Organochlorine pesticide level in patients with chronic kidney disease of unknown etiology and its association with renal function

Ghosh, Rishila; Siddarth, Manushi; Singh, Neeru; Tyagi, Vipin; Kare, Pawan Kumar; Banerjee, Basu Dev; Kalra, Om Prakash; Tripathi, Anil Kumar

doi:10.1186/s12199-017-0660-5

Cited by 37 publications

(24 citation statements)

References 27 publications

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“…Due to the design of our study, we were unable to collect data, including measures of rhabdomyolysis, to further estimate these effects. In addition, despite the potential risks of pesticide exposure on the health of the kidneys, we did not collect information on pesticide exposure in our study and are unable to include this in our analysis . A final limitation is the potential for error in our estimates of AKI based on a point‐of‐care test of serum creatinine.…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury and workload in a sample of California agricultural workers

Moyce

Armitage

Mitchell

et al. 2019

American J Industrial Med

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Background: Kidney damage is associated with an increased workload in high ambient temperatures and may represent a pathway to chronic kidney disease of unknown origin in agricultural workers. We tested the associations of workload and heat with acute kidney dysfunction in California agricultural workers. Methods:We recruited a convenience sample of 471 agricultural workers from 29 farms in California during two summer harvest seasons. The sustained 3-minute maximum workload was estimated using accelerometer data collected from Actical monitors and individual heat load through elevations in core body temperature. Acute kidney injury (AKI) was defined by a change in serum creatinine of ≥0.3 mg/dL or ≥1.5 times the preshift creatinine over the course of the work shift. Associations between AKI and workload were modeled using logistic regression, controlling for demographic, physiologic, and occupational variables.Results: Of the total, 357 workers (75.8%) had accelerometer readings in the moderate workload category, 93 (19.7%) had readings in the vigorous category. 177 (36%) had elevations of core body temperature ≥1°C; 72 workers (14.9%) demonstrated evidence of AKI after a single day of agricultural work. The workload category was associated with an increased adjusted odds of AKI (1.92; 95% confidence interval, 1.05-3.51). Piece-rate work was also associated with increased adjusted odds of AKI (3.02; 95% CI, 1.44-6.34).Conclusions: Heavy occupational workload and piece-rate work were associated with acute effects on the renal health of agricultural workers. This indicates that occupations requiring high physical effort put workers at risk for AKI, possibly independent of ambient and core body temperature. Changes to agricultural practices may reduce the risk of renal disorders for these workers.

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Section: Discussionmentioning

confidence: 99%

Acute kidney injury and workload in a sample of California agricultural workers

Moyce

Armitage

Mitchell

et al. 2019

American J Industrial Med

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“…However, other cross-sectional studies have associated pesticide exposure with kidney dysfunction in farmers in Cameroon [41] and elsewhere [19,20]. is has been further emphasized by Ghosh et al [42], who elucidated a positive correlation between increased levels of pesticides in biological fluids and development of chronic kidney disease.…”

Section: Supplementary Materialsmentioning

confidence: 99%

Evaluation of the Effects of Agro Pesticides Use on Liver and Kidney Function in Farmers from Buea, Cameroon

Manfo

Mboe

Nantia

et al. 2020

Journal of Toxicology

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Agro pesticides are increasingly used worldwide to increase crop production. However, health hazards resulting from human exposure to these chemicals, especially from agricultural areas of developing countries have been a growing concern. The objective of this study was to evaluate the impact of occupational exposure to agro pesticides on the health of farmers in the Buea subdivision, which is one of the major agrarian areas in Cameroon. The study was transversal and involved 90 participants including 58 farmers using pesticides and a reference population of 32 men not involved in occupational use of agro pesticides. The participants were interviewed on agro pesticide use and their health status. Thereafter, blood samples were collected from the participants and used for the assessment of biochemical markers of the liver (alanine aminotransferase and aspartate aminotransferase) and the kidney (creatinine and uric acid) function. Results revealed that farmers frequently used insecticides, fungicides, and herbicides in their farming activities. Farmers reported several acute health symptoms related to pesticides use with the common ones being skin rash, eye irritation, and face burn. When compared to the reference population, the farmers showed significantly elevated (p<0.01) alanine aminotransferase activity. However, other parameters investigated were not affected significantly. These results suggested that farmers were exposed to 3 different classes of agro pesticides, which induced eye and skin affections. Pesticides exposure resulted in alterations of the liver function hence the increased serum alanine aminotransferase activity. Therefore, there is a need to sensitize the farmers on toxicity and liver alteration potential of agro pesticides and the importance of appropriate protective equipment that may minimize exposure.

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“…Two systematic reviews (4, 5) and 25 primary studies (27 articles; 20, 26, 27, 30 – 34, 38, 40 – 42, 44, 45, 48, 50, 51, 57 – 59, 63, 66, 67, 75, 77) contributed data on exposure to agrochemicals and/or working in agriculture (see the Supplementary Materials for more details). The majority of studies were conducted in Central America ( n = 14) or South Asia ( n = 7).…”

Section: Resultsmentioning

confidence: 99%

“…Of 3 studies not included in the meta-analysis (see the Supplementary Materials S6.1), one showed exposure to agrochemicals to be a risk for CKDnT (31, 32), though the result was not significant, and the other showed agrochemicals to be protective (34). The third study only had results for specific organochlorine pesticides (63).…”

Section: Resultsmentioning

confidence: 99%

Risk factors for chronic kidney disease of non-traditional causes: a systematic review

Chapman

Haby

Illanes

et al. 2019

Revista Panamericana De Salud Pública

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Objectives.To evaluate the potential associations between chronic kidney disease of uncertain or non-traditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time.Methods.This was a systematic review of the most frequent exposures suspected to be possible causes of CKDnT. A search was conducted of PubMed, LILACS, World Wide Science electronic databases, among other sources. Only medium- and high-quality studies were included. The synthesis of evidence included a narrative synthesis, meta-analysis, and meta-regression.Results.Four systematic reviews and 61 primary studies were included. Results of the meta-analysis suggest that exposure to agrochemicals and working in agriculture increase the risk of CKDnT, but this only reached significance for working in agriculture. When cross-sectional studies were excluded, agrochemical exposure became significant. However, there is substantial heterogeneity in the effect sizes.Conclusions.Based on the existing evidence and the precautionary principle, it is important to implement preventive measures to mitigate the damage caused by CKDnT to both agricultural workers and their communities (i.e., improvement of working conditions, cautious management of agrochemicals, etc.). More high-quality research is needed to measure impact and to build the evidence base.

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Organochlorine pesticide level in patients with chronic kidney disease of unknown etiology and its association with renal function

Cited by 37 publications

References 27 publications

Acute kidney injury and workload in a sample of California agricultural workers

Acute kidney injury and workload in a sample of California agricultural workers

Evaluation of the Effects of Agro Pesticides Use on Liver and Kidney Function in Farmers from Buea, Cameroon

Risk factors for chronic kidney disease of non-traditional causes: a systematic review

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