Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study
OBJECTIVE: To determine if occupational exposure to cold environments is associated with incident airway symptoms in previously healthy workers. METHODS: A prospective, survey-based, closed-cohort study was conducted on a sample of 5017 men and women between 18 and 70 years of age, living in norther...
Published in: | International Archives of Occupational and Environmental Health |
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ftpubmed:oai:pubmedcentral.nih.gov:9630183 2023-05-15T17:44:29+02:00 Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study Stjernbrandt, Albin Hedman, Linnea Liljelind, Ingrid Wahlström, Jens 2022-05-31 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630183/ http://www.ncbi.nlm.nih.gov/pubmed/35641664 https://doi.org/10.1007/s00420-022-01884-2 en eng Springer Berlin Heidelberg http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630183/ http://www.ncbi.nlm.nih.gov/pubmed/35641664 http://dx.doi.org/10.1007/s00420-022-01884-2 © The Author(s) 2022, , corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . CC-BY Int Arch Occup Environ Health Original Article Text 2022 ftpubmed https://doi.org/10.1007/s00420-022-01884-2 2022-11-06T02:12:55Z OBJECTIVE: To determine if occupational exposure to cold environments is associated with incident airway symptoms in previously healthy workers. METHODS: A prospective, survey-based, closed-cohort study was conducted on a sample of 5017 men and women between 18 and 70 years of age, living in northern Sweden. Data on occupation, occupational and leisure-time cold exposure, airway symptoms, general health, and tobacco habits were collected during the winters of 2015 (baseline) and 2021 (follow-up). Stepwise multiple logistic regression was used to determine associations between baseline variables and incident airway symptoms. RESULTS: For individuals working at baseline, without physician-diagnosed asthma or chronic obstructive pulmonary disease, reporting any occupational cold exposure was associated with incident wheeze (OR 1.41; 95% CI 1.06–1.87) and incident productive cough (OR 1.37; 95% CI 1.06–1.77), but not incident long-standing cough (OR 0.98; 95% CI 0.74–1.29), after adjusting for age, body mass index, daily smoking, and occupational physical workload. Detailed analysis of the occupational cold exposure rating did not reveal clear exposure–response patterns for any of the outcomes. CONCLUSIONS: Occupational cold exposure was robustly associated with incident wheeze and productive cough in previously healthy workers. This adds further support to the notion that cold air is harmful for the airways, and that a structured risk assessment regarding occupational cold exposure could be considered for inclusion in the Swedish workplace legislation. Further studies are needed to elaborate on exposure–response functions, as well as suggest thresholds for hazardous cold exposure. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-022-01884-2. Text Northern Sweden PubMed Central (PMC) International Archives of Occupational and Environmental Health 95 9 1871 1879 |
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Original Article Stjernbrandt, Albin Hedman, Linnea Liljelind, Ingrid Wahlström, Jens Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
topic_facet |
Original Article |
description |
OBJECTIVE: To determine if occupational exposure to cold environments is associated with incident airway symptoms in previously healthy workers. METHODS: A prospective, survey-based, closed-cohort study was conducted on a sample of 5017 men and women between 18 and 70 years of age, living in northern Sweden. Data on occupation, occupational and leisure-time cold exposure, airway symptoms, general health, and tobacco habits were collected during the winters of 2015 (baseline) and 2021 (follow-up). Stepwise multiple logistic regression was used to determine associations between baseline variables and incident airway symptoms. RESULTS: For individuals working at baseline, without physician-diagnosed asthma or chronic obstructive pulmonary disease, reporting any occupational cold exposure was associated with incident wheeze (OR 1.41; 95% CI 1.06–1.87) and incident productive cough (OR 1.37; 95% CI 1.06–1.77), but not incident long-standing cough (OR 0.98; 95% CI 0.74–1.29), after adjusting for age, body mass index, daily smoking, and occupational physical workload. Detailed analysis of the occupational cold exposure rating did not reveal clear exposure–response patterns for any of the outcomes. CONCLUSIONS: Occupational cold exposure was robustly associated with incident wheeze and productive cough in previously healthy workers. This adds further support to the notion that cold air is harmful for the airways, and that a structured risk assessment regarding occupational cold exposure could be considered for inclusion in the Swedish workplace legislation. Further studies are needed to elaborate on exposure–response functions, as well as suggest thresholds for hazardous cold exposure. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-022-01884-2. |
format |
Text |
author |
Stjernbrandt, Albin Hedman, Linnea Liljelind, Ingrid Wahlström, Jens |
author_facet |
Stjernbrandt, Albin Hedman, Linnea Liljelind, Ingrid Wahlström, Jens |
author_sort |
Stjernbrandt, Albin |
title |
Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
title_short |
Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
title_full |
Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
title_fullStr |
Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
title_full_unstemmed |
Occupational cold exposure in relation to incident airway symptoms in northern Sweden: a prospective population-based study |
title_sort |
occupational cold exposure in relation to incident airway symptoms in northern sweden: a prospective population-based study |
publisher |
Springer Berlin Heidelberg |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630183/ http://www.ncbi.nlm.nih.gov/pubmed/35641664 https://doi.org/10.1007/s00420-022-01884-2 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Int Arch Occup Environ Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9630183/ http://www.ncbi.nlm.nih.gov/pubmed/35641664 http://dx.doi.org/10.1007/s00420-022-01884-2 |
op_rights |
© The Author(s) 2022, , corrected publication 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1007/s00420-022-01884-2 |
container_title |
International Archives of Occupational and Environmental Health |
container_volume |
95 |
container_issue |
9 |
container_start_page |
1871 |
op_container_end_page |
1879 |
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