Ming Yang, Ling Zhang, Ying Jiang, Peng Liu, Wanli Liu, Xiaoxia Cao, Qin Luo, Cangmei Fu, Lianxiang He
{"title":"An adapted white-coat and warm-heart intervention on nurses' knowledge, general stigmatizing attitudes, and work avoidance behaviors towards HIV: a quasi-experimental study.","authors":"Ming Yang, Ling Zhang, Ying Jiang, Peng Liu, Wanli Liu, Xiaoxia Cao, Qin Luo, Cangmei Fu, Lianxiang He","doi":"10.1093/joccuh/uiae041","DOIUrl":"10.1093/joccuh/uiae041","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the effect of an adapted white-coat and warm-heart intervention (AWWI) among nurses.</p><p><strong>Background: </strong>HIV discrimination among medical staff hinders progress in HIV prevention.</p><p><strong>Methods: </strong>A total of 779 nurses were randomized into intervention and control groups. The intervention group was provided with AWWI training. The control group did not receive AWWI training. HIV-related knowledge, attitudes, and behaviors of participants were assessed.</p><p><strong>Results: </strong>Participants in the intervention group had better HIV-related knowledge and less stigmatizing attitudes and work avoidance behavior levels than participants in the control group after the 1-, 3-, and 6-month interventions (P < .05). The main effects of group and time factors were highly significant in the intervention group. There were significant interaction effects in group and time factors.</p><p><strong>Conclusions: </strong>AWWI effectively improved the level of HIV-related knowledge and reduced general stigmatizing attitudes and work avoidance behaviors among nurses based on self-reported data in a tertiary hospital in China during a 6-month period.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141748369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yu Igarashi, Seiichiro Tateishi, Arisa Harada, Ayako Hino, Mayumi Tsuji, Hajime Ando, Shinya Matsuda, Yoshihisa Fujino, Koji Mori
{"title":"Association of workplace stressors prior to infection and the development of Long COVID among workers during the COVID-19 pandemic: a cohort study in Japan.","authors":"Yu Igarashi, Seiichiro Tateishi, Arisa Harada, Ayako Hino, Mayumi Tsuji, Hajime Ando, Shinya Matsuda, Yoshihisa Fujino, Koji Mori","doi":"10.1093/joccuh/uiae062","DOIUrl":"10.1093/joccuh/uiae062","url":null,"abstract":"<p><strong>Objectives: </strong>Long COVID is a global health concern. Although various risk factors are known, the link between workplace factors and Long COVID is underexplored. We conducted a cohort study to examine the impact of preinfection workplace stressors on Long COVID among Japanese workers, with the aim of improving understanding of its disease process and inform workplace management.</p><p><strong>Methods: </strong>This prospective cohort study used online survey data collected in December 2020 and December 2022 from 1539 participants with no initial infection history but later reported COVID-19. Workplace stressors were assessed at baseline using the Job Content Questionnaire, which measured job demands, job control, and social support. At the follow-up survey, COVID-19 infection was determined by self-reported positive SARS-CoV-2 test by polymerase chain reaction or antigen, and development of Long COVID was defined as symptoms persisting for over 2 months. Univariate and multivariate logistic regression analyses estimated odds ratios (ORs) for the association between workplace stressors and the development of Long COVID.</p><p><strong>Results: </strong>Of the participants, 248 reported Long COVID. Univariate analysis showed that both high job demands (OR: 1.55; 95% CI, 1.09-2.20) and poor job control (OR: 1.50; 95% CI, 1.04-2.18) increased the odds. Poor supervisor support (OR: 1.73; 95% CI, 1.16-2.58) and co-worker support (OR: 1.59; 95% CI, 1.13-2.23) were also significant. On multivariate analysis, job demands remained significantly associated with Long COVID.</p><p><strong>Conclusions: </strong>Our findings indicate that preinfection workplace stressors may contribute to Long COVID development in workers. Managing workplace stressors effectively could be a preventive measure.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11662441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142751107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Frailty is a risk factor for occupational falls among older workers: an internet-based prospective cohort study.","authors":"Ryutaro Matsugaki, Yoshihisa Fujino, Masayoshi Zaitsu, Satoru Saeki, Shinya Matsuda, Akira Ogami","doi":"10.1093/joccuh/uiae065","DOIUrl":"10.1093/joccuh/uiae065","url":null,"abstract":"<p><strong>Objectives: </strong>Occupational falls are a significant concern among older workers. Although recent cross-sectional studies have indicated a potential association between frailty and occupational falls among older workers, the causal relationship remains unclear. This longitudinal study aimed to investigate whether frailty is a risk factor for occupational falls among older workers using a longitudinal design.</p><p><strong>Methods: </strong>This was an internet-based prospective cohort study. A total of 5000 older workers (aged 60-75 years) were recruited, with 2873 participants meeting the inclusion criteria for the follow-up survey. Frailty was assessed using a frailty screening index based on the Fried phenotype model. Occupational falls were defined as those that occurred during the follow-up period.