title: [Exposure to low doses of inorganic lead and arterial pressure among fire arm instructors of the Italian State Police].
abstract: Firearm instructors represent a particular occupational group exposed to low lead (Pb) doses. Even low blood lead levels (PbB) of this metal can cause an increase of blood pressure (BP).
  
  
  OBJECTIVE
  To assess the Pb exposure of the firearm instructors of the Italian State Police (SP) and the effects of Pb on their PA.
  
  
  METHODS
  376 instructors were studied, including 188 subjects working at indoor and 188 at outdoorfiring ranges. After obtaining informed consent, information on work, social and pathological history was collected and measurements of body mass index (BMI), BP and blood lead (PbB) level were obtained from the medical records.
  
  
  RESULTS
  The mean PbB level of the instructors of outdoor ranges (6.7 +/- 5.3 microg/dl) was significantly lower than those of indoor ranges (8.5 +/- 7.6 microg/dl). In the instructors of outdoor ranges the diastolic BP (DBP) was significantly influenced by BMI and PbB, also considering the common confounding factors.
  
  
  CONCLUSIONS
  The mean PbB level of the firearm instructors of the Italian SP resulted to be clearly below the biological limit value for Pb. In the instructors of outdoor ranges the even low PbB levels detected were able to determine a slight, but significant increase of DBP, also after correction for the main confounding variables. It is therefore necessary to keep on effecting biological monitoring and health surveillance of firearm instructors of SP and to promote the reduction of their body weight.
authors.affiliation: Dipartimento di Medicina Interna e Medicina Pubblica, Sezione di Medicina del Lavoro EC Vigliani, Università di Bari, Italy. l.dilorenzo@medlav.uniba.it
authors.forename: L
authors.initials: L
authors.lastname: Di Lorenzo
authors.forename: V
authors.initials: V
authors.lastname: Borraccia
authors.forename: M
authors.initials: M
authors.lastname: Corfiati
authors.forename: G A
authors.initials: GA
authors.lastname: Mantineo
authors.forename: M R
authors.initials: MR
authors.lastname: Petrillo
authors.forename: L
authors.initials: L
authors.lastname: Soleo
mesh_terms: D001794:Blood Pressure / Q000187:drug effects*; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005389:Firearms; D006801:Humans; D007558:Italy; D007854:Lead / Q000009:adverse effects / Q000097:blood* / Q000494:pharmacology*; D016273:Occupational Exposure / Q000009:adverse effects / Q000032:analysis*; D016495:Police; D013663:Teaching
chemical_list: D007854:Lead