Relationship between occupational noise exposure and renal function impairment in oil workers

BackgroundThe current oil production determines oil workers’ occupational noise exposure. Without effective protection, noise will affect various aspects of worker’s body functions, including acting on the adrenal cortex system and resulting in renal function damage. ObjectiveTo evaluate the associa...

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Main Authors: Zhe CHEN, Ziwei ZHENG, Hui WANG, Xuelin WANG, Zhikang SI, Rui MENG, Yuanyu CHEN, Yongzhong YANG, Jiaojiao WANG, Chao LI, Lu ZHANG, Jianhui WU
Format: Article
Language:English
Published: Editorial Committee of Journal of Environmental and Occupational Medicine 2022-07-01
Series:环境与职业医学
Subjects:
Online Access:http://www.jeom.org/article/cn/10.11836/JEOM21568
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author Zhe CHEN
Ziwei ZHENG
Hui WANG
Xuelin WANG
Zhikang SI
Rui MENG
Yuanyu CHEN
Yongzhong YANG
Jiaojiao WANG
Chao LI
Lu ZHANG
Jianhui WU
author_facet Zhe CHEN
Ziwei ZHENG
Hui WANG
Xuelin WANG
Zhikang SI
Rui MENG
Yuanyu CHEN
Yongzhong YANG
Jiaojiao WANG
Chao LI
Lu ZHANG
Jianhui WU
author_sort Zhe CHEN
collection DOAJ
description BackgroundThe current oil production determines oil workers’ occupational noise exposure. Without effective protection, noise will affect various aspects of worker’s body functions, including acting on the adrenal cortex system and resulting in renal function damage. ObjectiveTo evaluate the associations of noise exposure and its cumulative exposure level with renal function impairment of oil workers. MethodsOil workers from a collective medical examination in a hospital were selected as the study subjects. In accordance with the national standard Measurement of Physical Agents in the Workplace Part 8: Noise (GBZ/T 189.8—2007), noise exposure was measured three times at the oil workers' work site, and their average value was calculated to obtain the cumulative noise exposure (CNE). A questionnaire survey was conducted to collect general information such as socio-demographic characteristics, family history, lifestyles, and occupational history. All blood biochemical indicators were measured in the fasting state. Renal function impairment was judged based on the glomerular filtration rate. The relationship between CNE and renal function was analyzed using receiver operating characteristic curve (ROC) for workers with noise exposure. ResultsA total of 2 917 subjects were included in the study and their prevalence of renal function impairment was 14.2%. The univariate analysis results suggested statistically significant differences in the prevalence of renal function impairment among the oil workers grouped by having hypertension or not, gender, age, marital status, marital status, smoking, and alcohol consumption (P<0.05); the prevalence of renal impairment was significantly higher in those with abnormal values of uric acid, total cholesterol, triglycerides, high-density lipoprotein, and fasting glucose than in those with normal values (P<0.05); the oil workers with noise exposure [n=1565, 53.7%, equivalent sound level ≥80 dB(A)] showed a higher prevalence of renal function impairment than those without (P<0.05). The results of multiple logistic regression analysis showed that being female (OR=2.811, 95%CI: 1.960-4.030), age at 31 years and above (OR31-40=3.502, 95%CI: 1.402-8.751; OR41-50=4.255, 95%CI: 1.759-10.291; OR≥51=7.179, 95%CI: 2.864-17.996), showing abnormal uric acid (OR=5.932, 95%CI: 4.486-7.843), having hypertension (OR=1.593, 95%CI: 1.230-2.063), alcohol consumption (OR=2.648, 95%CI: 1.346-5.212), and smoking (OR=1.816, 95%CI: 1.133-2.911) had higher risks of developing renal function impairment; besides, those exposed to noise had 1.351 times (95%CI: 1.073-1.702) higher risks of developing renal function impairment than non-exposed individuals. Noise-exposed oil workers in the renal impairment group had higher noise exposure intensity and CNE compared to the noise-exposed oil workers in the normal renal function group (P<0.05), and the workers had an increased risk of renal function impairment when the CNE was >95.85 dB(A)·year versus CNE ≤ 95.85 dB(A)·year (OR=2.583, 95%CI: 1.956-3.411). ConclusionExposure to noise, higher noise exposure intensity, and higher level of CNE may be associated with developing renal function impairment in oil workers. Oil workers with CNE above 95.85 dB(A)·year are at an increased risk of renal impairment.
