Journal of Occupational
Health and Epidemiology
Rafsanjan university Of medical sciences
Volume 11, Issue 2 (Spring 2022)
J Occup Health Epidemiol 2022, 11(2): 157-170 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Rezaei-Hachesu V, Naderyan Fe'li S, Hokmabadi R, Kazemi M, Golbabaei F. Impact of Heat Stress on Renal Function: A Systematic Literature Review Focusing on Workplace Heat. J Occup Health Epidemiol 2022; 11 (2) :157-170
URL: http://johe.rums.ac.ir/article-1-491-en.html
URL: http://johe.rums.ac.ir/article-1-491-en.html
Related article in
Google Scholar
Google Scholar
Similar articles
Vida Rezaei-Hachesu1 
, Shadi Naderyan Fe'li2 , Rajabali Hokmabadi3 , Meghdad Kazemi1 , Farideh Golbabaei * 4
, Shadi Naderyan Fe'li2 , Rajabali Hokmabadi3 , Meghdad Kazemi1 , Farideh Golbabaei * 4
1- Ph.D. Student in Occupational Health Engineering, Dept, of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
2- Ph.D. Student in Epidemiology, Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3- Instructor of Occupational Health Engineering, Dept. of Occupational Health Engineering, School of Public Health, North Khorasan University of Medical Sciences, Bojnurd, Iran.
4- Professor of Occupational Health Engineering, Dept, of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. ,fgolbabaei@tums.ac.ir
2- Ph.D. Student in Epidemiology, Dept. of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
3- Instructor of Occupational Health Engineering, Dept. of Occupational Health Engineering, School of Public Health, North Khorasan University of Medical Sciences, Bojnurd, Iran.
4- Professor of Occupational Health Engineering, Dept, of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. ,
Article history
Received: 2021/11/7
Accepted: 2022/05/7
ePublished: 2022/06/22
Accepted: 2022/05/7
ePublished: 2022/06/22
Subject:
Occupational Health
Abstract: (2091 Views)
Background: There is evidence that exposure to heat stress over time may lead to chronic kidney disease. This study aimed to summarize the evidence on the effects of heat stress on renal function among individuals exposed to occupational heat stress.
Materials and Methods: In this systematic review, all papers on the effect of heat stress on kidney function among workers at any workplace and heat level were included. Reviews, case reports, conference proceedings, letters, editorials, abstracts without full text, in-vitro, and animal studies were excluded. Furthermore, studies conducted on children, general populations, and hospitalized patients, as well as those not measuring heat stress, were also excluded. Medline, Scopus, ISI, and Embase databases were searched from 1st January 1991 to 19th October 2021. Search criteria were prepared by combining an 'exposed population' AND 'exposure' AND 'outcome' keywords. Quality assessment was done using the National Institutes of Health Quality Assessment tool.
Results: A total of 24 articles with 14,282 participants were considered for qualitative synthesis. Although most papers indicated a positive association between heat stress and kidney dysfunction, especially regarding dehydration, the present study found heterogeneous evidence. Glomerular filtration rate, serum creatinine level, and albumin-to-creatinine ratio, due to occupational heat stress, were other markers mentioned in primary studies.
Conclusions: This review highlighted the impact of occupational heat stress on renal function. Among the markers investigated in this review, most studies reported a positive association between occupational heat stress and dehydration.
Materials and Methods: In this systematic review, all papers on the effect of heat stress on kidney function among workers at any workplace and heat level were included. Reviews, case reports, conference proceedings, letters, editorials, abstracts without full text, in-vitro, and animal studies were excluded. Furthermore, studies conducted on children, general populations, and hospitalized patients, as well as those not measuring heat stress, were also excluded. Medline, Scopus, ISI, and Embase databases were searched from 1st January 1991 to 19th October 2021. Search criteria were prepared by combining an 'exposed population' AND 'exposure' AND 'outcome' keywords. Quality assessment was done using the National Institutes of Health Quality Assessment tool.
Results: A total of 24 articles with 14,282 participants were considered for qualitative synthesis. Although most papers indicated a positive association between heat stress and kidney dysfunction, especially regarding dehydration, the present study found heterogeneous evidence. Glomerular filtration rate, serum creatinine level, and albumin-to-creatinine ratio, due to occupational heat stress, were other markers mentioned in primary studies.
