[Respiratory symptoms and spirometric tests of quarry workers in Rio de Janeiro].
Respiratory symptoms and past history of chest disease as well as spirometric tests were investigated in 72 of 86 (83.7%) employees of a middle sized quarry in Rio de Janeiro, Brazil. Seventy one were men (98.6%), and the mean age was 36.2 +/- 9.3 years (20-65). Forty two (58.3%) had occupations considered as highly exposed to dust, and 30 (44.7%) were considered as lightly exposed. Forty (55.6%) were smokers, 20 (27.8%) never had been smokers and 12 (16.7%) were former smokers. Symptoms and past history were investigated with a questionnaire based on international models, and adapted for the Brazilian public. A high prevalence of symptoms (except for dyspnea) was noted: 47 (65.3%) had one or more symptoms-there was cough in 31.9%, expectoration in 41.7% dyspnea in 9.7% and wheezing in 33.3%. The symptoms were found to be associated mostly with a past history of chest disease, and also with smoking, factors which explained, in part, the presence of the symptoms. No association with a higher exposure to dust was found. The exposure to dust did not explain the symptoms. The spirometric tests were performed on a 6 liter bell spirometer. The means of the parameters were lower than one would expect in a non selected population sample--89.9 +/- 11.2% of predicted for the Forced Vital Capacity (FVC), 90.1 +/- 12.9% for the Forced Expiratory Volume in 1 second (FEV1) and 92.9 +/- 32.7% for the Forced Expiratory Flow between 25% and 75% of the FVC (FEF25-75). However, the proportions of abnormal results were comparable to the reported ones from unselected samples. There was no statistically significant influence of higher dust exposure, past history or smoking on the means of the results. It is concluded that, in this sample of quarry employees, no association between respiratory symptoms or spirometric results and dust exposure could be demonstrated. There was an association between the symptoms, but not with the spirometric results, and a past history of chest disease, as well as with smoking.
Lemle
A
A
Universidade Federal do Rio de Janeiro, Serviço de Pneumologia do Hospital Universitário Clementino Fraga Filho.
de Araújo
A J
AJ
Lapa e Silva
J R
JR
Lima
F de P
Fde P
Cardoso
A P
AP
Câmara
W de M
Wde M
de Lucca
W
W
Marchiori
E
E
Carnevalli
L C
LC
Colucci
A L
AL
D000328:Adult; D017677:Age Distribution; D000368:Aged; D001938:Brazil; D003371:Cough / Q000175:diagnosis*; D004391:Dust; D004417:Dyspnea / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016273:Occupational Exposure / Q000009:adverse effects*; D012129:Respiratory Function Tests; D012135:Respiratory Sounds / Q000175:diagnosis*; D017678:Sex Distribution; D012829:Silicosis / Q000175:diagnosis* / Q000209:etiology; D012907:Smoking; D011795:Surveys and Questionnaires; D013997:Time Factors
D004391:Dust
Sintomas respiratórios e testes espirográficos dos funcionários de uma pedreira do Rio de Janeiro.