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Respiratory symptoms, ventilatory impairment, and bronchial reactivity in oil mist‐exposed automobile workers
Author(s) -
Ameille Jacques,
Wild Pascal,
Choudat Dominique,
Ohl Gérard,
Vaucouleur Jean François,
Chanut Jean Claude,
Brochard Patrick
Publication year - 1995
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.4700270209
Subject(s) - medicine , phlegm , respiratory system , pulmonary function testing , chronic cough , methacholine , mineral oil , respiratory disease , lung , asthma , gastroenterology , physiology , pathology , chemistry , alternative medicine , organic chemistry , traditional chinese medicine
Studies concerning the respiratory effects of oil mists are sparse and contradictory. The aim of this study was to determine the respective effects of occupational exposure to straight cutting oils and soluble mineral oils on the prevalence of respiratory symptoms, ventilatory impairment, and bronchial reactivity. The population study consisted of 308 male workers of a large French car‐making plant, including 40 subjects chronically exposed to straight cutting oils (group S), 51 subjects chronically exposed to soluble mineral oils (group E), 139 subjects with chronic dual exposure to straight cutting oils and soluble mineral oils (group D), and 78 unexposed assembly workers used as a control group (group C). Worker evaluation included a standardized questionnaire, measurement of pulmonary function, and a methacholine challenge. Oil mist concentration at the work place was determined by gravimetric analysis. The arithmetic mean concentration was 2.6 ± 1.8 mg/m 3 . The geometric mean concentration was 2.2 pm 1.9 mg/m 3 . The prevalence of respiratory symptoms did not differ significantly among the four groups. However, the subjects exposed to straight cutting oils (group S + group D) had a significantly higher prevalence of chronic cough and/or phlegm than the others (group E + group O): 25.7% vs. 16.3% (p = 0.048). Furthermore, the prevalence of cough and/or phlegm increased significantly (p = 0.03) with increasing duration of exposure to straight cutting oils after adjustment on smoking categories. Lung function tests did not differ significantly among the four groups but we observed a significant decrease of forced expiratory volume in 1 see (FEV 1 ), forced expiratory flow during the middle half of forced vital capacity (FEF 25‐75 ), and maximal flow rate at 50% and 25% of exhaled forced vital capacity (V 50 and V 25 ) according to duration of exposure among smokers exposed to straight cutting oils, suggesting a synergistic effect of tobacco and insoluble oils. No effect of exposure to mineral oils on bronchial reactivity was demonstrated. It is concluded that despite low levels of pollution by oil mists, the present study has shown tenuous adverse chronic effects of straight cutting oils on respiratory symptoms and lung function. However, no adverse effect of soluble mineral oils was demonstrated. These results suggest that threshold limit values for mineral oils should be reassessed.