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<title lang=en>On-site screening of farming-induced chronic obstructive pulmonary disease with the use of an electronic mini-spirometer: results of a pilot study in Brittany, France.</title>
<creator>Jouneau, Stephane</creator>
<creator>Boché, Arnaud</creator>
<creator>Brinchault, Graziella</creator>
<creator>Fekete, Kristina</creator>
<creator>Guillot, Stephanie</creator>
<creator>Bayat, Sahar</creator>
<creator>Desrues, Benoit</creator>
<contributor>Contaminants Chimiques, immunité et Inflammation ; Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) - Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ) - Centre de Ressource et de Compétences de la Mucoviscidose ; Université de Rennes 1 (UR1) - CHU Pontchaillou [Rennes] - CHU Pontchaillou [Rennes]</contributor>
<contributor>Centre de Ressource et de Compétences de la Mucoviscidose ; Université de Rennes 1 (UR1) - CHU Pontchaillou [Rennes]</contributor>
<contributor>Modélisation Conceptuelle des Connaissances Biomédicales ; Université de Rennes 1 (UR1) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<description>International audience</description>
<source>ISSN: 0340-0131</source>
<source>EISSN: 1432-1246</source>
<source>International Archives of Occupational and Environmental Health</source>
<publisher>Springer Verlag</publisher>
<identifier>hal-00872929</identifier>
<identifier>https://hal.archives-ouvertes.fr/hal-00872929</identifier>
<source>https://hal.archives-ouvertes.fr/hal-00872929</source>
<source>International Archives of Occupational and Environmental Health, Springer Verlag, 2012, 85 (6), pp.623-30. 〈10.1007/s00420-011-0708-6〉</source>
<identifier>DOI : 10.1007/s00420-011-0708-6</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1007/s00420-011-0708-6</relation>
<identifier>PUBMED : 21986906</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/21986906</relation>
<language>en</language>
<subject lang=en>Farmer</subject>
<subject lang=en>Chronic bronchitis</subject>
<subject lang=en>Bronchial obstruction</subject>
<subject lang=en>Dust exposure</subject>
<subject lang=en>Chronic obstructive pulmonary disease</subject>
<subject>[SDV.EE.SANT] Life Sciences [q-bio]/Ecology, environment/Health</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>PURPOSE: Dairy farming is a risk factor for the development of chronic obstructive pulmonary disease (COPD). We assessed the prevalence of farming-induced COPD (FI-COPD) using a new screening device, and we analyzed symptoms and occupational risk factors. METHODS: We performed on-site screening study of bronchial obstruction using an electronic mini-spirometer (EMS) on an entire population of dairy farmers (n = 147) from two villages in Brittany, France. Suspected bronchial obstruction (FEV1/FEV6 <0.8) was confirmed with standardized lung function tests (FEV1/FVC ≤0.7). We assessed past medical histories, respiratory symptoms, and occupational tasks of subjects with bronchial obstruction; asthmatics were defined as atopic and/or reversible; smoking-induced COPD patients were defined as non-reversible, non-atopic with smoking histories (≥5 PY); and FI-COPD patients were defined as non-reversible, non-atopic, and non-smokers. RESULTS: Using the EMS, 30.6% (n = 45) of dairy farmers were suspected of bronchial obstruction and underwent standardized spirometry. The FEV1/FEV6 ratio and FEV1/FVC ratio were in good agreement (r² = 0.66, P < 0.0001). The prevalence of confirmed bronchial obstruction was 9.5% (n = 14), which included 4 asthmatics, 3 smoking-induced COPD subjects, and 7 FI-COPD subjects. All the COPD patients were GOLD Stage II, and none were aware of their respiratory disease. Foddering duration was significantly higher in FI-COPD subjects compared with non-obstructive subjects, with 44 versus 17 min/day, respectively. CONCLUSIONS: The EMS was a convenient mean of screening for bronchial obstruction, especially in on-site settings, and allowed us to diagnose FI-COPD in a non-spontaneously complaining dairy farmer population. Foddering was considered a significant risk factor.</description>
<date>2012-08</date>
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