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Welding occupations and mortality from Parkinson's disease and other neurodegenerative diseases among United States men, 1985-1999.

作者信息

Stampfer Meir J

机构信息

Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.

出版信息

J Occup Environ Hyg. 2009 May;6(5):267-72. doi: 10.1080/15459620902754703.


DOI:10.1080/15459620902754703
PMID:19204865
Abstract

Metal welding produces gaseous fumes that contain manganese, resulting in potential occupational exposure to welders. It has been hypothesized that occupational exposure among welders could increase risk of Parkinson's disease and other neurodegenerative diseases. The present study examines welding occupation and mortality from neurodegenerative diseases among men in the United States using the National Cause of Death databases 1985 to 1999. Information was abstracted from death certificates for states that collected data on occupation. Of 4,252,490 men who died during the study period, 107,773 had welding-related occupations. Multivariable logistic regression models were used to calculate mortality odds ratios (MOR) and 95% confidence intervals (CI) for odds of dying from Parkinson's disease or other neurodegenerative diseases among men who were welders as compared with men of other occupations, adjusting for attained age, race, region of residence, and year of death. During the study period, 49,174 deaths were attributed to Parkinson's disease, 54,892 to Alzheimer's disease, and 19,018 to presenile dementia. There was no evidence of an increased odds of Parkinson's disease mortality among welders as compared with men with other occupations (MOR = 0.83, 95% CI 0.78-0.88). Furthermore, welding occupation was unrelated to the odds of mortality from Alzheimer's disease (MOR = 0.94, 95% CI 0.89-1.00) or presenile dementia (MOR = 0.96, 95% CI 0.87-1.06). Earlier research suggested that welding exposures could predispose individuals to earlier onset Parkinson's disease. However, there was no evidence in this data of an increased mortality odds ratio associated with welding occupations among men younger than 65 (MOR = 1.03, 95% CI 0.74-1.44); while there was a suggestion of a lower odds Parkinson's disease death among men age 65 years and older (MOR = 0.82, 95% CI 0.77-0.88). Data from this large study do not support an association between welding occupations and death from Parkinson's disease or other neurodegenerative diseases, nor that welders are at increased odds of dying from Parkinson's disease at a younger age.

摘要

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引用本文的文献

[1]
Occupational Exposures and Neurodegenerative Diseases-A Systematic Literature Review and Meta-Analyses.

Int J Environ Res Public Health. 2019-1-26

[2]
Amyotrophic Lateral Sclerosis and Occupational Exposures: A Systematic Literature Review and Meta-Analyses.

Int J Environ Res Public Health. 2018-10-26

[3]
Occupational Exposure to Manganese and Fine Motor Skills in Elderly Men: Results from the Heinz Nixdorf Recall Study.

Ann Work Expo Health. 2017-11-10

[4]
Severe Cognitive Dysfunction and Occupational Extremely Low Frequency Magnetic Field Exposure among Elderly Mexican Americans.

Br J Med Med Res. 2014-4-16

[5]
Prolactin levels in manganese-exposed male welders.

Pituitary. 2014-12

[6]
Neurobehavioral deficits and parkinsonism in occupations with manganese exposure: a review of methodological issues in the epidemiological literature.

Saf Health Work. 2013-9

[7]
Associations of welding and manganese exposure with Parkinson disease: review and meta-analysis.

Neurology. 2012-9-11

[8]
Immunotoxicology of arc welding fume: worker and experimental animal studies.

J Immunotoxicol. 2012-6-26

[9]
Occupational exposure in parkinsonian disorders: a 43-year prospective cohort study in men.

Parkinsonism Relat Disord. 2011-7-5

[10]
From manganism to manganese-induced parkinsonism: a conceptual model based on the evolution of exposure.

Neuromolecular Med. 2009-12-10

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