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Evidence of Allergic Reactions and Cardiopulmonary Impairments among Traders Operating from Foodstuff Warehouses.

Abstract Background. Foodstuff traders operating from warehouses (FTFW) are potentially exposed to dangerous rodenticides/pesticides that may have adverse effects on cardiopulmonary function. Methods. Fifty consenting male foodstuff traders, comprising 15 traders (21-63 years) operating outside warehouses and 35 FTFW (20-64 years), were randomly recruited at Ogbete Market, Enugu, in a cross-sectional observational study of spirometric and electrocardiographic parameters. Seventeen FTFW (21-57 years) participated in focus group discussions. Qualitative and quantitative data were analysed thematically and with independent t-test and Pearson correlation coefficient at p < 0.05, respectively. Results. Most FTFW experienced respiratory symptoms, especially dry cough (97.1%) and wheezing (31.4%) with significant reductions in forced vital capacity (FVC) (t = -2.654; p = 0.011), forced expiratory volume in one second (FEV1) (t = -2.240; p = 0.030), maximum expiratory flow rate (FEF200-1200) (t = -1.148; p = -0.047), and forced end-expiratory flow (FEF75-85) (t = -1.11; p = 0.007). The maximum mid-expiratory flow (FEF25-75) was marginally decreased (p > 0.05) with a significantly prolonged (p < 0.05) QTc interval. Conclusion. Allergic response was evident in the FTFW. Significant decrease in FVC may negatively impact lung flow rates and explains the marginal decrease in FEF25-75, which implies a relative limitation in airflow of peripheral/distal airways and elastic recoil of the lungs. This is consistent with obstructive pulmonary disease; a significant decrease in FEF75-85/FEV1 supports this conclusion. Significant decrease in FEF200-1200 indicates abnormalities in the large airways/larynx just as significantly prolonged ventricular repolarization suggests cardiac arrhythmias.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title biomed research international
Publication Year Start




