Diet, occupational exposure and early asthma incidence among bakers, pastry makers and hairdressers.

Abstract : ABSTRACT: BACKGROUND: The natural history of occupational asthma (OA) is influenced by many determinants. This study aims to assess the combined roles of personal characteristics, including occupational exposure and nutritional habits, on the incidence of OA during the first years at work. METHODS: A nested case-control study was conducted within a retrospective cohort of young workers in the bakery, pastry-making and hairdressing sectors. Cases were subjects diagnosed as 'confirmed' or 'probable' OA consecutively to a medical visit (N=31). Controls were subjects without OA (N=196). Atopy was defined after blood specific IgE analysis, based on the PhadiatopTM test. Occupational exposure was characterized by standardized questionnaires and diet patterns by a food frequency questionnaire. RESULTS: Among bakers and pastry-makers, only atopy is an independent risk factor of OA (OR=10.07 95%CI [2.76 - 36.65]). Among hairdressers, several variables are associated with OA. Body mass index (unit OR=1.24 [1.03 - 1.48]) and the score of exposure intensity (unit OR=1.79 [1.05 - 3.05]) are independent predictors of OA, but the role of atopy is weak (OR=4.94 [0.66 - 36.75]). Intake of vitamin A is higher among hairdressers cases (crude p=0.002, adjusted p=0.01 after control for body mass index and atopy); the same observation is made for vitamin D (crude p=0.004, adjusted p=0.01). CONCLUSION: This study suggests that the influence of several factors on the incidence of OA, including dietary vitamins, might vary across exposure settings.
Type de document :
Article dans une revue
BMC Public Health, BioMed Central, 2012, 12 (1), pp.387. 〈10.1186/1471-2458-12-387〉
Liste complète des métadonnées

Littérature citée [42 références]  Voir  Masquer  Télécharger

http://www.hal.inserm.fr/inserm-00721883
Contributeur : Ed. Bmc <>
Soumis le : mardi 31 juillet 2012 - 07:06:43
Dernière modification le : lundi 23 avril 2018 - 15:53:36
Document(s) archivé(s) le : vendredi 16 décembre 2016 - 04:14:42

Identifiants

Citation

Thomas Rémen, Dovi-Stéphanie Acouetey, Christophe Paris, Denis Zmirou-Navier. Diet, occupational exposure and early asthma incidence among bakers, pastry makers and hairdressers.. BMC Public Health, BioMed Central, 2012, 12 (1), pp.387. 〈10.1186/1471-2458-12-387〉. 〈inserm-00721883〉

Partager

Métriques

Consultations de la notice

166

Téléchargements de fichiers

123