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Wang ML et al. – Chemical plant workers who experienced accelerated FEV1 declines experienced four to nine times as many adverse health conditions over 10–30 years.


Exclusive Author Commentary
Edward L. Petsonk, 11/03/09

Physicians often recommend that individuals who are exposed to respiratory hazards perform spirometry to monitor lung health. When an individual is identified with a rapid rate of lung function decline, both the physician and the affected individual need an understanding of the health implications of the decline, in order to assess the potential costs and benefits of various interventions. The current study demonstrated that workers with lung accelerated function declines had a markedly increased risk of adverse long-term health outcomes, compared to matched controls, including approximately nine times the proportion of diagnoses of COPD and three times the proportion of cardiac diagnoses compared to the matched controls. Symptoms of shortness of breath were recorded four times more frequently, and wheezing on examination and the use of medication for respiratory tract problems were both documented five times as often.

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