ArticleOccupational and environmental medicine2020
Preventing kidney injury among sugarcane workers: promising evidence from enhanced workplace interventions.
Article in Occupational and environmental medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 3 of them syntheses that pooled it.
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Who cites it
67 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.
- Pediatric kidney health outcomes in communities impacted by chronic kidney disease of unknown etiology (CKDu): a systematic review.Pediatric nephrology (Berlin, Germany) · 2026Pooled it
- Systematic review and narrative synthesis of behavioral interventions to improve heat-related illness prevention in community and occupational populations.BMC public health · 2025Pooled it
- Cooling intervention studies among outdoor occupational groups: A review of the literature.American journal of industrial medicine · 2020Pooled it
- Hydrating with a higher-fructose sport drink does not worsen acute kidney injury risk during simulated work-related heat stress.American journal of physiology. Regulatory, integrative and comparative physiology · 2026Trial
- Exploring the effects of outdoor physical work in the heat, with or without sodium bicarbonate supplementation, on markers of acute kidney injury.Physiological reports · 2025Trial
- Effectiveness of a Multifaceted Intervention (TEMP) for Prevention of Occupational Heat-Related Illness among Outdoor Workers in the Power Grid Industry: A Cluster Randomized Controlled Trial.Environmental health perspectives · 2025Trial
- Longitudinal assessment of kidney function in migrant farm workers.Environmental research · 2021Trial
- Trends in Occupational Heat-Health Research in Low-and Middle-Income Countries: A Mapping Review.Current environmental health reports · 2026Review
- Validation of the ECTemp™ algorithm in construction workers: a comparison of photoplethysmography smartwatch and chest strap heart rate monitors.Environmental research communications · 2026Article
- Scoping Review of Interventions to Prevent CKD of Unknown Origin in Working Populations.Kidney international reports · 2026Article
- Case-control study of water and agricultural exposures among women in CKDu-endemic Sri Lanka.Journal of water and health · 2026Article
- Impacts of heat on sleep quality among heat-exposed workers: a systematic review.Annals of occupational and environmental medicine · 2026Review
- Ad libitum drinking does not mitigate acute kidney injury risk nor elevations in markers of oxidative stress and inflammation during simulated occupational heat stress.American journal of physiology. Renal physiology · 2026Article
- Mesoamerican nephropathy: A silent epidemic at the nexus of climate, labor, and health.AIMS public health · 2026Article
- Critical Assessment of the Recommended Alert Limit Curves for Occupational Heat Exposure.American journal of industrial medicine · 2025Article
- Ethical Considerations for Research in CKD of Unknown Etiology: Reflections From an Ethics Panel at the Fourth International Workshop on CKD of Unknown Etiology.Kidney international reports · 2025Article
- Rest, shade, hydration and hygiene for the prevention of kidney injuries and inflammation in a Nicaraguan sugarcane worker cohort.Occupational and environmental medicine · 2025Article
- Work and work exposures in sugarcane farming in Eswatini, Southern Africa.International archives of occupational and environmental health · 2025Article
- Health Interventions for the Prevention of Dehydration in Agricultural Workers Exposed to Heat Stress: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Influence of work intensity on acute kidney injury risk during simulated occupational heat stress.Journal of applied physiology (Bethesda, Md. : 1985) · 2025Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 8 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo assess if improvement of working conditions related to heat stress was associated with improved kidney health outcomes among sugarcane harvest workers in Chichigalpa, Nicaragua, a region heavily affected by the epidemic of chronic kidney disease of non-traditional origin.
methodsBased on our findings during the 2017-2018 harvest (harvest 1), recommendations that enhanced the rest schedule and improved access to hydration and shade were given before the 2018-2019 harvest (harvest 2). Actual work conditions during harvest 2 were then observed. Serum creatinine (SCr) was measured before and at end-harvest, and cross-harvest changes in estimated glomerular filtration rate (eGFR) and incident kidney injury (IKI, ie, SCr increase by ≥0.30 mg/dL or ≥1.5 times the baseline value) were compared between harvest 1 and harvest 2 for three jobs with different physical workloads using regression modelling. Workers who left during harvest were contacted at home, to address the healthy worker selection effect.
resultsIn burned cane cutters, mean cross-harvest eGFR decreased 6 mL/min/1.73 m
conclusionKidney injury risk was again elevated in workers with strenuous jobs. The results support further efforts to prevent kidney injury among sugarcane workers, and other heat-stressed workers, by improving access to water, rest and shade. The distinction between design and implementation of such interventions should be recognised.
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