Associations between Occupational Asthma and Obesity in the Central Region of Tunisia.

Q3 Medicine
Tanaffos Pub Date : 2023-04-01
Asma Aloui, Maher Maoua, Houda Kalboussi, Wafa Benzarti, Farah Chelly, Marwa Bouhoula, Asma Chouchane, Imene Kacem, Olfa El Maalel, Souhail Chatti, Sana Aissa, Ahmed Abdelghani, Nejib Mrizak
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Abstract

Background: Risk factors for the severity of occupational asthma (OA) are often attributed to occupational exposure. However, some recent epidemiological data suggest a link with obesity. The study aimed to analyze the relationship between obesity and the severity of (OA) assessed by non-specific bronchial provocation.

Materials and methods: We conducted an epidemiological descriptive retrospective study including patients who were referred to the Occupational Medicine Department of Farhat Hached University Hospital of Sousse, for (OA) and who have completed a non-specific bronchoprovocation test to metacholine.

Results: Our population consisted of 131 cases of (OA) with a female predominance. The average BMI was 27.34 ±5.30 kg. Obesity was observed in 29.8% of cases. The non-specific metacholine bronchial provocation test revealed an average dose of PD20 at 750.4 ±656.3 μg. Severe (OA) was observed in (35.1%). After univariate analysis, obesity in asthmatics had a significant association with age (p<0.001), marital status (p=0.005), average professional seniority (p<0.001), the evolution of complaints (p=0.035) and abnormal initial spirometry (p=0.044). As for the severity of (OA), the univariate analytical study did not show a significant link with obesity (p=0.68).

Conclusion: The association between obesity and OA is not an easy task and should be made using more accurate tools to measure body fat percentage. The preventive role of the occupational physician is essential in factories in order to make more prudent decisions when employing workers with a high BMI in high-risk occupations. Hence the importance of regular monitoring of weight in workers exposed to asthmatics during periodic examinations.

突尼斯中部地区职业性哮喘与肥胖之间的关系。
背景:职业性哮喘(OA)严重程度的风险因素通常归因于职业暴露。然而,最近的一些流行病学数据表明这与肥胖有关。本研究旨在分析肥胖与非特异性支气管激发评估的职业性哮喘(OA)严重程度之间的关系:我们进行了一项流行病学描述性回顾研究,研究对象包括因(OA)转诊至苏塞 Farhat Hached 大学医院职业医学科并完成甲胆碱非特异性支气管激发试验的患者:我们的研究对象包括 131 例(OA)患者,其中女性居多。平均体重指数为 27.34 ± 5.30 千克。肥胖症患者占 29.8%。非特异性甲胆碱支气管激发试验显示,PD20 的平均剂量为 750.4 ±656.3 μg。35.1%的病例出现严重(OA)。经过单变量分析,哮喘患者的肥胖与年龄有显著的关联(p 结论:肥胖与 OA 之间的关联是不确定的:肥胖与 OA 之间的关联并非易事,应使用更精确的工具来测量体脂肪百分比。在工厂中,职业医生的预防作用至关重要,以便在雇用体重指数较高的工人从事高风险职业时做出更审慎的决定。因此,在定期检查时定期监测接触哮喘患者的工人的体重非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Tanaffos
Tanaffos Medicine-Critical Care and Intensive Care Medicine
CiteScore
1.10
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