2021
DOI: 10.3389/fpubh.2020.611693
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Peak Inhalation Exposure Metrics Used in Occupational Epidemiologic and Exposure Studies

Abstract: Peak exposures are of concern because they can potentially overwhelm normal defense mechanisms and induce adverse health effects. Metrics of peak exposure have been used in epidemiologic and exposure studies, but consensus is lacking on its definition. The relevant characteristics of peak exposure are dependent upon exposure patterns, biokinetics of exposure, and disease mechanisms. The objective of this review was to summarize the use of peak metrics in epidemiologic and exposure studies. A comprehensive sear… Show more

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Cited by 13 publications
(10 citation statements)
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References 191 publications
(129 reference statements)
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“…Different evaluation indices have been proposed to measure the exposure to particulate matter in the breathing zone. The authors 71 did not consider the peak exposure and assumed that the release of particulate matter was a slow process. The average or cumulative exposure index was used to measure the impact of particulate matter on human health.(1) Personal exposure effectiveness…”
Section: Resultsmentioning
confidence: 99%
“…Different evaluation indices have been proposed to measure the exposure to particulate matter in the breathing zone. The authors 71 did not consider the peak exposure and assumed that the release of particulate matter was a slow process. The average or cumulative exposure index was used to measure the impact of particulate matter on human health.(1) Personal exposure effectiveness…”
Section: Resultsmentioning
confidence: 99%
“…Assessing the potential for occupational exposures to chemicals from an emission source can be more accurately approximated using a two-zone, near field/far field model, which accounts for incomplete mixing of air ( 31 ). Peak exposures at the emission source should be considered in epidemiologic and exposure studies because high concentration exposures for short durations can potentially overwhelm the body's natural defense mechanisms against adverse health effects ( 32 ). Near field/far field models are more realistic of these peak exposures when considering the employee may be near the emission source and exposed to higher concentrations, then move away from the emission source thus decreasing exposure.…”
Section: Discussionmentioning
confidence: 99%
“…The investigations focused on characterizing both long-term average exposures and high-intensity, short-duration “peak” exposures to diacetyl and 2,3-pentanedione, because these exposures may be associated with small airways damage related to OB; peak exposures can potentially overwhelm the capacity of normal defense mechanisms and induce adverse health effects ( 31 , 32 ). Peak exposures to diacetyl have been documented in the microwave popcorn industry and at the sentinel coffee facility and may have contributed to disease in OB cases with relatively lower average exposures ( 28 , 33 , 34 ); the role of peak exposure is asthma is also well recognized ( 35 ), though relevant exposure to asthmagens such as green coffee dust and allergens could not be assessed quantitatively due to limited time and resources.…”
Section: Methods and Discussionmentioning
confidence: 99%