ORIGINAL PAPER
Quantitative olfactory disorders and occupational exposure to phenolic resins
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1 |
Provincial Agency for Health Services in Trento, Trento, Italy
(Unit for Health and Safety on the Workplaces, Department of Prevention) |
2 |
University of Parma, Parma, Italy
(Department of Biomedical, Biotechnological, and Translational Sciences) |
3 |
Industria Abrasivi Parmense – Globe Srl, Parma, Italy |
4 |
Parma University Hospital, Parma, Italy
(Department of Clinical Surgery, General Surgery and Surgical Therapy, School of Nursing Sciences) |
CORRESPONDING AUTHOR
Matteo Riccó
Provincial Agency for Health Services in Trento, Unit for Health and Safety on the Workplaces, Department of Prevention, Via Verona SNC (C/O Centro Servizi Sanitari), 38123 Trento, Italy
Med Pr 2016;67(2):173–186
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ABSTRACT
Background: To investigate whether exposure to phenolic resins (PR) is associated with quantitative olfactory disorders (QOD), a cross-sectional study of self-reported olfactory impairment (SROI) was performed in occupationally exposed subjects. Material and Methods: Sixty-six workers (45 males, 21 females) at the age (mean ± standard deviation) of 39.8±10.15 years old were divided
into 3 exposure groups on the basis of biological exposure indices (BEI) for urinary phenols. It was asked whether the sense of
smell has been normal or abnormal during the recent 2 months: the participants were eventually divided into self-reported normosmic,
hyposmic, hyperosmic groups. Results: Prevalence of the SROI was 45.5%, with 21 (31.8%) workers complaining about
the hyposmia, 12 (18.2%) – anosmia and 9 (13.6%) – hyperosmia. In univariate analyses, female sex was associated with the SROI
and the hyperosmia. Highly exposed workers showed the SROI more frequently (odds ratio (OR) = 4.714; 95% confidence interval
(CI): 1.077–20.626) than those not exposed (reference) or low exposed (OR = 1.333; 95% CI: 0.416–4.274). In multivariate analyses,
female sex was the main risk factor for the SROI (adjusted odds ratio (ORa) = 5.622; 95% CI: 1.525–20.722) and the hyperosmia
(ORa = 25.143; 95% CI: 2.379–265.7) but a high exposure to phenol (ORa = 11.133; 95% CI: 1.060–116.9) was the main risk factor
for the anosmia. Conclusions: This study has found slight evidence among the cross-section of chemical industry workers that
the exposure to phenol may be associated with the SROI. On the other hand, self-reporting of the QOD may be biased by personal
factors and further research with objective measurement is therefore required. Med Pr 2016;67(2):173–186