Effects of occupational exposure on the hematologic parameters among welders

Volkan Medeni, S. P. Çetintepe, Rabia Aygür, Fatma Bozdağ, İrem Medeni
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Abstract

Introduction: The effect of prolonged exposure to welding fumes on blood levels remains an unresolved question. In our study, we aimed to determine the effects of metal fume exposure on various blood parameters in welders. Materials and Methods: The study was cross-sectional. It included all male welding workers admitted to a health institution, a reference hospital for occupational diseases, for 2021. It was conducted with 254 individuals. The variables examined included age, duration of employment, smoking habit, body mass index, hemoglobin levels, erythrocyte, leukocyte and platelet counts, aspartate aminotransferase, alanine aminotransferase, free prostate-specific antigen, creatinine and manganese levels, and erythrocyte sedimentation rates. Results: In our study, 40.6% of the welders were between 21-30 years old. 65.7% of the participants have been welding for more than five years. According to body-mass index values, 44.1% of the participants were pre-obese, and 16.9% were obese. 63.8% of the participants were smokers. In 35.8% of participants, hyperglycemia was present, and polycythemia was present in 27.2%. When blood parameters were analyzed, fasting blood glucose, aspartate transaminase, alanine transaminase, and sedimentation rate were lower in those who worked less than five years than those who worked five years or more. The difference was statistically significant. In blood test results, leukocyte, glucose, aspartate transaminase, alanine transaminase, and sedimentation rate values in welders were correlated with total working time. Conclusion: Welders in our study had a high prevalence of smoking, overweight, and obesity. Working time is correlated with liver enzyme levels and fasting blood glucose values. For healthier workers, employers should fulfill their responsibilities for occupational health and safety.
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职业暴露对电焊工血液学参数的影响
导言:长期暴露于焊接烟尘对血液水平的影响仍是一个悬而未决的问题。在我们的研究中,我们旨在确定接触金属烟尘对电焊工各种血液参数的影响:研究为横断面研究。研究对象包括 2021 年在一家卫生机构(职业病参考医院)住院治疗的所有男性电焊工。研究对象为 254 人。研究变量包括年龄、工作时间、吸烟习惯、体重指数、血红蛋白水平、红细胞、白细胞和血小板计数、天冬氨酸氨基转移酶、丙氨酸氨基转移酶、游离前列腺特异性抗原、肌酐和锰水平以及红细胞沉降率:在我们的研究中,40.6%的焊工年龄在 21-30 岁之间。65.7%的参与者从事焊接工作超过五年。根据体重指数值,44.1%的参与者为肥胖前期,16.9%为肥胖。63.8%的参与者吸烟。35.8%的参与者患有高血糖,27.2%的参与者患有多血症。在对血液参数进行分析时,与工作五年或五年以上者相比,工作五年以下者的空腹血糖、天门冬氨酸转氨酶、丙氨酸转氨酶和血沉均较低。这种差异在统计学上有显著意义。在血液检测结果中,电焊工的白细胞、葡萄糖、天门冬氨酸转氨酶、丙氨酸转氨酶和血沉值与总工作时间相关:结论:在我们的研究中,焊工吸烟、超重和肥胖的比例很高。工作时间与肝酶水平和空腹血糖值相关。为了让工人更健康,雇主应履行其职业健康和安全责任。
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