Home            Past Issues            About IP            About IAP           Author Information            Subscription            Advertisement              Search  

   
research letter

Indian Pediatr 2011;48: 487-488

Peak Expiratory Flow Rate Among Child Labourers in West Bengal, India


Banibrata Das,* Tirthankar Ghosh$, and Somnath Gangopadhyay#

*Department of Physiology, South Calcutta Girls College; and #Occupational Ergonomics Laboratory, Department of Physiology; University of Calcutta, Kolkata, India; and  $Department of Physiology, Manipal College of Medical Sciences, Pokhara, Nepal.

Email: [email protected]
 


This study was conducted to evaluate Peak expiratory flow rate (PEFR) in different groups of working children. Study population comprises of 300 child workers, 100 in each group (agricultural workers, constructional workers, control group or domestic workers with equal sex, age and socioeconomic distribution). PEFR value was lowest among construction workers. PEFR values of all subjects had a linear relationship with age, weight, and height.

Key words: Child labor, Peak expiratory flow rate, Occupational illness.


The workplace whether construction-related or agricultural, has long been known to be associated with respiratory disorders. Respiratory diseases are among the chronic health conditions which affect the child laborer. The present study was conducted to compare the peak expiratory flow rates (PEFR) of different groups (agricultural and constructional) of child workers with the control subjects. Study population comprised of 300 children, 100 in each group (agricultural workers, constructional workers, control group matched for sex, age and socio-economic status). Each group of subjects was selected from the rural part of West Bengal. Before conducting the study, permission was obtained from Institutional Ethical Clearance Committee.

The stature and weight of the participants were measured by Martin’s Anthropometer and weighing machine, respectively. Assessment of respiratory systems was done using a questionnaires, consisting of three parts, (i) personal and work characteristics and medical history, (ii) respiratory health and illnesses, (iii) smoking habits. Measurement of PEFR was done with the help of a Wright’s Mini Peak Flow Meter (Clement Clarke). The PEFR test was performed in standing position while holding the peak flow meter horizontally. Subjects were asked to take in a deep breath as far as possible and then blow out as hard and as quickly as possible. The highest of the three ratings was recorded. One-way ANOVA was employed for comparing the PEFR data between the three groups. Statistical analysis was performed using the statistical package (Primer of Biostatistics).

The agricultural and constructional workers were noted to work seven days a week, working 10.5 (± 1.37) and 7.2 (±1.46) hours per day, respectively. The controls worked 4.1 (±1.52) hours per day. No history of smoking or pre-existing respiratory symptoms was elicited in any child.

The average PEFR value of male agricultural workers construction workers and controls were 286.9 (±32.32) L/min, 282.5 (± 29.66) L/min and 303.0 (±31.05) L/min, respectively. There was a significant difference in PEFR values (P=0.003) between the three groups of male subjects. The average PEFR value of female agricultural workers construction workers and female control group were 272.5 (±22.0) L/min, 270.5 (± 28.38) L/min and 283.0 (±27.27) L/ min, respectively. There was a significant difference in PEFR values (P=0.039) between the three groups of female subjects. The PEFR in all groups were significantly positively correlated with age, height and weight.

The PEFR is an accepted index of pulmonary function and is widely used in respiratory medicine [1]. Similar to previous reports, we also found that the PEFR values significantly correlated with age, weight, and height of the subjects [2]. This study revealed that child construction workers had much lower PEFR value than those working in agricultural sector. Similar findings have been reported by previous workers with respect to workers in the construction industry [3,4]. Construction workers are exposed to a wide range of substances that are potentially hazardous to the respiratory system, including cement dust, wood dust from sawing, dust from the ground, fumes from welding, which lower the PEFR value [5,6]. Debray, et al. [7] suggested that the inhalation of these dust particles leads to deposition on the lining of the alveoli, which may reduce the ventilation-perfusion ratio and thus reduces the maximum oxygen uptake. This deposition may also be the cause of lower lung capacity and thus lower PEFR.

Funding: None. Competing interests: None stated.

References

1. Higgins B. Peak expiratory flow variability in the general population. Eur Respir J 1997; 24 (Suppl):45S-48S.

2. Sharma R, Jain A, Arya A, Chowdhury B. Peak expiratory flow rate of school going rural children aged 5-14 years. Indian Pediatr. 2002;39:75-8.

3. Rothenbacher D, Arndt V, Fraisse E, Daniel U, Fliedner TM, Brenner H. Chronic respiratory disease morbidity in construction workers: patterns and prognostic significance for permanent disability and overall mortality. Eur Respir J. 1997;10: 1093-9.

4. Mwaiselage J, Bratveit M, Moen B, Mashalla Y. Cement dust exposure and ventilatory function impairment: An exposure-response study. J Occup Enviro Med. 2004;46:658-67.

5. Dietz A, Ramroth H, Urban T, Ahrens W, Becher H. Exposure to cement dust, related occupational groups and laryngeal cancer risk: results of a population based case-control study. Int J Cancer. 2004;108:907-11.

6. Bergdahl IA, Toren K, Eriksson K, Hedlund U, Nilsson T, Flodin R, et al. Increased mortality in COPD among construction workers exposed to inorganic dust. Eur Respir J. 2004;23:402–6.

7. Debray P, Chattopadhyay S, Maity P, Ghosh C. Peak expiratory flow rate and cardiorespiratory fitness of Bengali workers exposed to dust and plant source particulate matters. Indian J Comm Med. 2002;27:171-6.
 

 

Copyright© 1999 by the Indian Pediatrics (Disclaimer)