Risk of Kidney Injury among Construction Workers Exposed to Heat Stress: A Longitudinal Study from Saudi Arabia

Al-Bouwarthan, Mohammed; Quinn, Margaret; Kriebel, David; Wegman, David H.

doi:10.3390/ijerph17113775

Cited by 31 publications

(29 citation statements)

References 86 publications

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“…These workers tend to have sleep deprivation that leads to increasing daytime sleepiness during working hours and shift work schedule [ 8 , 9 , 10 ]. Several previous studies have reported that construction workers were likely to experience fatigue, pain, and specific diseases due to sleep disturbances [ 10 , 11 , 12 , 13 ]. Consequently, there is ongoing research to identify the relationship among sleep disturbances, occupational environment for shift workers, and health problems in diverse groups of workers [ 10 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Poor Quality of Sleep in Construction Workers: A Secondary Data Analysis

Kim

Lee

Lim

et al. 2021

IJERPH

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This study aimed to explore factors associated with poor quality of sleep in construction workers. This study was cross-sectional, correlational in design and used secondary data from fatigue instrument development study. We analyzed the data from 206 participants aged over 19 years who worked at construction sites for more than 6 months. We used multivariate binary logistic regression to identify the factors associated with poor quality of sleep. We classified the two sleep quality groups based on the Pittsburgh Sleep Quality Index (PSQI) score, and almost 63% of them were classified as the poor quality of sleep group. Based on multivariate binary logistic regression (Cox and Snell R2 = 0.317, Nagelkerke R2 = 0.429), the poor quality of sleep group tended to sleep for a shorter duration before the working day, and not only showed lower sleep latency and higher levels of daytime dysfunction and discomfort in daily life, but also had more chronic disease, depressive symptoms, and higher physical fatigue. Our study findings support that there are many modifiable factors associated with poor sleep and a high rate of poor quality of sleep occurred in construction workers. Thus, clinicians should consider providing diverse options for applying interventions to ensure better sleep, fatigue management, and depression prevention in construction workers after considering their unique characteristics.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with Poor Quality of Sleep in Construction Workers: A Secondary Data Analysis

Kim

Lee

Lim

et al. 2021

IJERPH

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“…First, we were surprised by the lack of studies on construction workers given the physical demands and the long exposures to thermal radiation. This population warrants further investigation given that construction workers account for 36% of all heat-related deaths in the United States (76) and that albuminuria associated with construction work has been reported in other countries (77). Second, despite the US OSHA recognizing that mail/package delivery workers are exposed to occupational heat stress, our literature search did not reveal any studies in this population.…”

Section: Discussionmentioning

confidence: 80%

Occupational heat exposure and the risk of chronic kidney disease of nontraditional origin in the United States

Chapman

Hess

Lucas

et al. 2021

American Journal of Physiology-Regulatory, Integrative and Comp

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Occupational heat exposure is linked to the development of kidney injury and disease in individuals who frequently perform physically demanding work in the heat. For instance, in Central America, an epidemic of chronic kidney disease of non-traditional origin (CKDnt) is occurring among manual laborers, while potentially related epidemics have emerged in India and Sri Lanka. There is growing concern that workers in the United States suffer with CKDnt, but reports are limited. One of the leading hypotheses is that repetitive kidney injury caused by physical work in the heat can progress to CKDnt. Whether heat stress is the primary causal agent or accelerates existing underlying pathology remains contested. However, the current evidence supports that heat stress induces tubular kidney injury, which is worsened by higher core temperatures, dehydration, longer work durations, muscle damaging exercise, and consumption of beverages containing high levels of fructose. The purpose of this narrative mini review is to identify occupations that may place United States workers at greater risk of kidney injury and CKDnt. Specifically, we reviewed the scientific literature to characterize the demographics, environmental conditions, physiological strain (i.e., core temperature increase, dehydration, heart rate), and work durations in sectors typically experiencing occupational heat exposure, including farming, wildland firefighting, landscaping, and utilities. Overall, the surprisingly limited available evidence characterizing occupational heat exposure in United States workers supports the need for future investigations to understand this risk of CKDnt.

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“…18 A longitudinal study among Indian construction workers in Saudi Arabia suggested that exposure to heat stress, long working hours, dehydration, sleep deprivation, and obesity may induce the risk to kidney health in workers. 19 In Ponorogo district of Indonesia, 18% of the patients with chronic renal failure were former migrant workers. 20 A qualitative study among Indonesian migrant workers with CKD reported that they were also involved in unhealthy eating, such as a high intake of alcohol and soft drinks and high consumption of fast food.…”

Section: Discussionmentioning

confidence: 99%

Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists

et al. 2021

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Background: Anecdotal reports suggest an increasing prevalence of kidney problems in returnee Nepali migrant workers from the Gulf countries and Malaysia. Aims and Objectives: This study aims to (a) explore the magnitude of the kidney health-related problems in returnee Nepali migrant workers; and, (b) assess the need for further scientific investigations. Materials and Methods: This was a self-administered survey of practicing nephrologists in Nepal. All 51 nephrologists working in Nepal (at the time of this study) were approached by email for anonymous participation using an online survey platform. Data were collected between December 2019 and February 2020. Descriptive statistics were generated for data analysis. Results: A total of 38 nephrologists completed the survey. Almost all their migrant patients were: younger than 40 years, males, from rural areas of Nepal, and had worked in Gulf countries or Malaysia. Most (92.1%) of the respondents reported that the causes behind kidney-related problems of returnee migrant workers were of unknown etiology and less likely to be linked to traditional risk factors. Chronic kidney disease and glomerulonephritis were the most common kidney health-related problems. The vast majority of respondents (76.3%) thought that the returnee migrant workers are at a higher risk of kidney-related problems than the general Nepali population. Conclusion: Nepali labor migrants in the countries of the Gulf and Malaysia could be at a higher risk of kidney health-related problems than the general Nepali population. Further rigorous scientific investigation is warranted to examine the kidney-health-related risk of Nepali migrant workers.

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Risk of Kidney Injury among Construction Workers Exposed to Heat Stress: A Longitudinal Study from Saudi Arabia

Cited by 31 publications

References 86 publications

Factors Associated with Poor Quality of Sleep in Construction Workers: A Secondary Data Analysis

Factors Associated with Poor Quality of Sleep in Construction Workers: A Secondary Data Analysis

Occupational heat exposure and the risk of chronic kidney disease of nontraditional origin in the United States

Risk of kidney health among returnee Nepali migrant workers: A survey of nephrologists

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