PMID- 28116288
OWN - NLM
STAT- MEDLINE
DA  - 20170124
DCOM- 20170213
LR  - 20170213
IS  - 2314-6141 (Electronic)
VI  - 2016
DP  - 2016
TI  - Evidence of Allergic Reactions and Cardiopulmonary Impairments among Traders
      Operating from Foodstuff Warehouses.
PG  - 1081258
LID - 10.1155/2016/1081258 [doi]
AB  - Background. Foodstuff traders operating from warehouses (FTFW) are potentially
      exposed to dangerous rodenticides/pesticides that may have adverse effects on
      cardiopulmonary function. Methods. Fifty consenting male foodstuff traders,
      comprising 15 traders (21-63 years) operating outside warehouses and 35 FTFW
      (20-64 years), were randomly recruited at Ogbete Market, Enugu, in a
      cross-sectional observational study of spirometric and electrocardiographic
      parameters. Seventeen FTFW (21-57 years) participated in focus group discussions.
      Qualitative and quantitative data were analysed thematically and with independent
      t-test and Pearson correlation coefficient at p &lt; 0.05, respectively. Results.
      Most FTFW experienced respiratory symptoms, especially dry cough (97.1%) and
      wheezing (31.4%) with significant reductions in forced vital capacity (FVC) (t = 
      -2.654; p = 0.011), forced expiratory volume in one second (FEV1) (t = -2.240; p 
      = 0.030), maximum expiratory flow rate (FEF200-1200) (t = -1.148; p = -0.047),
      and forced end-expiratory flow (FEF75-85) (t = -1.11; p = 0.007). The maximum
      mid-expiratory flow (FEF25-75) was marginally decreased (p &gt; 0.05) with a
      significantly prolonged (p &lt; 0.05) QTc interval. Conclusion. Allergic response
      was evident in the FTFW. Significant decrease in FVC may negatively impact lung
      flow rates and explains the marginal decrease in FEF25-75, which implies a
      relative limitation in airflow of peripheral/distal airways and elastic recoil of
      the lungs. This is consistent with obstructive pulmonary disease; a significant
      decrease in FEF75-85/FEV1 supports this conclusion. Significant decrease in
      FEF200-1200 indicates abnormalities in the large airways/larynx just as
      significantly prolonged ventricular repolarization suggests cardiac arrhythmias.
FAU - Ibeneme, Sam
AU  - Ibeneme S
AUID- ORCID: 0000-0003-1120-6525
AD  - Department of Medical Rehabilitation, Faculty of Health Sciences, College of
      Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria; Clinical Trial
      Consortium University of Nigeria, Nsukka, Nigeria; UNIRED Research Group,
      Hochschule Hannover (University of Applied Sciences and Arts), Hannover, Germany.
FAU - Egbosionu, Viola
AU  - Egbosionu V
AD  - Department of Medical Rehabilitation, Faculty of Health Sciences, College of
      Medicine, University of Nigeria, Enugu Campus, Enugu, Nigeria.
FAU - Ibeneme, Georgian
AU  - Ibeneme G
AD  - Department of Nursing Sciences, Faculty of Health Sciences &amp; Technology, College 
      of Medicine, University of Nigeria, Enugu Campus, Abakaliki, Ebonyi State,
      Nigeria.
FAU - Ezuma, Amarachi
AU  - Ezuma A
AD  - Clinical Trial Consortium University of Nigeria, Nsukka, Nigeria; Department of
      Physiotherapy, University of Nigeria Teaching Hospital, Ituku/Ozalla, Enugu,
      Nigeria.
FAU - Ettu, Theresa
AU  - Ettu T
AD  - National Open University of Nigeria, Owerri Study Centre, Owerri, Imo State,
      Nigeria.
FAU - Nwankwo, Joseph
AU  - Nwankwo J
AD  - Department of Medical Rehabilitation, Faculty of Health Sciences, Nnamdi Azikiwe 
      University, Nnewi Campus, Anambra State, Nigeria.
FAU - Limaye, Dnyanesh
AU  - Limaye D
AD  - UNIRED Research Group, Hochschule Hannover (University of Applied Sciences and
      Arts), Hannover, Germany; German UNESCO Unit on Bioethics, Fakultat III-Medien,
      Information und Design, Hochschule Hannover (University of Applied Sciences and
      Arts), Hannover, Germany.
FAU - Nna, Emmanuel
AU  - Nna E
AD  - Safety Molecular Laboratory, Rangers Avenue, Independence Layout, Enugu, Nigeria.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20161228
PL  - United States
TA  - Biomed Res Int
JT  - BioMed research international
JID - 101600173
RN  - 0 (Pesticides)
SB  - IM
MH  - Adult
MH  - Cardiovascular Diseases/diagnosis/*etiology
MH  - Cross-Sectional Studies
MH  - Evidence-Based Medicine
MH  - Farmers/*statistics &amp; numerical data
MH  - Food Contamination
MH  - Food Industry
MH  - Food Preservation
MH  - Humans
MH  - Hypersensitivity/diagnosis/*etiology
MH  - Male
MH  - Middle Aged
MH  - Nigeria/epidemiology
MH  - Occupational Diseases/diagnosis/*etiology
MH  - Occupational Exposure/*adverse effects
MH  - Pesticides/*poisoning
MH  - Respiration Disorders/diagnosis/*etiology
MH  - Young Adult
PMC - PMC5225322
EDAT- 2017/01/25 06:00
MHDA- 2017/02/14 06:00
CRDT- 2017/01/25 06:00
PHST- 2016/10/26 [received]
PHST- 2016/11/19 [revised]
PHST- 2016/11/24 [accepted]
AID - 10.1155/2016/1081258 [doi]
PST - ppublish
SO  - Biomed Res Int. 2016;2016:1081258. doi: 10.1155/2016/1081258. Epub 2016 Dec 28.

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