Conclusions: This review highlighted the impact of occupational heat stress on renal function. Among the markers investigated in this review, most studies reported a positive association between occupational heat stress and dehydration.
Keywords: Heat Stress Disorders [MeSH], Kidney Function Tests [MeSH], Occupational Groups [MeSH], Hot Temperature [MeSH], Workplace [MeSH]
References
1. 1. Methner M, Eisenberg J. Evaluation of heat stress and heat strain among employees working outdoors in an extremely hot environment. J Occup Environ Hyg. 2018;15(6):474-80. [DOI] [PMID]
2. Nerbass FB, Pecoits-Filho R, Clark WF, Sontrop JM, McIntyre CW, Moist L. Occupational Heat Stress and Kidney Health: From Farms to Factories. Kidney Int Rep. 2017;2(6):998-1008. [DOI:10.1016/j.ekir.2017.08.012] [PMID] [PMCID]
3. de Lorenzo A, Liano F. High temperatures and nephrology: The climate change problem. Nefrologia. 2017;37(5):492-500. [DOI:10.1016/j.nefroe.2016.12.015] [PMID]
4. 4. Mazloumi A, Golbabaei F, Mahmood Khani S, Kazemi Z, Hosseini M, Abbasinia M, et al. Evaluating Effects of Heat Stress on Cognitive Function among Workers in a Hot Industry. Health Promot Perspect. 2014;4(2):240-6.
5. Dally M, Butler-Dawson J, Krisher L, Monaghan A, Weitzenkamp D, Sorensen C, et al. The impact of heat and impaired kidney function on productivity of Guatemalan sugarcane workers. PLoS One. 2018;13(10):e0205181. [DOI] [PMID] [PMCID]
6. Quiller G, Krenz J, Ebi K, Hess JJ, Fenske RA, Sampson PD, et al. Heat exposure and productivity in orchards: Implications for climate change research. Arch Environ Occup Health. 2017;72(6):313-6. [DOI] [PMID] [PMCID]
7. Hancock PA, Ross JM, Szalma JL. A meta-analysis of performance response under thermal stressors. Hum Factors. 2007;49(5):851-77. [DOI] [PMID]
8. Venugopal V, Chinnadurai JS, Lucas RA, Kjellstrom T. Occupational Heat Stress Profiles in Selected Workplaces in India. Int J Environ Res Public Health. 2015;13(1):89. [DOI] [PMID] [PMCID]
9. Kjellstrom T, Gabrysch S, Lemke B, Dear K. The ‘Hothaps’ programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies. Glob Health Action. 2009;2(1):2082. [DOI] [PMID] [PMCID]
10. Hansson E, Glaser J, Jakobsson K, Weiss I, Wesseling C, Lucas RAI, et al. Pathophysiological mechanisms by which heat stress potentially induces kidney inflammation and chronic kidney disease in sugarcane workers. Nutrients. 2020;12(6):1639. [DOI:10.3390/nu12061639] [PMID] [PMCID]
11. García-Trabanino R, Jarquín E, Wesseling C, Johnson RJ, González-Quiroz M, Weiss I, et al. Heat stress, dehydration, and kidney function in sugarcane cutters in El Salvador-a cross-shift study of workers at risk of Mesoamerican nephropathy. Environ Res. 2015;142:746-55. [DOI] [PMID]
12. Venugopal V, Latha P, Shanmugam R, Krishnamoorthy M, Johnson P. Occupational heat stress induced health impacts: A cross-sectional study from South Indian working population. Adv Clim Change Manage. 2020;11(1):31-9. [DOI]
13. Nainggolan G, Soemarko D, Siregar P, Sutranto AL, Bardosono S, Prijanti AR, et al. Diagnostic role of urine specific gravity to detect kidney impairment on heat-exposed workers in a shoe factory in Indonesia: a cross-sectional study. BMJ Open. 2021;11(9):e047328. [DOI] [PMID] [PMCID]
14. 14. Butler-Dawson J, Krisher L, Dally M, James KA, Johnson RJ, Jaramillo D, et al. Sugarcane Workweek Study: Risk Factors for Daily Changes in Creatinine. Kidney Int Rep. 2021;6(9):2404-14. [DOI:10.1016/j.ekir.2021.06.003] [PMID] [PMCID]
