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户外工作者中的气候变化与慢性肾脏病:一项系统综述

Climate change and chronic kidney disease (CKD) among outdoor workers: a systematic review.

作者信息

Habibi Peymaneh, Razmjouei Jaleh, Badzohreh Abdollah, Heydari Ahad

机构信息

Department of Occupational Health Engineering, School of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran.

Health, Safety & Environment (HSE), Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran.

出版信息

Int J Biometeorol. 2025 Jun;69(6):1207-1236. doi: 10.1007/s00484-025-02896-6. Epub 2025 Apr 5.

Abstract

Global warming was positively related to chronic kidney disease (CKD) among outdoor workers. Based on the present systematic review, we gathered the risk factors (individual, environmental, and occupational) for climate change-induced CKD among outdoor workers up to 2023. There has been a rapid increase of CKD in tropical and subtropical countries with low and middle income. Among the risk factors air temperature, diabetes, hypertension, physically demanding job tasks, age, sex, dehydration, working and living in a hot environment, and body mass index (BMI) were the main contributors to CKD-related. Although the high hot-wet and hot-dry climate conditions related to CKD were high, this trend increased in developing countries. Climate change will adversely impact global kidney health over the century through its effects on temperature and the risk of endemic infections. Outdoor workers may face an elevated risk of CKD, with the male population being more vulnerable. Implementing preventive strategies (cooling techniques, acclimation, work/rest cycles, and appropriate clothing) against heat stress due to global warming is crucial.

摘要

全球变暖与户外工作者的慢性肾脏病(CKD)呈正相关。基于本系统综述,我们收集了截至2023年户外工作者中气候变化诱发CKD的风险因素(个体、环境和职业)。在低收入和中等收入的热带及亚热带国家,CKD的发病率迅速上升。在风险因素中,气温、糖尿病、高血压、体力要求高的工作任务、年龄、性别、脱水、在炎热环境中工作和生活以及体重指数(BMI)是导致CKD的主要因素。尽管与CKD相关的高温潮湿和高温干燥气候条件发生率较高,但在发展中国家这一趋势有所增加。气候变化将在整个世纪通过其对温度和地方性感染风险的影响对全球肾脏健康产生不利影响。户外工作者可能面临更高的CKD风险,男性人群更为脆弱。实施针对全球变暖引起的热应激的预防策略(降温技术、适应、工作/休息周期和合适的服装)至关重要。

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