Longitudinal Renal Function Degradation Among Florida Agricultural Workers

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Chicas, Roxana C. ; Elon, Lisa ; Xiuhtecutli, Nezahualcoyotl ; Liang, Donghai ; Houser, Madelyn C. ; Mwarumba, Tuzo ; Berra, Liris ; Hertzberg, Vicki ; Sands, Jeff M. ; McCauley, Linda
• Description:
  Objective:
  
  This longitudinal study evaluated renal function and acute kidney injury (AKI) over time in U.S. agricultural workers.
  
  Methods:
  
  We followed Florida agricultural workers from January 2020 to August 2022, collecting blood and urine pre- and post-workday during 5 visits.
  
  Results:
  
  Pre-workday eGFR function in all participants was lower in summers but relatively consistent over time. In participants who worked almost exclusively in fernery operations (piece-rate compensation), we observed a high incidence of post-workday AKI in 2020 (21%) that increased to 43% by the end of the study. In comparison, 11% of nursery workers (hourly compensation) had AKI, and this rate was fairly stable.
  
  Conclusion:
  
  AKI risk over time differs according to the type of agricultural work. Piece rate workers who are incentivized to forgo rest breaks and hydration to earn higher wages demonstrate steadily increasing rates of AKI.
  
  
• Subjects:
  Acute Kidney Injury Adult Agricultural Workers' Diseases Agriculture Farmers Female Florida Glomerular Filtration Rate Humans Incidence Longitudinal Studies Male Middle Aged

  More +
• Keywords:
  Acute Kidney Injury Agricultural Workers Dehydration Heat Piece-rate
• Source:
  J Occup Environ Med. 66(9):694-705
• Pubmed ID:
  38748403
• Pubmed Central ID:
  PMC11371535
• Document Type:
  Journal Article
• Funding:
  K23 NR020356/NR/NINR NIH HHSUnited States/ ; R01 OH011782/OH/NIOSH CDC HHSUnited States/
• Volume:
  66
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e1bf626cccbfb258ceac4cf8817803821b5982a21b5675e2320c6cec4be08d0c093b010b311c57b47d45c0af82cc3ec819832dde8c9a98059f3ee5ba494362f7
• Download URL:
  https://stacks.cdc.gov/view/cdc/162355/cdc_162355_DS1.pdf
• File Type:
  [PDF - 720.41 KB ]