Fractional Exhaled Nitric Oxide (FeNO) and Spirometry as Indicators of Inhalation Exposure to Chemical Agents in Pathology Workers.

J Occup Environ Med

Department of Occupational Health, Tohoku University Graduate School of Medicine, Sendai, Japan (Drs Suzuki, Irokawa, Ogawa, Ohkouchi, Tabata, Ohisa, Nikkuni, Miura, Yoshida, Kurosawa); Center for Environmental Conservation and Research Safety, Tohoku University, Miyagi Prefecture, Japan (Drs Irokawa, Ogawa, Ohkouchi, Tabata, Kurosawa); and Environment Conservation Center, Tohoku University, Miyagi Prefecture, Japan (Togashi, Nakamura, Dr Inomata).

Published: May 2017

Objective: The objective of this study was to examine whether fractional exhaled nitric oxide (FeNO) and spirometry can be used as indices to evaluate adverse health effects of low-concentrated chemical inhalation exposure, mainly to formaldehyde.

Methods: Thirty-three subjects (pathology technicians) and 30 controls (workers without handling any chemicals in the same hospitals) participated in this study. All participants underwent FeNO measurement and spirometry before and after 5 days of work.

Results: FeNO significantly increased in the subjects with a history of asthma (P < 0.05), whereas forced vital capacity (FVC) and forced expiratory volume in the first second (FEV1) decreased in the subjects (P < 0.05). Furthermore, work duration and pre-work levels of FEV1 in the subjects had a significant association.

Conclusion: The results suggest that FeNO, FVC, and FEV1 represent effective health-effect indices of low-concentrated chemical inhalation exposure.

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Source
http://dx.doi.org/10.1097/JOM.0000000000000976DOI Listing

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