ArticlePloS one2018
The impact of heat and impaired kidney function on productivity of Guatemalan sugarcane workers.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 52 citations in OpenAlex.
- Kidney health among adolescents living in a high-risk region for CKDu.BMC nephrology · 2026Article
- Scoping Review of Interventions to Prevent CKD of Unknown Origin in Working Populations.Kidney international reports · 2026Article
- Work and work exposures in sugarcane farming in Eswatini, Southern Africa.International archives of occupational and environmental health · 2025Article
- Impact of heat and a rest-shade-hydration intervention program on productivity of piece-paid industrial agricultural workers at risk of chronic kidney disease of nontraditional origin.Annals of work exposures and health · 2024Article
- Heat and health of occupational workers: a short summary of literature.Journal of occupational health · 2024Review
- Factors Influencing Presenteeism in Middle-aged and Older Workers with Chronic Kidney Disease: A Single-center Cross-sectional Study.Progress in rehabilitation medicine · 2024Article
- Occurrence of Occupational Injuries and Within Day Changes in Wet Bulb Temperature Among Sugarcane Harvesters.Journal of agromedicine · 2023Article
- Prevalence and predictors of chronic kidney disease of undetermined causes (CKDu) in Western Kenya's "sugar belt": a cross-sectional study.BMC nephrology · 2023Article
- Association between social jetlag and chronic kidney disease among the Korean working population.Scientific reports · 2023Article
- Article
- Occupational heat stress, heat-related effects and the related social and economic loss: a scoping literature review.Frontiers in public health · 2023Article
- Clinical and Economic Impact of COVID-19 on Agricultural Workers, GuatemalaEmerging infectious diseases · 2022Review
- Occupational heat strain in outdoor workers: A comprehensive review and meta-analysis.Temperature (Austin, Tex.) · 2022Review
- Sugarcane Workweek Study: Risk Factors for Daily Changes in Creatinine.Kidney international reports · 2021Article
- Population Estimates of GFR and Risk Factors for CKD in Guatemala.Kidney international reports · 2021Article
- Workplace Screening Identifies Clinically Significant and Potentially Reversible Kidney Injury in Heat-Exposed Sugarcane Workers.International journal of environmental research and public health · 2020Article
- Wet Bulb Globe Temperature and Recorded Occupational Injury Rates among Sugarcane Harvesters in Southwest Guatemala.International journal of environmental research and public health · 2020Article
- Work Adaptations Insufficient to Address Growing Heat Risk for U.S. Agricultural Workers.Environmental research letters : ERL [Web site] · 2020Article
- Creatinine Fluctuations Forecast Cross-Harvest Kidney Function Decline Among Sugarcane Workers in Guatemala.Kidney international reports · 2020Article
- CKD Care and Research in Guatemala: Overview and Meeting Report.Kidney international reports · 2020Article
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundClimate change has implications for human health and productivity. Models suggest that heat extremes affect worker health, reduce labor capacity, and commodity supply. Chronic health conditions are on the rise internationally. However there is a paucity of direct empirical evidence relating increasing temperatures to both agricultural worker health and productivity. METHODS AND
findingsWe evaluated the relationship between temperature exposure, kidney function, and two measures of productivity-tons of commodity produced and job attrition, of 4,095 Guatemalan sugarcane cutters over a 6-month harvest. We used distributed lag non-linear models to evaluate associations between wet bulb globe temperature (WBGT) and productivity of workers with normal or impaired kidney function. The cumulative effect of exposure to a max WBGT of 34°C was 1.16 tons (95% CI: -2.87, 0.54) less sugarcane cut over the next five days by workers with impaired kidney function, compared to exposure to 29°C. Impaired kidney function was associated with premature workforce attrition. Workers starting the harvest season with impaired kidney function were more than twice as likely to leave employment (HR: 2.92, 95% CI: 1.88, 4.32).
conclusionsHeat extremes may be associated with loss of agricultural worker productivity and employment, especially among those with impaired kidney function. Agricultural workers who develop health conditions, such as kidney disease, are particularly vulnerable in the face of climate change and increasing heat extremes. The resultant loss of employment and productivity has significant implications for global commodity supplies.
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