15. Wesseling C, Glaser J, Rodríguez-Guzmán J, Weiss I, Lucas R, Peraza S, et al. Chronic kidney disease of non-traditional origin in Mesoamerica: a disease primarily driven by occupational heat stress. Rev Panam Salud Publica. 2020;44:e15. [DOI] [PMID] [PMCID]
16. López-Gálvez N, Wagoner R, Canales RA, Ernst K, Burgess JL, de Zapien J, et al. Longitudinal assessment of kidney function in migrant farm workers. Environ Res. 2021;202:111686.. [DOI] [PMID] [PMCID]
17. Garcia-Trabanino R, Jarquin E, Wesseling C, Johnson RJ, Gonzalez-Quiroz M, Weiss I, et al. Heat stress, dehydration, and kidney function in sugarcane cutters in El Salvador--A cross-shift study of workers at risk of Mesoamerican nephropathy. Environ Res. 2015;142:746-55. [DOI] [PMID]
18. Sorensen CJ, Butler-Dawson J, Dally M, Krisher L, Griffin BR, Johnson RJ, et al. Risk Factors and Mechanisms Underlying Cross-Shift Decline in Kidney Function in Guatemalan Sugarcane Workers. J Occup Environ Med. 2019;61(3):239-50. [DOI] [PMID] [PMCID]
19. Peiffer JJ, Abbiss CR. Thermal stress in North Western Australian iron ore mining staff. Ann Occup Hyg. 2013;57(4):519-27. [PubMed]
20. Al-Bouwarthan M, Quinn MM, Kriebel D, Wegman DH. Risk of kidney injury among construction workers exposed to heat stress: a longitudinal study from Saudi Arabia. Int J Environ Res Public Health. 2020;17(11):3775. [DOI] [PMID] [PMCID]
21. Ueno S, Sakakibara Y, Hisanaga N, Oka T, Yamaguchi-Sekino S. Heat Strain and Hydration of Japanese Construction Workers during Work in Summer. Ann Work Expo Health. 2018;62(5):571-82. [DOI] [PMID]
22. Farshad A, Montazer S, Monazzam MR, Eyvazlou M, Mirkazemi R. Heat Stress Level among Construction Workers. Iran J Public Health. 2014;43(4):492-8. [PubMed] [PMCID]
23. Atan L, Andreoni C, Ortiz V, Silva EK, Pitta R, Atan F, et al. High kidney stone risk in men working in steel industry at hot temperatures. Urology. 2005;65(5):858-61. [DOI] [PMID]
24. Nerbass FB, Moist L, Clark WF, Vieira MA, Pecoits-Filho R. Hydration Status and Kidney Health of Factory Workers Exposed to Heat Stress: A Pilot Feasibility Study. Ann Nutr Metab. 2019;74 Suppl 3:30-7. [DOI] [PMID]
25. Brearley M, Harrington P, Lee D, Taylor R. Working in hot conditions-a study of electrical utility workers in the northern territory of Australia. J Occup Environ Hyg. 2015;12(3):156-62. [DOI] [PMID]
26. Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151(4):W65-94. [DOI] [PMID]
27. National Heart Lung and Blood Institute. Study Quality Assessment Tools. Maryland, United States: National Heart Lung and Blood Institute; 2019. [PMID]
28. Mix J, Elon L, Vi Thien Mac V, Flocks J, Economos E, Tovar-Aguilar AJ, et al. Hydration Status, Kidney Function, and Kidney Injury in Florida Agricultural Workers. J Occup Environ Med. 2018;60(5):e253-e60. [DOI] [PMID]
29. Moyce S, Mitchell D, Armitage T, Tancredi D, Joseph J, Schenker M. Heat strain, volume depletion and kidney function in California agricultural workers. Occup Environ Med. 2017;74(6):402-9. [DOI] [PMID] [PMCID]
30. Brake DJ, Bates GP. Fluid losses and hydration status of industrial workers under thermal stress working extended shifts. Occup Environ Med. 2003;60(2):90-6. [DOI] [PMID] [PMCID]
