Evidence map›Paper›PMID 24891557›Full record

ArticleOccupational and environmental medicine2014

Respiratory symptoms and lung function abnormalities related to work at a flavouring manufacturing facility.

Kristin J Cummings, Randy J Boylstein, Marcia L Stanton, Chris A Piacitelli, Nicole T Edwards, Ryan F LeBouf, Kathleen Kreiss

Open access · bronzeAbstract read
In one paragraph

Article in Occupational and environmental medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. A Methodology for Harmonizing Safety and Health Scales in Occupational Risk Assessment.International journal of environmental research and public health · 2021
    Article
  8. Article
  9. Occupational Bronchiolitis: An Update.Clinics in chest medicine · 2020
    Review
  10. An update on controversies in e-cigarettes.Paediatric respiratory reviews · 2020
    Review
  11. Acute Eosinophilic Pneumonia Due to Vaping-Associated Lung Injury.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2020
    Article
  12. Article
  13. NIOSH's Respiratory Health Division: 50 years of science and service.Archives of environmental & occupational health · 2019
    Article
  14. Article
  15. Article
  16. Pulmonary toxicity of e-cigarettes.American journal of physiology. Lung cellular and molecular physiology · 2017
    Review
  17. Article
  18. Article
  19. Occupational and environmental bronchiolar disorders.Seminars in respiratory and critical care medicine · 2015
    Review
  20. Electronic Cigarettes: Vulnerability of Youth.Pediatric allergy, immunology, and pulmonology · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kristin J CummingsDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Randy J BoylsteinDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Marcia L StantonDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Chris A PiacitelliDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Nicole T EdwardsDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Ryan F LeBoufDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
Kathleen KreissDivision of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia, USA.
National Institute for Occupational Safety and Health · USCenters for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesTo better understand respiratory symptoms and lung function in flavouring manufacturing workers.

methodsWe offered a questionnaire and lung function testing to the current workforce of a flavouring manufacturing facility that had transitioned away from diacetyl and towards substitutes in recent years. We examined symptoms, spirometric parameters and diffusing capacity measurements by exposure variables, including facility tenure and time spent daily in production areas. We used linear and logistic regression to develop final models adjusted for age and smoking status.

resultsA total of 367 (93%) current workers participated. Shortness of breath was twice as common in those with tenure ≥ 7 years (OR 2.0, 95% CI 1.1 to 3.6). Other chest symptoms were associated with time spent daily in production. Participants who spent ≥ 1 h daily in production areas had twice the odds of any spirometric abnormality (OR 2.3; 95% CI 1.1 to 5.3) and three times the odds of low diffusing capacity (OR 2.8; 95% CI 0.9 to 9.4) than other participants. Mean spirometric parameters were significantly lower in those with tenure ≥ 7 years and those who spent ≥ 1 h daily in production. Mean diffusing capacity parameters were significantly lower in those with tenure ≥ 7 years. Differences in symptoms and lung function could not be explained by age, smoking status or employment at another flavouring plant.

conclusionsSymptoms and lung function findings were consistent with undiagnosed or subclinical obliterative bronchiolitis and associated with workplace exposures. Further efforts to lower exposures to flavouring chemicals, including diacetyl substitutes, are warranted.

Indexed as

IndustryAdultAgedAir Pollutants, OccupationalBronchiolitis ObliteransCross-Sectional StudiesDiacetylDyspneaFemaleFlavoring AgentsForced Expiratory VolumeHumansLungMaleMiddle AgedOccupational DiseasesAir Pollutants, OccupationalDiacetylFlavoring Agentsexposureflavorings

Identifiers

PMID24891557
PMCPMC4623303
OpenAlexW2164919479

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.