Association of exposure to welding fume particulates with plasma nitric oxide and fractional exhaled nitric oxide among shipyard workers / 造船廠作業人員焊接燻煙微粒暴露與血漿一氧化氮及呼氣一氧化氮關係之研究

碩士 / 國防醫學院 / 公共衛生學研究所 / 106 / Aim: We assessed the relations between heavy metals, polycyclic aromatic hydrocarbons exposure and plasma nitric oxide, fractional exhaled nitric oxide, and lung function among shipyard workers.

Methods: This study was a longitudinal study. All of 354 workers were recruited from the shipyard in Taiwan from 2014 to 2016. After excluded female workers, there were 333 workers include in this study finally. Personal air sampling was collected at the first day; FeNO and lung function test were collected at the second day. In order to analyze urine heavy metals and plasma NO, we also collected blood and urine from workers in both days.

Results: In generalized estimating equation analysis, adjusting for age, waist, smoking status, time, and urinary creatinine, negative significant were found between log urinary nickel and log plasma NO (β=-0.079, 95%CI: -0.149 to -0.009, p=0.026). After adjusting for age, waist, smoking status, and time, negative significant were found between log PM2.5 and log FeNO (β=-0.051, 95%CI: -0.087 to -0.016, p=0.004). After adjusting for age, waist, smoking status, time, and urinary creatinine, negative significant were found between log urinary manganese and log FeNO (β=-0.068, 95%CI: -0.13 to -0.006, p=0.032); negative significant were found between log urinary cadmium and log plasma NO (β=-0.133, 95%CI: -0.221 to -0.045, p=0.003); negative significant were found between log urinary 1-OHP and log FeNO (β=-0.123, 95%CI: -0.233 to -0.014, p=0.028); negative significant were found between log urinary nickel and FVC% (β=-20.015, 95%CI: -34.836 to -5.194, p=0.008); FEV1 % (β=-19.159, 95%CI: -32.079 to -6.239, p=0.004); FEV1/FVC % (β=-1.983, 95%CI: -3.898 to -0.067, p=0.043).

Conclusion: In conclusion, this study showed biomarkers of exposure to Mn, Cd, Ni, and PAH are associated with decreased plasma NO, FeNO, and lung function indicators. We suggest to wearing personal protective equipment may decrease adverse health effects from occupational exposure.

Identiferoai:union.ndltd.org:TW/106NDMC0058049
Date January 2018
CreatorsHUANG,SHIH-TING, 黃詩婷
ContributorsLAI,CHING-HUANG, 賴錦皇
Source SetsNational Digital Library of Theses and Dissertations in Taiwan
Languagezh-TW
Detected LanguageEnglish
Type學位論文 ; thesis
Format167

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