Airway reactivity in welders: a controlled prospective cohort study

J Occup Environ Med. 1996 Dec;38(12):1229-38. doi: 10.1097/00043764-199612000-00008.

Abstract

In a 3-year survey, respiratory symptoms, spirometry, and methacholine reactivity were measured annually in welders (n = 51) and non-welder controls subjects (n = 54) to determine whether welding-related symptoms are associated with accelerated decline in lung function or changes in airway reactivity. In the cross-workshift study, maximal midexpiratory flow rate declined reversibly during a welding day, whereas 1-second forced expiratory volume and forced-vital capacity were unchanged. In the longitudinal study, the welders had significantly more reversible work-related symptoms of cough, phlegm, wheeze, and chest tightness than the non-welder shipyard control subjects. In this group of actively working welders, across-workshift changes in midflow and reversible symptoms were related to the welding occupation, but evidence for chronic irreversible effects on spirometry or airway reactivity was not seen over the 3 years of observation. The short period of observation was not optimal for detecting a chronic effect on lung function. Work practices and engineering controls may be successfully preventing irreversible respiratory effects, but not mild reversible effects, in this group of welders.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Air Pollution / adverse effects*
  • Analysis of Variance
  • Bronchial Hyperreactivity / epidemiology*
  • Case-Control Studies
  • Cross-Over Studies
  • Female
  • Humans
  • Linear Models
  • Logistic Models
  • Male
  • Methacholine Chloride / adverse effects
  • Multivariate Analysis
  • Occupational Diseases / epidemiology*
  • Ozone / analysis
  • Prospective Studies
  • Pulmonary Ventilation
  • Respiration Disorders / epidemiology*
  • Smoking / adverse effects
  • Spirometry
  • Time Factors
  • United States / epidemiology
  • Welding*

Substances

  • Methacholine Chloride
  • Ozone