31. Al-Bouwarthan M, Quinn MM, Kriebel D, Wegman DH. A Field Evaluation of Construction Workers' Activity, Hydration Status, and Heat Strain in the Extreme Summer Heat of Saudi Arabia. Ann Work Expo Health. 2020;64(5):522-35. [DOI] [PMID]
32. Butler-Dawson J, Krisher L, Yoder H, Dally M, Sorensen C, Johnson RJ, et al. Evaluation of heat stress and cumulative incidence of acute kidney injury in sugarcane workers in Guatemala. Int Arch Occup Environ Health. 2019;92(7):977-90. [DOI] [PMID] [PMCID]
33. Dang BN, Dowell CH. Factors associated with heat strain among workers at an aluminum smelter in Texas. J Occup Environ Med. 2014;56(3):313-8. [DOI] [PMID] [PMCID]
34. Hunt AP, Parker AW, Stewart IB. Heat strain and hydration status of surface mine blast crew workers. J Occup Environ Med. 2014;56(4):409-14. [DOI] [PMID]
35. Piil JF, Lundbye-Jensen J, Christiansen L, Ioannou L, Tsoutsoubi L, Dallas CN, et al. High prevalence of hypohydration in occupations with heat stress-Perspectives for performance in combined cognitive and motor tasks. PLoS One. 2018;13(10):e0205321. [DOI] [PMID] [PMCID]
36. Spector JT, Krenz J, Calkins M, Ryan D, Carmona J, Pan M, et al. Associations between heat exposure, vigilance, and balance performance in summer tree fruit harvesters. Appl Ergon. 2018;67:1-8. [DOI] [PMID] [PMCID]
37. Wagoner RS, López-Gálvez NI, de Zapien JG, Griffin SC, Canales RA, Beamer PI. An Occupational Heat Stress and Hydration Assessment of Agricultural Workers in North Mexico. Int J Environ Res Public Health. 2020;17(6):2102. [DOI] [PMID] [PMCID]
38. Wegman DH, Apelqvist J, Bottai M, Ekstrom U, Garcia-Trabanino R, Glaser J, et al. Intervention to diminish dehydration and kidney damage among sugarcane workers. Scand J Work Environ Health. 2018;44(1):16-24. [DOI] [PMID]
39. Paula Santos U, Zanetta DM, Terra-Filho M, Burdmann EA. Burnt sugarcane harvesting is associated with acute renal dysfunction. Kidney Int. 2015;87(4):792-9. [DOI] [PMID]
40. Johnson CA, Levey AS, Coresh J, Levin A, Lau J, Eknoyan G. Clinical practice guidelines for chronic kidney disease in adults: Part I. Definition, disease stages, evaluation, treatment, and risk factors. Am Fam Physician. 2004;70(5):869-76. [PubMed]
41. Qiu X, Liu C, Ye Y, Li H, Chen Y, Fu Y, et al. The diagnostic value of serum creatinine and cystatin c in evaluating glomerular filtration rate in patients with chronic kidney disease: A systematic literature review and meta-analysis. Oncotarget. 2017;8(42):72985-99. [DOI] [PMID] [PMCID]
42. Meade RD, Lauzon M, Poirier MP, Flouris AD, Kenny GP. An Evaluation of the Physiological Strain Experienced by Electrical Utility Workers in North America. J Occup Environ Hyg. 2015;12(10):708-20. [DOI] [PMID]
43. Jackson LL, Rosenberg HR. Preventing heat-related illness among agricultural workers. J Agromedicine. 2010;15(3):200-15. [DOI] [PMID]
44. Roncal Jimenez CA, Ishimoto T, Lanaspa MA, Rivard CJ, Nakagawa T, Ejaz AA, et al. Fructokinase activity mediates dehydration-induced renal injury. Kidney Int. 2014;86(2):294-302. [DOI] [PMID] [PMCID]
45. Roncal-Jimenez C, Garcia-Trabanino R, Barregard L, Lanaspa MA, Wesseling C, Harra T, et al. Heat Stress Nephropathy From Exercise-Induced Uric Acid Crystalluria: A Perspective on Mesoamerican Nephropathy. Am J Kidney Dis. 2016;67(1):20-30. [DOI] [PMID]
46. González‐Alonso J, Crandall CG, Johnson JM. The cardiovascular challenge of exercising in the heat. J Physiol. 2008;586(1):45-53. [DOI] [PMID] [PMCID]