</p><p><strong>Results: </strong>Among the participants, 13.9% were frail. The incidence of occupational falls was higher in the frailty group (11.6%) than in the nonfrailty group (4.9%). In the multivariate-adjusted model, frailty was significantly associated with occupational falls (relative risk: 2.10; 95% CI, 1.51-2.94).</p><p><strong>Conclusions: </strong>Frailty is a significant risk factor for occupational falls among older workers. Employers should consider implementing health-management strategies that focus on frailty to prevent occupational falls in this population.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142522182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Are there compensatory behaviors in response to a sit-stand desk intervention?","authors":"Hélio Silva, Sabrina C Teno, Pedro B Júdice","doi":"10.1093/joccuh/uiae067","DOIUrl":"10.1093/joccuh/uiae067","url":null,"abstract":"<p><strong>Objectives: </strong>Office workers represent one of the most sedentary groups. Alarmingly, more than one-third of their sitting time during workdays occurs in prolonged bouts. Sit-stand desk (SSD) interventions have been found to be effective in reducing sitting time, but heterogeneity exists amongst studies, which may be due to compensations outside the workplace. This study aimed to assess the impact of a 6-month SSD intervention on office workers' sitting and standing times during the work shift and outside work (leisure time).</p><p><strong>Methods: </strong>A 2-arm (1:1) clustered randomized controlled trial was conducted with 38 participants randomly assigned to either the intervention or control group. The intervention included a psychoeducational session, motivational prompts, and environmental modification (SSD implemented in the workplace). The waiting-list control group maintained the usual work conditions and only received the initial session. We employed repeated measures analysis of covariance to compare changes between groups while adjusting for relevant covariates, with significance set at 5%.</p><p><strong>Results: </strong>In the intervention group, there was a significant reduction in sitting time at work by 32.97 minutes, along with a notable increase in standing time by 27.88 minutes (P < .05). Although nonsignificant (P > .05), there was an increase in sitting time in the leisure context of about 23.07 minutes.</p><p><strong>Conclusions: </strong>This study underscores the effectiveness of SSD as a key strategy to mitigate sitting time among office workers. However, future interventions should consider integrating comprehensive behavioral strategies beyond the workplace to sustain potential increases in sitting time during leisure time and avoid compensatory behaviors.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142546046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuri Purwito Adi, Tomohisa Nagata, Kiminori Odagami, Masako Nagata, Koji Mori
{"title":"Association between exposure to technological advances in the workplace and work engagement: a prospective cohort study.","authors":"Nuri Purwito Adi, Tomohisa Nagata, Kiminori Odagami, Masako Nagata, Koji Mori","doi":"10.1093/joccuh/uiae003","DOIUrl":"10.1093/joccuh/uiae003","url":null,"abstract":"<p><strong>Objectives: </strong>The study objective was to measure the association between exposure to technological advances and work engagement, adjusting for personal and workplace factors.</p><p><strong>Methods: </strong>We conducted a nationwide online longitudinal survey study in Japan. The sample was stratified to represent Japanese workforce conditions. Work engagement was measured using the Japanese version of the Utrecht Work Engagement Scale-9. Exposure to technological advances was measured using a single question with Likert scale responses. Industry characteristics that were more/less likely to be replaced by automation were also measured. Linear regression was used for statistical analysis.</p><p><strong>Results: </strong>There were 16 629 participants. We found that exposure to technological advances was associated with work engagement after adjustment for age, sex, education, income, and industry characteristics. We observed a significant interaction between age and exposure to technological advances (coefficient 0.891, P < .001), and conducted an age-stratified linear regression analysis. The significant association between age and exposure to technological advances reduced as age increased, and disappeared after adjustment for baseline work engagement.</p><p><strong>Conclusions: </strong>Longitudinal observations showed that exposure to technological advances was not significantly associated with work engagement.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11069424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akiko Fujishima, Eri Maeda, Koki Sato, Hidekazu Saito, Chihiro Ozeki, Yukihiro Terada
