title: Effects on reserve capacity: significance for exposure limits.
abstract: The human body has a certain capacity to withstand potentially adverse effects of environmental exposures. Chemical exposures may result in a weakening of the body defenses, i.e. a decrease in reserve capacity, thus leading to increased susceptibility to other exposures. Thus, despite normal hematological findings in the initial examination of a group of lead-exposed workers, the lead exposure caused a decreased reserve capacity for blood formation; these effects became prominent only after phlebotomy where the lead-exposed workers showed a decreased rate of blood regeneration. Evidence from studies of cell attrition and age-related functional decreases of the nervous system and the kidneys suggest that a reserve capacity exists and that it may be vulnerable to chemical exposures. Reserve capacity may therefore be a notion of wide significance with regard to chemical exposures as part of multicausal disease etiologies.
authors.affiliation: Department of Environmental Medicine, Odense University, Denmark.
authors.forename: P
authors.initials: P
authors.lastname: Grandjean
mesh_terms: D016022:Case-Control Studies; D004781:Environmental Exposure / Q000517:prevention & control*; D006801:Humans; D007854:Lead / Q000097:blood*; D007855:Lead Poisoning / Q000175:diagnosis / Q000503:physiopathology / Q000517:prevention & control*; D008297:Male; D016273:Occupational Exposure / Q000517:prevention & control*; D012016:Reference Values
chemical_list: D007854:Lead