Evidence map›Paper›PMID 32882881›Full record

ArticleInternational journal of environmental research and public health2020

Heat Stress, Physiological Response, and Heat-Related Symptoms among Thai Sugarcane Workers.

Pongsit Boonruksa, Thatkhwan Maturachon, Pornpimol Kongtip, Susan Woskie

Open access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Occupational related heat stress exposure and heat-related symptoms among sugarcane workers in Thailand.International archives of occupational and environmental health · 2026
    Article
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  7. Oxidative Stress in Heat Stress Nephropathy: Crosstalk.Oxidative medicine and cellular longevity · 2026
    Review
  8. Climate Change and Air Pollution-Related Health Effects on Pain.International journal of environmental research and public health · 2025
    Review
  9. Article
  10. Work and work exposures in sugarcane farming in Eswatini, Southern Africa.International archives of occupational and environmental health · 2025
    Article
  11. Article
  12. Review
  13. High levels of heat stress among sugarcane workers in Thailand.Annals of work exposures and health · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Exploring the Nexus of Climate Change and Substance Abuse: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  20. Article
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

4 authors at 3 institutions in 2 countries.

Pongsit BoonruksaSchool of Occupational Health and Safety, Institute of Public Health, Suranaree University of Technology, 111 University Ave., Muang, Nakhon Ratchasima 30000, Thailand.ORCID 0000-0001-8131-6741
Thatkhwan MaturachonSchool of Community Health Nursing, Institute of Nursing, Suranaree University of Technology, 111 University Ave., Muang, Nakhon Ratchasima 30000, Thailand.
Pornpimol KongtipDepartment of Occupational Health and Safety, Faculty of Public Health, Mahidol University, 420/1 Rajvithi Road, Bangkok 10400, Thailand.ORCID 0000-0002-3482-3705
Susan WoskieDepartment of Public Health, University of Massachusetts Lowell, One University Ave, Lowell, MA 01854-2867, USA.ORCID 0000-0003-1562-1945
Suranaree University of Technology · THMahidol University · THUniversity of Massachusetts Lowell · US

Funding

2/2-GEOHealth Hub-Improving Agricultural Health in Southeast Asia-USU2RTW010088 · FIC · UNIVERSITY OF MASSACHUSETTS LOWELL · PI KONGTIP, PORNPIMOL, WOSKIE, SUSAN · 2015 to 2019
$1.4M
FIC NIH HHS U2R TW010088
6 · The paper itself

Abstract

Prolonged or intense exposure to heat can lead to a range of health effects. This study investigated heat exposure and heat-related symptoms which sugarcane workers (90 sugarcane cutters and 93 factory workers) experienced during a harvesting season in Thailand. During the hottest month of harvesting season, wet bulb globe temperature was collected in the work environment, and workloads observed, to assess heat stress. Urine samples for dehydration test, blood pressure, heart rate, and body temperature were measured pre- and post-shift to measure heat strain. Fluid intake and heat-related symptoms which subjects had experienced during the harvesting season were gathered via interviews at the end of the season. From the results, sugarcane cutters showed high risk for heat stress and strain, unlike factory workers who had low risk based on the American Conference of Governmental Industrial Hygiene (ACGIH) threshold limit values (TLVs) for heat stress. Dehydration was observed among sugarcane cutters and significant physiological changes including heart rate, body temperature, and systolic blood pressure occurred across the work shift. Significantly more sugarcane cutters reported experiencing heat-related symptoms including weakness/fatigue, heavy sweating, headache, rash, muscle cramp, dry mouth, dizziness, fever, dry/cracking skin, and swelling, compared to sugarcane factory workers. We conclude that the heat stress experienced by sugarcane cutters working in extremely hot environments, with high workloads, is associated with acute health effects. Preventive and control measures for heat stress are needed to reduce the risk of heat strain.

Indexed as

Heat Stress DisordersOccupational ExposureSaccharumAdolescentAdultHeat-Shock ResponseHot TemperatureHumansMaleMiddle AgedStress, PhysiologicalThailandYoung Adultharvesting seasonheat-related symptomheat strainheat stresssugarcane workerwet bulb globe temperature (WBGT)

Identifiers

PMID32882881
PMCPMC7503547
OpenAlexW3081825275

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.