{"title":"Feasibility and effectiveness of preconception check-ups at workplaces in Japan.","authors":"Akiko Fujishima, Eri Maeda, Koki Sato, Hidekazu Saito, Chihiro Ozeki, Yukihiro Terada","doi":"10.1093/joccuh/uiae021","DOIUrl":"10.1093/joccuh/uiae021","url":null,"abstract":"<p><strong>Objectives: </strong>Despite the recent increase in infertility and perinatal complications, preconception care is not commonly available in Japan. Working women are considered to have the greatest need for preconception care, as increasingly they marry and have children later in life. This study aimed to assess the feasibility and effectiveness of preconception check-ups in the workplace.</p><p><strong>Methods: </strong>We provided 51 female employees aged 18-39 years with free preconception check-ups, including additional blood tests and an online medical questionnaire, during mandatory health check-ups at their workplace. A doctor provided online counseling based on the check-up results. We assessed fertility knowledge using the Cardiff Fertility Knowledge Scale (CFKS-J) and childbearing desire pre- and postintervention.</p><p><strong>Results: </strong>Preconception check-ups revealed various potential risk factors for future pregnancies, including underweight (12%), obesity (20%), Chlamydia trachomatis IgG antibody positivity (22%), low rubella IgG antibody levels (47%), iron deficiency (12%), and 25-hydroxyvitamin D levels <30 ng/mL (98%). Postintervention, the participants reported high satisfaction with the check-ups and significantly advanced their reproductive plans (P = .008). Furthermore, 95% of the participants indicated an intention to seek medical attention or make lifestyle changes. The postintervention CFKS-J score (mean [SD]) was higher than the preintervention score (71.7 [19.3] vs 63.0 [22.0]; P = .006).</p><p><strong>Conclusions: </strong>We developed a preconception check-up package that can be integrated into workplace health examinations, complemented by tailored counseling. This novel check-up package is a feasible and effective approach for improving preconception health and fertility awareness.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11255479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of participatory organizational interventions on mental health and work performance: a protocol for systematic review and meta-analysis.","authors":"Mako Iida, Asuka Sakuraya, Kotaro Imamura, Hiroki Asaoka, Hideaki Arima, Emiko Ando, Akiomi Inoue, Reiko Inoue, Mai Iwanaga, Hisashi Eguchi, Yasumasa Otsuka, Yuka Kobayashi, Yu Komase, Kazuto Kuribayashi, Natsu Sasaki, Kanami Tsuno, Ayako Hino, Kazuhiro Watanabe, Takeshi Ebara, Akihito Shimazu, Norito Kawakami, Akizumi Tsutsumi","doi":"10.1093/joccuh/uiae028","DOIUrl":"10.1093/joccuh/uiae028","url":null,"abstract":"<p><strong>Introduction: </strong>Participatory organizational interventions to improve psychosocial working conditions are important for a safe and healthy work environment. However, there are few systematic reviews or meta-analyses investigating the effects of these interventions on workers' mental health and work-related outcomes. We intend to apply the protocol for systematic review and meta-analysis to examine the effect of participatory organizational intervention on mental health and work performance.</p><p><strong>Methods and analysis: </strong>The participants, interventions, comparisons, and outcomes (PICO) of the studies in this systematic review and meta-analysis are defined as follows: (P) inclusion of all workers, (I) participatory organizational intervention, (C) treatment as usual or no intervention (including waitlist control), and (O) mental health and work performance. Published studies will be searched using the following electronic databases: PubMed, Embase, PsycINFO, PsycArticles, and Japan Medical Abstracts Society. Studies that (1) include participatory organizational intervention, (2) include participants who were working as of the baseline survey period, (3) assess mental health or work performance outcomes, (4) use a cluster randomized controlled trials design, (5) are published in English or Japanese, and (6) are published in peer-reviewed journals (including advanced online publication) will be included. Study selection and the risk-of-bias assessment will be performed independently by 2 reviewers. A meta-analysis will be performed to statistically synthesize the included studies. Publication bias will be assessed for meta-bias using Egger's test as well as visually on a funnel plot. We will assess heterogeneity by using the Q statistic.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11272038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychosocial characteristics of workers with irritable bowel syndrome and its relationship with abdominal symptoms and work productivity.","authors":"Nagisa Sugaya, Shuhei Izawa, Takeshi Sasaki","doi":"10.1093/joccuh/uiae012","DOIUrl":"10.1093/joccuh/uiae012","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to validate the psychosocial characteristics and work-related challenges faced by workers exhibiting symptoms of irritable bowel syndrome (IBS) and to clarify the factors that exacerbate abdominal symptoms or hinder work productivity by focusing on IBS-related cognitive-behavioral factors and job-related stressors.</p><p><strong>Methods: </strong>An online survey was conducted from October 5 to October 20, 2023, among workers in Japan aged 20-49 years with more than 30 hours of work per week, excluding managers and the self-employed. The data were obtained from 1062 participants (including 551 women and 329 individuals with IBS).