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The effect of occupational exposure to petrol on pulmonary function parameters: a review and meta-analysis

  • Somayeh Rahimi Moghadam , Mahdi Afshari , Mahmood Moosazadeh EMAIL logo , Narges Khanjani and Ali Ganjali
Published/Copyright: October 5, 2019

Abstract

Introduction

Exposure to petrol and gasoline can have harmful effects on the lungs. This review aimed to summarize the reported effects of this exposure on pulmonary function parameters.

Methods

Relevant studies were identified by a comprehensive search in PubMed, Scopus, Science Direct and Google Scholar databases. Irrelevant studies were excluded. Quality assessment was performed using the Newcastle-Ottawa score (NOS). The standard mean difference of pulmonary parameters between exposed and unexposed petrol station attendants was pooled using random effects. Meta-regression was used to investigate factors probably related to heterogeneity. Studies affecting the total estimates were assessed during sensitivity analysis. The Egger test was performed to investigate any evidence of publication bias.

Results

Eventually, 26 studies entered the meta-analysis, and the pooled standard difference [95% confidence interval (CI)] of forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC, vital capacity (VC), peak expiratory flow (PEF), forced expiratory flow (FEF25-75) and maximum voluntary ventilation (MVV) in the exposed minus unexposed groups was −1.08 L (95% CI: −1.38, −0.78), −0.92 L (−1.15, −0.69), −0.65 (−1.01, −0.30), −0.51 L (−0.96, −0.06), −0.96 L/s (−1.21, −0.69), −0.78 L/s (1.14, −0.42) and −0.58 L/min (−0.90, −0.27), respectively, and showed a decrease in all pulmonary parameters in the exposed group.

Conclusion

Occupational exposure to petrol fumes is a risk factor for lung function and there is a reverse relation between lung function and the duration of exposure.


Corresponding author: Assist. Prof. Mahmood Moosazadeh, Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

  1. Author Statement

  2. Research funding: This project was funded by the Student Research Committee of Neyshabur University of Medical Sciences through grant number 113.

  3. Conflict of interest: Authors have no conflict of interest.

  4. Informed consent: Not required.

  5. Ethical approval: Not required.

  6. Competing Interests statement: We declare that there is no conflict of interest.

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Received: 2019-06-27
Accepted: 2019-09-02
Published Online: 2019-10-05
Published in Print: 2019-12-18

©2019 Walter de Gruyter GmbH, Berlin/Boston

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