47. Junglee NA, Di Felice U, Dolci A, Fortes MB, Jibani MM, Lemmey AB, et al. Exercising in a hot environment with muscle damage: effects on acute kidney injury biomarkers and kidney function. Am J Physiol Renal Physiol. 2013;305(6):F813-20. [DOI] [PMID]
48. Johnson RJ, Stenvinkel P, Jensen T, Lanaspa MA, Roncal C, Song Z, et al. Metabolic and Kidney Diseases in the Setting of Climate Change, Water Shortage, and Survival Factors. J Am Soc Nephrol. 2016;27(8):2247-56. [DOI] [PMID] [PMCID]
49. Lebov JF, Engel LS, Richardson D, Hogan SL, Hoppin JA, Sandler DP. Pesticide use and risk of end-stage renal disease among licensed pesticide applicators in the Agricultural Health Study. Occup Environ Med. 2016;73(1):3-12. [DOI] [PMID] [PMCID]
50. Lebov JF, Engel LS, Richardson D, Hogan SL, Sandler DP, Hoppin JA. Pesticide exposure and end-stage renal disease risk among wives of pesticide applicators in the Agricultural Health Study. Environ Res. 2015;143(Pt A):198-210. [DOI] [PMID] [PMCID]
51. Valcke M, Levasseur ME, Soares da Silva A, Wesseling C. Pesticide exposures and chronic kidney disease of unknown etiology: an epidemiologic review. Environ Health. 2017;16(1):49. [DOI]
52. El-Shafei DA, Bolbol SA, Awad Allah MB, Abdelsalam AE. Exertional heat illness: knowledge and behavior among construction workers. Environ Sci Pollut Res Int. 2018;25(32):32269-76. [DOI] [PMID]
53. Jay O, Kenny GP. Heat exposure in the Canadian workplace. Am J Ind Med. 2010;53(8):842-53. [DOI] [PMID]
54. Krishnamurthy M, Ramalingam P, Perumal K, Kamalakannan LP, Chinnadurai J, Shanmugam R, et al. Occupational Heat Stress Impacts on Health and Productivity in a Steel Industry in Southern India. Saf Health Work. 2017;8(1):99-104. [DOI] [PMID] [PMCID]
55. Xiang J, Bi P, Pisaniello D, Hansen A. Health impacts of workplace heat exposure: an epidemiological review. Ind Health. 2014;52(2):91-101. [DOI] [PMID] [PMCID]
56. Donoghue AM, Sinclair MJ, Bates GP. Heat exhaustion in a deep underground metalliferous mine. Occup Environ Med. 2000;57(3):165-74. [DOI] [PMID] [PMCID]
57. Kalkowsky B, Kampmann B. Physiological strain of miners at hot working places in German coal mines. Ind Health. 2006;44(3):465-73. [DOI] [PMID]
58. Polkinghorne BG, Gopaldasani V, Furber S, Davies B, Flood VM. Hydration status of underground miners in a temperate Australian region. BMC public health. 2013;13(1):426. [DOI] [PMID] [PMCID]
59. Chen ML, Chen CJ, Yeh WY, Huang JW, Mao IF. Heat stress evaluation and worker fatigue in a steel plant. AIHA J (Fairfax, Va). 2003;64(3):352-9. [DOI] [PMID]
60. Jay O, Kenny GP. Heat exposure in the Canadian workplace. Am J Ind Med. 2010;53(8):842-53. [DOI] [PMID]
61. Noble R, Taal MW. Epidemiology and causes of chronic kidney disease. Medicine. 2019;47(9):562-6. [DOI]
62. Lundgren K, Kuklane K, Gao C, Holmer I. Effects of heat stress on working populations when facing climate change. Ind Health 2013; 51(1):3-15. [DOI] [PMID]
63. 63. Jacklitsch B, Williams WJ, Musolin K, Coca A, Kim JH, Turner N. Criteria for a recommended standard: Occupational exposure to heat and hot environments. Cincinnati, OH, United States: Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health; 2016. [Report]
64. Bates GP, Miller VS, Joubert DM. Hydration status of expatriate manual workers during summer in the Middle East. Ann Occup Hyg. 2010;54(2):137-43. [Article]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
