Association between occupational exposure and the clinical characteristics of COPD

<p>Abstract</p> <p>Background</p> <p>The contribution of occupational exposures to COPD and their interaction with cigarette smoking on clinical pattern of COPD remain underappreciated. The aim of this study was to explore the contribution of occupational exposures on c...

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Main Authors: Caillaud Denis, Lemoigne Franck, Carré Philippe, Escamilla Roger, Chanez Pascal, Burgel Pierre-Régis, Court-Fortune Isabelle, Jebrak Gilles, Pinet Christophe, Perez Thierry, Brinchault Graziella, Paillasseur Jean-Louis, Roche Nicolas
Format: Article
Language:English
Published: BMC 2012-04-01
Series:BMC Public Health
Subjects:
Online Access:http://www.biomedcentral.com/1471-2458/12/302
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author Caillaud Denis
Lemoigne Franck
Carré Philippe
Escamilla Roger
Chanez Pascal
Burgel Pierre-Régis
Court-Fortune Isabelle
Jebrak Gilles
Pinet Christophe
Perez Thierry
Brinchault Graziella
Paillasseur Jean-Louis
Roche Nicolas
author_facet Caillaud Denis
Lemoigne Franck
Carré Philippe
Escamilla Roger
Chanez Pascal
Burgel Pierre-Régis
Court-Fortune Isabelle
Jebrak Gilles
Pinet Christophe
Perez Thierry
Brinchault Graziella
Paillasseur Jean-Louis
Roche Nicolas
author_sort Caillaud Denis
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>The contribution of occupational exposures to COPD and their interaction with cigarette smoking on clinical pattern of COPD remain underappreciated. The aim of this study was to explore the contribution of occupational exposures on clinical pattern of COPD.</p> <p>Methods</p> <p>Cross-sectional data from a multicenter tertiary care cohort of 591 smokers or ex-smokers with COPD (median FEV1 49%) were analyzed. Self-reported exposure to vapor, dust, gas or fumes (VDGF) at any time during the entire career was recorded.</p> <p>Results</p> <p>VDGF exposure was reported in 209 (35%) subjects aged 31 to 88 years. Several features were significantly associated with VDGF exposure: age (median 68 versus 64 years, p < 0.001), male gender (90% vs 76%; p < 0.0001), reported work-related respiratory disability (86% vs 7%, p < 0.001), current wheezing (71% vs 61%, p = 0.03) and hay fever (15.5% vs 8.5%, p < 0.01). In contrast, current and cumulative smoking was less (p = 0.01) despite similar severity of airflow obstruction.</p> <p>Conclusion</p> <p>In this patient series of COPD patients, subjects exposed to VDGF were older male patients who reported more work-related respiratory disability, more asthma-like symptoms and atopy, suggesting that, even in smokers or ex-smokers with COPD, occupational exposures are associated with distinct patients characteristics.</p>
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spelling doaj.art-397d44e8142048f29dd27b06a2daff952022-12-21T18:34:46ZengBMCBMC Public Health1471-24582012-04-0112130210.1186/1471-2458-12-302Association between occupational exposure and the clinical characteristics of COPDCaillaud DenisLemoigne FranckCarré PhilippeEscamilla RogerChanez PascalBurgel Pierre-RégisCourt-Fortune IsabelleJebrak GillesPinet ChristophePerez ThierryBrinchault GraziellaPaillasseur Jean-LouisRoche Nicolas<p>Abstract</p> <p>Background</p> <p>The contribution of occupational exposures to COPD and their interaction with cigarette smoking on clinical pattern of COPD remain underappreciated. The aim of this study was to explore the contribution of occupational exposures on clinical pattern of COPD.</p> <p>Methods</p> <p>Cross-sectional data from a multicenter tertiary care cohort of 591 smokers or ex-smokers with COPD (median FEV1 49%) were analyzed. Self-reported exposure to vapor, dust, gas or fumes (VDGF) at any time during the entire career was recorded.</p> <p>Results</p> <p>VDGF exposure was reported in 209 (35%) subjects aged 31 to 88 years. Several features were significantly associated with VDGF exposure: age (median 68 versus 64 years, p < 0.001), male gender (90% vs 76%; p < 0.0001), reported work-related respiratory disability (86% vs 7%, p < 0.001), current wheezing (71% vs 61%, p = 0.03) and hay fever (15.5% vs 8.5%, p < 0.01). In contrast, current and cumulative smoking was less (p = 0.01) despite similar severity of airflow obstruction.</p> <p>Conclusion</p> <p>In this patient series of COPD patients, subjects exposed to VDGF were older male patients who reported more work-related respiratory disability, more asthma-like symptoms and atopy, suggesting that, even in smokers or ex-smokers with COPD, occupational exposures are associated with distinct patients characteristics.</p>http://www.biomedcentral.com/1471-2458/12/302OccupationalCOPDExposure assessment
spellingShingle Caillaud Denis
Lemoigne Franck
Carré Philippe
Escamilla Roger
Chanez Pascal
Burgel Pierre-Régis
Court-Fortune Isabelle
Jebrak Gilles
Pinet Christophe
Perez Thierry
Brinchault Graziella
Paillasseur Jean-Louis
Roche Nicolas
Association between occupational exposure and the clinical characteristics of COPD
BMC Public Health
Occupational
COPD
Exposure assessment
title Association between occupational exposure and the clinical characteristics of COPD
title_full Association between occupational exposure and the clinical characteristics of COPD
title_fullStr Association between occupational exposure and the clinical characteristics of COPD
title_full_unstemmed Association between occupational exposure and the clinical characteristics of COPD
title_short Association between occupational exposure and the clinical characteristics of COPD
title_sort association between occupational exposure and the clinical characteristics of copd
topic Occupational
COPD
Exposure assessment
url http://www.biomedcentral.com/1471-2458/12/302
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