Cleaning at home and at work in relation to lung function decline and airway obstruction

Svanes, Øistein and Bertelsen, Randi J. and Lygre, Stein H. L. and Carsin, Anne E. and Antó, Josep M. and Forsberg, Bertil and García-García, José M. and Gullón, José A. and Heinrich, Joachim and Holm, Mathias and Kogevinas, Manolis and Urrutia, Isabel and Leynaert, Bénédicte and Moratalla, Jesús M. and Le Moual, Nicole and Lytras, Theodore and Norbäck, Dan and Nowak, Dennis and Olivieri, Mario and Pin, Isabelle and Probst-Hensch, Nicole and Schlünssen, Vivi and Sigsgaard, Torben and Skorge, Trude D. and Villani, Simona and Jarvis, Debbie and Zock, Jan P. and Svanes, Cecilie. (2018) Cleaning at home and at work in relation to lung function decline and airway obstruction. American journal of respiratory and critical care medicine, 197 (9). pp. 1157-1163.

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Cleaning tasks may imply exposure to chemical agents with potential harmful effects to the respiratory system, and increased risk of asthma and respiratory symptoms among professional cleaners and in persons cleaning at home has been reported. Long-term consequences of cleaning agents on respiratory health are, however, not well described.; This study aimed to investigate long-term effects of occupational cleaning and cleaning at home on lung function decline and airway obstruction.; The European Community Respiratory Health Survey (ECRHS) investigated a multicenter population-based cohort at three time points over 20 years. A total of 6,235 participants with at least one lung function measurement from 22 study centers, who in ECRHS II responded to questionnaire modules concerning cleaning activities between ECRHS I and ECRHS II, were included. The data were analyzed with mixed linear models adjusting for potential confounders.; As compared with women not engaged in cleaning (ΔFEV; 1; = -18.5 ml/yr), FEV; 1; declined more rapidly in women responsible for cleaning at home (-22.1; P = 0.01) and occupational cleaners (-22.4; P = 0.03). The same was found for decline in FVC (ΔFVC = -8.8 ml/yr; -13.1, P = 0.02; and -15.9, P = 0.002; respectively). Both cleaning sprays and other cleaning agents were associated with accelerated FEV; 1; decline (-22.0, P = 0.04; and -22.9, P = 0.004; respectively). Cleaning was not significantly associated with lung function decline in men or with FEV; 1; /FVC decline or airway obstruction.; Women cleaning at home or working as occupational cleaners had accelerated decline in lung function, suggesting that exposures related to cleaning activities may constitute a risk to long-term respiratory health.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Chronic Disease Epidemiology > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Genetic Epidemiology of Non-Communicable Diseases (Probst-Hensch)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
UniBasel Contributors:Probst Hensch, Nicole
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:American Thoracic Society
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:05 Mar 2019 14:10
Deposited On:05 Mar 2019 14:10

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