Strategies to Mitigate Acute Kidney Injury Risk During Physical Work in the Heat

Details

• Personal Author:
  Amorim FT ; Deyhle MR ; Li Z ; Masoud A ; McKenna ZJ ; Mermier CM ; Schlader ZJ
• Description:
  Prolonged physical work in the heat can reduce renal function and increase the risk of acute kidney injury (AKI). This is concerning given that the latest climate change projections forecast a rise in global temperature as well as the frequency, intensity, and duration of heatwaves. This means that outdoor and indoor workers in the agriculture or construction industries will be exposed to higher heat stress in the years ahead. Several studies indicate a higher incidence of chronic kidney disease from nontraditional origins (CKDnt) in individuals exposed to high temperatures, intense physical work, and/or recurrent dehydration. It has been proposed that prolonged physical work in the heat accompanied by dehydration results in recurrent episodes of AKI that ultimately lead to permanent kidney damage and the development of CKDnt. Thus, there is a need to identify and test strategies that can alleviate AKI risk during physical work in the heat. The purpose of this review is to present strategies that might prevent and mitigate the risk of AKI induced by physical work in the heat. [Description provided by NIOSH]
• Subjects:
  Heat Stress Disorders Hot Temperature Occupational Health Safety Temperature
• Keywords:
  Author Keywords: Chronic Kidney Disease Heat Exposure Heat Stress Hot Environments Kidney Function Kidney Health Occupational Workers Physiological Effects Temperature Effects
• ISSN:
  1931-857X
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Indiana ; New Mexico ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 6 ; Texas ; Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  326
• Issue:
  3
• NIOSHTIC Number:
  nn:20069195
• Citation:
  Am J Physiol Renal Physiol 2024 Mar; 326(3):F499-F510
• Contact Point Address:
  Fabiano T. Amorim, Department of Health, Exercise, and Sport Sciences, University of New Mexico, Albuquerque, NM, United States
• Email:
  amorim@unm.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  Indiana University, Bloomington
• Peer Reviewed:
  True
• Start Date:
  20190901
• Source Full Name:
  American Journal of Physiology: Renal Physiology
• End Date:
  20240831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:77ff71ce2ddab00ac4abcf2791a8e76c1fc05e9e634fc07002835b37c75bc2740976947e2e529eae0f8fe53d9029057dcbba5023f715368d999f358faed526e3
• Download URL:
  https://stacks.cdc.gov/view/cdc/207723/cdc_207723_DS1.pdf
• File Type:
  [PDF - 955.24 KB ]