Hydration Status, Kidney Function, and Kidney Injury in Florida Agricultural Workers

Details

• Personal Author:
  Economos E ; Elon L ; Flocks J ; McCauley LA ; Mix J ; Stover Hertzberg V ; Tovar-Aguilar AJ ; Vi Thien Mac V
• Description:
  Objective: Recent findings suggest that laboring in hot occupational environments is related to kidney damage in agricultural workers. We examined hydration status and kidney function in 192 Florida agricultural workers. Methods: Blood and urine samples were collected over 555 workdays during the summers of 2015 and 2016. Urine-specific gravity (USG), serum creatinine, and other kidney function markers were examined pre- and post-shift on each workday. Multivariable mixed modeling was used to examine the association of risk factors with hydration status and acute kidney injury (AKI). Results: Approximately 53% of workers were dehydrated (USG >/- 1.020) pre-shift and 81% post-shift; 33% of participants had AKI on at least one workday. The odds of AKI increased 47% for each 5-degree (degrees F) increase in heat index. Conclusion: A strikingly high prevalence of dehydration and AKI exists in Florida agricultural workers. [Description provided by NIOSH]
• Subjects:
  Agriculture Hot Temperature Occupational Health Safety
• Keywords:
  Agricultural Workers Author Keywords: Agricultural Workers Body Temperature Climate Change Climatic Conditions Dehydration Heat Exposure Hot Environments Kidney Function Kidney Injury Kidneys

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Grant ; Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Georgia ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  60
• Issue:
  5
• NIOSHTIC Number:
  nn:20051507
• Citation:
  J Occup Environ Med 2018 May; 60(5):e253-e260
• Contact Point Address:
  Jacqueline Mix, PhD, MPH, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Rd NE, Atlanta, GA 30322
• Email:
  jacqueline.mix@emory.edu
• Federal Fiscal Year:
  2018
• Performing Organization:
  Emory University, Atlanta
• Peer Reviewed:
  True
• Start Date:
  20140901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20180831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0201175dc09cf971dc8c8591d5eebaffbe5321cd26d165b16ea82b78bebd1ef4a9f9018b88867e826268236ceb69ecc9fc53df5ac34357d29bb5c63cac92f3ab
• Download URL:
  https://stacks.cdc.gov/view/cdc/211420/cdc_211420_DS1.pdf
• File Type:
  [PDF - 298.31 KB ]