References 1.Field GB, Smith MM, Alcoa of Australia, Ltd., Port Henry, Aus-traliA. Pulmonary function in aluminum smelters. III. Unpub-lished report, 1973. [Google Scholar] 2.Wergeland E, Waage JE. Respiratory dysfunction after potroom asthma. Am J Ind Med. 1987; 11: 627–36. [Crossref], [PubMed], [Web of Science ®], [Google Scholar] 3.O'Donnell TV. Asthma and respiratory problems-a review. Sci Total Environ. 1995; 163: 137–45. [Crossref], [PubMed], [Web of Sci

Abstract

This paper reports a longitudinal study carried out between 1977 and 1989 to determine whether the long-term rate of change in the forced expiratory volume in 1 second (FEV1) is influenced by exposure to the pot room environment of an aluminum smelter. Workers with diagnosed asthma were excluded from the analysis. The study population consisted of 393 pot room workers, with rate of change in FEV1 used to assess any impairment in airway function. Post-shift urinary fluoride levels and length of service were used to measure exposure. Meter allowing for age, smoking behavior, and a standardized measure of FEV1, the rate of change in FEV1 was found to be significantly greater for those workers who had worked shorter times in the potroom. Possible explanations for this finding include unrecognized asthma, a healthy-worker effect, and an exposure effect that occurs early in a worker’s experience in the pot room; these explanations are not necessarily mutually exclusive. Apart from the risk, of occupational asthma, there does not appear to be any long-term effect on the rate of decline in FEV1 associated with exposure to the potroom environment in workers who remain at work longer than 40 months.


References

1.Field GB, Smith MM, Alcoa of Australia, Ltd., Port Henry, Aus-traliA. Pulmonary function in aluminum smelters. III. Unpub-lished report, 1973. [Google Scholar]

2.Wergeland E, Waage JE. Respiratory dysfunction after potroom asthma. Am J Ind Med. 1987; 11: 62736[Crossref], [PubMed], [Web of Science ®][Google Scholar]

3.O’Donnell TV. Asthma and respiratory problems-a review. Sci Total Environ. 1995; 163: 13745[Crossref], [PubMed], [Web of Science ®][Google Scholar]

4.Oliphant RC, Sharpe K, Smith MM, et al., Alcoa of Australia, Ltd., Port Henry, Australia. A longitudinal study of lung function in potroom workers. Unpublished report, 1993. [Google Scholar]

5.Peat JK, Woolcock AJ, Cullen K. Rate of decline of lung function in subjects with asthma Eur J Respir Dis. 1987; 70: 1719[Google Scholar]

6.Ulrick CS, Lange P. Decline of lung function in adults with bronchial asthma. Am J Respir Crit Care Med. 1994; 150: 62934[Crossref], [PubMed], [Web of Science ®][Google Scholar]

7.Field GB. In Weill H, Turner-Warwick M (eds): Lung Biology in Health and Disease, Vol. 18. Occupational Lung Diseases. Re-search Approaches and Methods. New York: Dekker, 1981: 405-25. [Google Scholar]

8.Jarrett RG, Sharpe K, Department of Statistics, University of Mel-bourne, Melbourne, Australia. Statistical issues arising out of a longitudinal study of workers in an aluminum smelter. Unpub-lished report, 1995. [Available on request to Ken Sharpe.] [Google Scholar]

9.American Thoracic Society. Standardization of spirometry. Am Rev Respir Dis. 1979; 119: 8318[PubMed], [Web of Science ®][Google Scholar]

10.Fletcher C, Peto R, Tinker C, Speizer FE. The Natural History of Chronic Bronchitis and Emphysema. London, U.K.: Oxford Uni-versity Press, 1976[Google Scholar]

11.Burrows B, Lebowitz MD, Camilli AE, Knudson RJ. Longitudinal changes in forced expiratory volume in one second in adults. Am Rev Respir Dis. 1986; 133: 97480[PubMed], [Web of Science ®][Google Scholar]

12.Zejda JE, Pahwa P, Dosman JA. Decline in spirometric variables in grain workers from start of employment: different effect of dura-tion of follow up. Br J Ind Med. 1992; 49: 57680[PubMed][Google Scholar]

13.Camilli AE, Burrows B, Knudson RJ, Lyle SK, Lebowitz MD. Lon-gitudinal changes in forced expiratory volume in one second in adults–effects of smoking and smoking cessation. Am Rev Respir Dis. 1987; 135: 7949[Crossref], [PubMed], [Web of Science ®][Google Scholar]

14.Bossé RD, Sparrow C, Rose L, Weiss ST. Longitudinal effect of age and smoking cessation on pulmonary function. Am Rev Respir Dis. 1981; 123: 37881[PubMed], [Web of Science ®][Google Scholar]

15.Kongerud J, Gronnesby JK, Magnus P. Respiratory symptoms and lung function of aluminum potroom workers. Scand J Work En-viron Health. 1990; 16: 2707[Crossref], [PubMed], [Web of Science ®][Google Scholar]

16.Diem JE, Jones RN, Hendrick DJ, et al. Five year longitudinal study of workers employed in a new toluene diisocyanate manu-facturing plant. Am Rev Respir Dis. 1982; 128: 4208[Google Scholar]

17.Chan-Yeung M, Enarson DA, MacLean L. Longitudinal study of workers in an aluminum smelter. Arch Environ Health. 1989; 44: 1349[Taylor & Francis Online][Google Scholar]

18.Tager IB, Segal MR Speizer FR Weiss ST. The natural history of forced expiratory volumes. Am Rev Respir Dis, 1988; 138: 83749[Crossref], [PubMed], [Web of Science ®][Google Scholar]