ArticleAmerican journal of industrial medicine2020
Acute kidney injury and workload in a sample of California agricultural workers.
Article in American journal of industrial medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07617649 (Laboratory Based Identification of Heat Stress Biomarkers and Effective Cooling Interventions), which is not on this map. Cited by 27 papers.
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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.
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.
Laboratory Based Identification of Heat Stress Biomarkers and Effective Cooling Interventions
Who cites it
27 citing papers in PubMed, 48 citations in OpenAlex.
- The Effect of Participatory Heat Education on Agricultural Worker Knowledge.Journal of agromedicine · 2023Trial
- The effect of the participatory heat education and awareness tools (HEAT) intervention on agricultural worker physiological heat strain: results from a parallel, comparison, group randomized study.BMC public health · 2022Trial
- Heat Exposure and Health Outcomes in Construction Workers: A Systematic Review and Meta-Analysis.Environmental health insights · 2026Article
- The impacts of climate change on occupational health and work among outdoor workers: A scoping review.PLOS global public health · 2026Article
- Longitudinal associations and interactions of heat and metal(loid) exposure with kidney outcomes in Mexican agricultural workers.Environmental research · 2025Article
- CKDu-AGRI Study-a population-based cross-sectional study of chronic kidney disease and chronic kidney disease of unknown aetiology among agricultural workers in Tamil Nadu, India.The Lancet regional health. Southeast Asia · 2025Article
- Heat Stress and Determinants of Kidney Health Among Agricultural Workers in the United States: An Integrative Review.International journal of environmental research and public health · 2025Review
- Occupational Heat Stress Among Migrant and Ethnic Minority Outdoor Workers: A Scoping Review.Current environmental health reports · 2025Article
- Influence of work intensity on acute kidney injury risk during simulated occupational heat stress.Journal of applied physiology (Bethesda, Md. : 1985) · 2025Article
- Occupational Heat Exposure & Mental Health Outcomes: A Review and Framework Incorporating Social Determinants of Health to Guide Future Research.Current environmental health reports · 2025Review
- Heat Exposure, Rest Breaks, Dehydration, and Heat-Related Illness Among Agricultural Workers in Florida Summer Heat.Journal of health care for the poor and underserved · 2025Article
- Heat impacts on health and productivity: the case of two ready-made garment factories in tropical Bangladesh.Environmental and occupational health practice · 2025Article
- Longitudinal Renal Function Degradation Among Florida Agricultural Workers.Journal of occupational and environmental medicine · 2024Article
- Risk factors associated with indicators of dehydration among migrant farmworkers.Environmental research · 2024Article
- Retention of Agricultural Workers Participating in a Renal Longitudinal Study.Journal of agromedicine · 2024Article
- Risky working conditions and chronic kidney disease.Journal of occupational medicine and toxicology (London, England) · 2023Article
- Heat stress and heat strain among outdoor workers in El Salvador and Nicaragua.Journal of exposure science & environmental epidemiology · 2023Article
- Seasonal pattern in elderly hospitalized with acute kidney injury: a retrospective nationwide study in Italy.International urology and nephrology · 2022Article
- The effect of interval and continuous work on markers of acute kidney injury in a hot environment.European journal of applied physiology · 2022Article
- The Health Status of Hispanic Agricultural Workers in Georgia and Florida.Journal of immigrant and minority health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundKidney damage is associated with an increased workload in high ambient temperatures and may represent a pathway to chronic kidney disease of unknown origin in agricultural workers. We tested the associations of workload and heat with acute kidney dysfunction in California agricultural workers.
methodsWe recruited a convenience sample of 471 agricultural workers from 29 farms in California during two summer harvest seasons. The sustained 3-minute maximum workload was estimated using accelerometer data collected from Actical monitors and individual heat load through elevations in core body temperature. Acute kidney injury (AKI) was defined by a change in serum creatinine of ≥0.3 mg/dL or ≥1.5 times the preshift creatinine over the course of the work shift. Associations between AKI and workload were modeled using logistic regression, controlling for demographic, physiologic, and occupational variables.
resultsOf the total, 357 workers (75.8%) had accelerometer readings in the moderate workload category, 93 (19.7%) had readings in the vigorous category. 177 (36%) had elevations of core body temperature ≥1°C; 72 workers (14.9%) demonstrated evidence of AKI after a single day of agricultural work. The workload category was associated with an increased adjusted odds of AKI (1.92; 95% confidence interval, 1.05-3.51). Piece-rate work was also associated with increased adjusted odds of AKI (3.02; 95% CI, 1.44-6.34).
conclusionsHeavy occupational workload and piece-rate work were associated with acute effects on the renal health of agricultural workers. This indicates that occupations requiring high physical effort put workers at risk for AKI, possibly independent of ambient and core body temperature. Changes to agricultural practices may reduce the risk of renal disorders for these workers.
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Registered trials
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