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spelling doaj.art-4c58853dced548e1a0eb4fdad667ead12022-12-22T01:35:23ZengEditorial Committee of Journal of Environmental and Occupational Medicine环境与职业医学2095-99822022-07-0139775876210.11836/JEOM2156821568Relationship between occupational noise exposure and renal function impairment in oil workersZhe CHEN0Ziwei ZHENG1Hui WANG2Xuelin WANG3Zhikang SI4Rui MENG5Yuanyu CHEN6Yongzhong YANG7Jiaojiao WANG8Chao LI9Lu ZHANG10Jianhui WU11School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210School of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210Department of Tuberculosis Prevention and Control, Tongling City Center for Disease Control and Prevention, Tongling, Anhui 244000, ChinaSchool of Public Health/Hebei Key Laboratory of Coal Mine Health and Safety, North China University of Science and Technology, Tangshan, Hebei 063210BackgroundThe current oil production determines oil workers’ occupational noise exposure. Without effective protection, noise will affect various aspects of worker’s body functions, including acting on the adrenal cortex system and resulting in renal function damage. ObjectiveTo evaluate the associations of noise exposure and its cumulative exposure level with renal function impairment of oil workers. MethodsOil workers from a collective medical examination in a hospital were selected as the study subjects. In accordance with the national standard Measurement of Physical Agents in the Workplace Part 8: Noise (GBZ/T 189.8—2007), noise exposure was measured three times at the oil workers' work site, and their average value was calculated to obtain the cumulative noise exposure (CNE). A questionnaire survey was conducted to collect general information such as socio-demographic characteristics, family history, lifestyles, and occupational history. All blood biochemical indicators were measured in the fasting state. Renal function impairment was judged based on the glomerular filtration rate. The relationship between CNE and renal function was analyzed using receiver operating characteristic curve (ROC) for workers with noise exposure. ResultsA total of 2 917 subjects were included in the study and their prevalence of renal function impairment was 14.2%. The univariate analysis results suggested statistically significant differences in the prevalence of renal function impairment among the oil workers grouped by having hypertension or not, gender, age, marital status, marital status, smoking, and alcohol consumption (P<0.05); the prevalence of renal impairment was significantly higher in those with abnormal values of uric acid, total cholesterol, triglycerides, high-density lipoprotein, and fasting glucose than in those with normal values (P<0.05); the oil workers with noise exposure [n=1565, 53.7%, equivalent sound level ≥80 dB(A)] showed a higher prevalence of renal function impairment than those without (P<0.05). The results of multiple logistic regression analysis showed that being female (OR=2.811, 95%CI: 1.960-4.030), age at 31 years and above (OR31-40=3.502, 95%CI: 1.402-8.751; OR41-50=4.255, 95%CI: 1.759-10.291; OR≥51=7.179, 95%CI: 2.864-17.996), showing abnormal uric acid (OR=5.932, 95%CI: 4.486-7.843), having hypertension (OR=1.593, 95%CI: 1.230-2.063), alcohol consumption (OR=2.648, 95%CI: 1.346-5.212), and smoking (OR=1.816, 95%CI: 1.133-2.911) had higher risks of developing renal function impairment; besides, those exposed to noise had 1.351 times (95%CI: 1.073-1.702) higher risks of developing renal function impairment than non-exposed individuals. Noise-exposed oil workers in the renal impairment group had higher noise exposure intensity and CNE compared to the noise-exposed oil workers in the normal renal function group (P<0.05), and the workers had an increased risk of renal function impairment when the CNE was >95.85 dB(A)·year versus CNE ≤ 95.85 dB(A)·year (OR=2.583, 95%CI: 1.956-3.411). ConclusionExposure to noise, higher noise exposure intensity, and higher level of CNE may be associated with developing renal function impairment in oil workers. Oil workers with CNE above 95.85 dB(A)·year are at an increased risk of renal impairment.http://www.jeom.org/article/cn/10.11836/JEOM21568noisenoise exposure intensitycumulative noise exposurerenal functionoil worker
spellingShingle Zhe CHEN
Ziwei ZHENG
Hui WANG
Xuelin WANG
Zhikang SI
Rui MENG
Yuanyu CHEN
Yongzhong YANG
Jiaojiao WANG
Chao LI
Lu ZHANG
Jianhui WU
Relationship between occupational noise exposure and renal function impairment in oil workers
环境与职业医学
noise
noise exposure intensity
cumulative noise exposure
renal function
oil worker
title Relationship between occupational noise exposure and renal function impairment in oil workers
title_full Relationship between occupational noise exposure and renal function impairment in oil workers
title_fullStr Relationship between occupational noise exposure and renal function impairment in oil workers
title_full_unstemmed Relationship between occupational noise exposure and renal function impairment in oil workers
title_short Relationship between occupational noise exposure and renal function impairment in oil workers
title_sort relationship between occupational noise exposure and renal function impairment in oil workers
topic noise
noise exposure intensity
cumulative noise exposure
renal function
oil worker
url http://www.jeom.org/article/cn/10.11836/JEOM21568
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