CHANGE IN OBSTRUCTIVE PULMONARY-FUNCTION AS A RESULT OF CUMULATIVE EXPOSURE TO WELDING FUMES AS DETERMINED BY MAGNETOPNEUMOGRAPHY IN JAPANESE ARC WELDERS
T. Nakadate et al., CHANGE IN OBSTRUCTIVE PULMONARY-FUNCTION AS A RESULT OF CUMULATIVE EXPOSURE TO WELDING FUMES AS DETERMINED BY MAGNETOPNEUMOGRAPHY IN JAPANESE ARC WELDERS, Occupational and environmental medicine, 55(10), 1998, pp. 673-677
Objectives-To examine the effect of chronic exposure to welding fumes
on pulmonary function by a direct estimate of fumes accumulated in the
lungs. Methods-The strength of the residual magnetic field of externa
lly magnetised lungs (LMF) was used as an estimate of fumes accumulate
d in the lungs. The results of forced spirometry manoeuvres obtained i
n 143 of 153 male welders in the original sample were cross sectionall
y evaluated according to LMF. Seven conventional forced spirogram indi
ces and two time domain spirogram indices were used as pulmonary funct
ion indices, and height squared proportional correction was performed
when necessary. Results-The distribution of LMF values was considerabl
y skewed towards positive. There was a weak but significant positive r
elation between age and log transformed LMF. Obstructive pulmonary fun
ction indices correlated well with LMF After adjustment for age and sm
oking, however, a significant association with LMF was only found with
percentage rate of forced expiratory volume in one second (FEV1%) div
ided by forced vital capacity (FVC) and mu, an average component of as
sumed time constant distribution of lung peripheral units. Neither FVC
nor vital capacity (VC), as indices of restrictive disorders, showed
a significant association with LMF. Based on the results of multiple r
egression analyses, a 0.6% decrease in FEV1% and 0.039 unit increase i
n mu were expected for each doubling of LMF. Conclusion-Obstructive ch
anges in pulmonary function were found to be related to level of cumul
ative exposure to welding fume in male Japanese are welders after cont
rolling for age and smoking, assuming that LMF adequately reflects acc
umulation of welding fumes in the lungs.