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Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa

Introduction: This study examined the patterns and the prevalence of obstructive lung disease (asthma and COPD) and associated risk factors (age, gender, atopy, smoking history, allergic history, previous history of lung disease, occupational exposures, seafood intake) in a working population of sea...

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Main Author: Adams, Shahieda
Format: Thesis
Language:English
Published: Department of Medicine 2024
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access_status_str Open Access
author Adams, Shahieda
author_browse Adams, Shahieda
author_facet Adams, Shahieda
author_sort Adams, Shahieda
collection Thesis
description Introduction: This study examined the patterns and the prevalence of obstructive lung disease (asthma and COPD) and associated risk factors (age, gender, atopy, smoking history, allergic history, previous history of lung disease, occupational exposures, seafood intake) in a working population of seafood processing workers along the West coast of the Western Cape of South Africa. Materials and method: A cross-sectional study was conducted on 643 currently employed workers in two fish processing plants working in fish canning and fishmeal processing. A modified version of the European Community Respiratory Health Survey (ECRHS) questionnaire was used. Skin prick tests (SPT) used extracts of common airborne allergen. Lung function spirometry and methacholine challenge tests (tidal breathing method) were conducted using Vitallograph S-model bellows volume-time spirometers according to ATS guidelines. Serum omega-3 and omega-6 fatty acid levels were also analysed to examine the association between dietary fatty acids and asthma outcomes. Multivariate regression models were developed for asthma outcomes after adjusting for age, gender, sex and atopic status whilst the models were adjusted for age, gender and smoking history for COPD outcomes. Results: The overall prevalence of asthma symptoms (asthma attack I dyspnoea causing sleep disturbancel tight chest causing sleep disturbance in the past 12 months) was 11%. The prevalence of non-specific bronchial hyperresponsiveness (PC 20 < 8 mg/rnl or >12% increase in FEV1 post bronchodilator) was 26% whilst the prevalence of current asthma diagnosis, defined as recent wheeze and the presence of non-specific ...
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
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spelling oai:open.uct.ac.za:11427/39327 Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa Adams, Shahieda Medicine Introduction: This study examined the patterns and the prevalence of obstructive lung disease (asthma and COPD) and associated risk factors (age, gender, atopy, smoking history, allergic history, previous history of lung disease, occupational exposures, seafood intake) in a working population of seafood processing workers along the West coast of the Western Cape of South Africa. Materials and method: A cross-sectional study was conducted on 643 currently employed workers in two fish processing plants working in fish canning and fishmeal processing. A modified version of the European Community Respiratory Health Survey (ECRHS) questionnaire was used. Skin prick tests (SPT) used extracts of common airborne allergen. Lung function spirometry and methacholine challenge tests (tidal breathing method) were conducted using Vitallograph S-model bellows volume-time spirometers according to ATS guidelines. Serum omega-3 and omega-6 fatty acid levels were also analysed to examine the association between dietary fatty acids and asthma outcomes. Multivariate regression models were developed for asthma outcomes after adjusting for age, gender, sex and atopic status whilst the models were adjusted for age, gender and smoking history for COPD outcomes. Results: The overall prevalence of asthma symptoms (asthma attack I dyspnoea causing sleep disturbancel tight chest causing sleep disturbance in the past 12 months) was 11%. The prevalence of non-specific bronchial hyperresponsiveness (PC 20 < 8 mg/rnl or >12% increase in FEV1 post bronchodilator) was 26% whilst the prevalence of current asthma diagnosis, defined as recent wheeze and the presence of non-specific ... 2024-04-10T09:41:08Z 2024-04-10T09:41:08Z 2007 2024-04-10T09:25:06Z Thesis / Dissertation Masters Masters http://hdl.handle.net/11427/39327 eng application/pdf Department of Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Medicine
Adams, Shahieda
Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
thesis_degree_str Master's
title Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
title_full Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
title_fullStr Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
title_full_unstemmed Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
title_short Predictors of obstructive lung disease among seafood processing workers along the West Coast of the Western Cape of South Africa
title_sort predictors of obstructive lung disease among seafood processing workers along the west coast of the western cape of south africa
topic Medicine
url http://hdl.handle.net/11427/39327
work_keys_str_mv AT adamsshahieda predictorsofobstructivelungdiseaseamongseafoodprocessingworkersalongthewestcoastofthewesterncapeofsouthafrica