</p><p><strong>Results: </strong>The levels of depression in the IBS group were significantly higher than those in the Non-IBS group (P < .05). Cognitive-behavioral variables associated with abdominal symptoms were positively correlated with work productivity (r = 0.367-0.483, P < .001). Hierarchical multiple regression analysis with IBS symptoms and work productivity as dependent variables revealed a significant effect of the interaction between maladaptive cognition related to abdominal symptoms and job control on IBS symptoms (β = -.164, P = .002). The association between maladaptive cognition and IBS symptoms was more pronounced when job control was lower. Additionally, IBS symptoms (β = .130-.214, P < .05), maladaptive cognition (β = .196-.233, P < .01), and job overload (β = .106-.108, P < .05) significantly influenced work productivity.</p><p><strong>Conclusions: </strong>Maladaptive cognition regarding abdominal symptoms may lead to more severe abdominal symptoms in situations with a low sense of work control. Beyond cognitive-behavioral interventions for IBS, enhancing the sense of control over work environments is expected to contribute to alleviating abdominal symptoms and, consequently, enhancing work productivity.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11060338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140039676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigating exceedances of formaldehyde levels and source identification in offices of an academic medical institute.","authors":"Watcharakorn Chuthong, Vithawat Surawattanasakul, Ratana Sapbamrer, Wachiranun Sirikul","doi":"10.1093/joccuh/uiae049","DOIUrl":"10.1093/joccuh/uiae049","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate factors associated with indoor formaldehyde levels in office settings within an academic medical institute.</p><p><strong>Methods: </strong>This cross-sectional study was conducted in 25 offices (261 workers) at a medical university in Thailand. Questionnaires gathered data on demographics, work patterns, and office equipment usage (printers, photocopiers, air fresheners, liquid paper, glue, cleaning agents, and marker pens). The building environment was assessed by a multidisciplinary team. Formaldehyde levels and relevant parameters (temperature and relative humidity) were measured in each room both indoors and outdoors. A multiple linear regression model investigated the relationship between formaldehyde and office factors, controlling for room conditions.</p><p><strong>Results: </strong>Median office formaldehyde levels were 442.1 μg/m3 (interquartile range: 343.8-908.7 μg/m3), exceeding World Health Organization and Thai guidelines. Photocopier use was significantly associated with higher levels of indoor formaldehyde (β = .20; 95% CI, 0.30-0.37; P = .02). Air freshener use also showed a significant association (β = .56; 95% CI, 0.30-0.81; P < .001). No correlation was found between the use of liquid paper, glue, printers, cleaning agents, or marker pens and indoor formaldehyde levels.</p><p><strong>Conclusions: </strong>Indoor formaldehyde levels in these offices exceeded the established guidelines. Use of photocopiers and air fresheners was associated with increased formaldehyde levels. Implementing interventions such as improved ventilation and regular screening is essential for creating healthier office environments.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Min Young Park, Joonho Ahn, S Bae, B H Chung, Jun-Pyo Myong, Jongin Lee, Mo-Yeol Kang
{"title":"Effects of cold and hot temperatures on the renal function of people with chronic disease.","authors":"Min Young Park, Joonho Ahn, S Bae, B H Chung, Jun-Pyo Myong, Jongin Lee, Mo-Yeol Kang","doi":"10.1093/joccuh/uiae037","DOIUrl":"10.1093/joccuh/uiae037","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the effects of hot and cold temperature on the renal function of people with chronic diseases, such as diabetes, hypertension, and chronic kidney disease, using large-scale clinical data.</p><p><strong>Methods: </strong>We used retrospective cohort data from the Clinical Data Warehouse of the Seoul St Mary's Hospital, which contains clinical, diagnostic, laboratory, and other information about all patients who have visited the hospital since 1997. We obtained climate data from the Automated Synoptic Observing System of the Korea Meteorological Administration. The heat index was used as a measuring tool to evaluate heat exposure by indexing the actual heat that individuals feel according to temperature and humidity. The estimated glomerular filtration rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation. To investigate changes in renal function trends with heat index, this study used generalized additive mixed models.</p><p><strong>Results: </strong>Renal function decreased linearly with increasing heat index after approximately 25°C, which was considered the flexion point of temperature. A linear decrease in the eGFR was observed with the effects of 0 to 5 lag days. Although there was a correlation observed between the decrease in eGFR and temperatures below -10°C, the results did not indicate statistical significance.</p><p><strong>Conclusions: </strong>The results of our study provide scientific evidence that high temperatures affect the renal function of people with chronic diseases. These results can help prevent heat-related morbidity by identifying those who are more likely to develop renal disease and experience worsening renal function.</p>","PeriodicalId":16632,"journal":{"name":"Journal of Occupational Health","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11378312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141620147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}