Dietary Patterns and Prevalence of Post-bronchodilator Airway Obstruction in Dairy Farmers Exposed to Organic Dusts

Julien Saussereau 1, 2 Alicia Guillien 1, 3 Thibaud Soumagne 2 Jean-Jacques Laplante 4 Lucie Laurent 1, 2 Malika Bouhaddi 3, 1 Steffi Rocchi 5, 6 Isabella Annesi-Maesano 7 Nicolas Roche 8, 9 Jean-Charles Dalphin 5, 2 Bruno Degano 10, 11
1 Service d'explorations fonctionnelles respiratoires (CHU Besançon)
2 Service de Pneumologie [Besançon]
3 PCVP / CARDIO - Marqueurs pronostiques et facteurs de régulations des pathologies cardiaques et vasculaires - UFC ( EA 3920)
4 Mutualité sociale agricole de Franche-Comté
5 LCE - Laboratoire Chrono-environnement - UFC (UMR 6249)
6 Service de parasitologie et mycologie [CHU de Besançon]
7 iPLESP - Institut Pierre Louis d'Epidémiologie et de Santé Publique
8 M2P2 - Laboratoire de Mécanique, Modélisation et Procédés Propres
9 Service de pneumologie [CHU Cochin]
10 Pôle Thorax et Vaisseaux - Service Hospitalier Universitaire Pneumologie-Physiologie [CHU Grenoble Alpes]
11 INSERM, U1042 - HP2, Pole Biol CHU Grenoble
Abstract : Exposure to organic dusts is an independent causative factor of chronic obstructive pulmonary disease (COPD). Unhealthy dietary patterns have been associated with poor lung function in smokers. This study investigated whether dietary patterns were associated with post-bronchodilator airway obstruction, a hallmark of COPD, in dairy farmers exposed to organic dusts. All subjects were identified by screening programs and patients with airflow obstruction were matched with subjects with normal spirometry. Six groups were compared, defined by their exposures (non-smoking dairy farmers, smokers ≥ 10 pack-years with no occupational exposure, and smoking dairy farmers) and the presence or absence of post-bronchodilator airflow obstruction, resulting in 321 study subjects. The Alternative Healthy Eating Index (AHEI) score was calculated based on an adapted food frequency questionnaire. Mean total AHEI scores were similar in all groups. Comparison between smokers with post-bronchodilator airway obstruction and subjects with post-bronchodilator airway obstruction related to occupational exposure found minimal differences in dietary patterns: dairy farmers had lower scores for the ratio of white to red meat and higher scores for cereal fiber consumption. As in previous studies, smokers with post-bronchodilator airway obstruction exhibited higher lipid intakes and lower carbohydrate intakes than their counterparts with normal spirometry. No evidence of any meaningful difference in dietary patterns was found between subjects with post-bronchodilator airway obstruction detected by screening and healthy controls, either in dairy farmers or in smokers with no occupational exposure.
Keywords : COPD dairy farmers dietary patterns occupational exposure organic dusts tobacco smoking
Document type :
Journal articles
Complete list of metadatas
https://hal.archives-ouvertes.fr/hal-02307829
Contributor : Laurence Millon <>
Submitted on : Tuesday, October 8, 2019 - 7:31:40 AM
Last modification on : Wednesday, October 9, 2019 - 1:38:07 AM

Identifiers

Collections

EC-MARSEILLE | UNIV-FCOMTE | M2P2 | CNRS | IPLESP | CHRONO-ENVIRONNEMENT | UNIV-AMU | SORBONNE-UNIVERSITE | SU-MEDECINE

Citation

Julien Saussereau, Alicia Guillien, Thibaud Soumagne, Jean-Jacques Laplante, Lucie Laurent, et al.. Dietary Patterns and Prevalence of Post-bronchodilator Airway Obstruction in Dairy Farmers Exposed to Organic Dusts. COPD: Journal of Chronic Obstructive Pulmonary Disease, Taylor & Francis, 2019, 16 (2), pp.118-125. ⟨10.1080/15412555.2019.1631775⟩. ⟨hal-02307829⟩

Export

BibTeX TEI DC DCterms EndNote

Share

Metrics

Record views

16

Contact

Informations

CCSD