health Service, Office of the Assistant for Health, Office of Smoking and Health. DHHS Publication No. 84-50 205, 1984.

The European Academy of Allergology and Clinical Immunology. Position paper: Allergen standardization and skin tests. Allergy 1993;48(Suppl 14):48-82.

Frew AJ. Allergic basis of asthma. Eur Respir Mon 2003;23:74-83.

Quajner PhH, editor. Standardization of Lung Function Tests - 1993 Update. Report Working Party for the European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J 1993;16 Suppl:1-100.

Leuenberger P, Schnidler C, Schwartz J, Ackermann-Liebrich U, Tara D, Perruchoud AP, Wuthrich B, Zellweger JP, Blaser K, Bolognini G, Bongrad JP, Brandli O, Domenighetti G, Elsasser S, Grize L, Karrer W, Keiler R, Kunzli N, Medici T, Schoni MH, Solari G, Tschopp JM, Villiger B, Zemp E. Occupational exposure to inhalative irritants and metacholine responsiveness. Scand J Work Environ Health 2000;26:146-52.

Janson C, Anto J, Burney P, Chinn S, de Marco R, Heinrich J, Jarvis D, Kuenzli N, Leynaert B, Luczynska C, Neukirch F, Svanes C, Sunyer J, Wjst M, on behalf of the European Community Respiratory Health Survey II. The European Community Respiratory Health Survey: what are the main results so far? Eur Respir J 2001;18:598-611.

Fishwick D, Pearce N, D'Souza W, Lewis S, Town I, Armstrong R, Kogevinas M, Crane J. Occupational asthma in New Zealanders: a population based study. Occup Environ Med 1997;54:301-6.

Brunekreef B. NO2: The gas that won't go away. Clin Exp Allergy 2001;31:1170-2.

Willers SM, Brunekreef B, Oldenwening M, Smith HA, Kerkhof M, Vries H. Gas cooking, kitchen ventilation, and exposure to combustion products. Indoor Air 2006;16:65-73.

Minov J, Karadzinska-Bislimovska J, Risteska-Kuc S, Stoleski S. Chronic respiratory symptoms and ventilatory function in workers exposed to tea dust: effect of duration of exposure and smoking. Facta Universitatis 2005;12:37-43.

Jarvis D, Chinn S, Sterne J, Luczynska C, Burney P. The association of respiratory symptoms and lung function with the use of gas for cooking. Eur Respir J 1998;11:651-8.

Karadzinska-Bislimovska J, Cvetanov V, Petrovska J, Todorov S, Risteska-Kuc S. Respiratory symptoms and positive skin prick test in a prospective asthma study in Republic of Macedonia (initial results). Eur Respir J 1999;14:78.

Chan-Yeung M. Dimich-Ward H. Natural history of occupational lung diseases. Eur Respir Mon 1999;4:46-63.

Zuskin E, Mustajbegovic J, Kanceljak B, Schachter EN, Macan J, Budak A. Respiratory function and immunological status in workers employed in a latex glove manufacturing plant. Am J Ind Med 1998;33:175-81.

Wang XR, Pan LD, Zhang HX, Sun BX, Dai HL, Christiani DC. Lung function, airway reactivity, and atopy in newly hired female cotton textile workers. Arch Environ Health 2003;58:6-13.

Jarvis D, Chinn S, Luczynska C, Burney P. Association of respiratory symptoms and lung function in young adults with use of domestic gas appliances. Lancet 1996;347:426-31.

Dimich-Ward H, Kennedy SM, Chang-Yeung M. Occupational exposures and chronic airway limitation. Can Respir J 1996;3:133-40.

Viegi G, Annesi I, Matteelli G. Epidemiology of asthma. Eur Respir Mon 2003;8:1-25.

Nowak D, Heinrich J, Jorres R, Wassmer G, Berger J, Beck E, Boczor S, Claussen M, Wichmann HE, Magnussen H. Prevalence of respiratory symptoms, bronchial responsiveness, and atopy among adults: west and east Germany. Eur Respir J 1996;9:2541-52.

Sunyer J, Anto JM, Kogevinas M, Soriano JB, Tobias A, Munoz A. Smoking and bronchial responsiveness in atopic and nonatopic young adults. Thorax 1997;52:235-8.

Troisi RJ, Speizer FE, Rosner B, Trichopoulos D, Willett WC. Cigarette smoking and incidence of chronic bronchitis and asthma in women. Chest 1995;108:1557-61.

Omland O, Sigsgaard T, Pedersen OF, Miller MR. The shape of the maximum expiratory flow/volume curve reflects exposure in farming. Ann Agric Environ Med 2000;7:71-8.

Zock JP, Sunyer J, Kogevinas M, Kromhout H, Burney P, Anto JM. Occupation, chronic bronchitis, and lung function in young adults. An international study. Am J Respir Crit Care Med 2001;163:1572-7.

Archives of Industrial Hygiene and Toxicology

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