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Occup Environ Med 60:237-243 doi:10.1136/oem.60.4.237
  • Review

Chronic obstructive pulmonary disease due to occupational exposure to silica dust: a review of epidemiological and pathological evidence

Table 1

A summary of studies which estimated lung function loss associated with average cumulative dust exposure or average duration of exposure*

Exposure indices Estimated loss of FEV1 and FVC associated with mean cumulative respirable dust or duration of dust exposure
Reference n Mean age (y) Mean duration of dust exposure (y) Mean respirable dust (mg/m3); % of silica Mean cumulative respirable dust (mg/m3-y) FEV1 (ml); loss per year (ml/y) FEV1/FVC (%) FVC (ml)
*Only studies for which the loss in lung function could be estimated.
†Respirable dust measured before hydrochloric acid treatment.
‡Additional loss associated with silicosis ILO category 3/3.
§Respirable silica.
NS, statistically not significant; NA, data not available.
Studies where radiological signs of silicosis were found or where results for radiological silicosis were not reported
Wiles and Faure, 197729
 Hnizdo, 199030 2260 50 24 0.6†; 30% 13.4 236; 9.8 ml/y 2.3 217
Cowie and Mabena, 199133 1197 46 25 0.6†; 30% NA 200; 8.0
 447‡ 3.3 NS 
 351‡
Manfreda et al, 198234 95 39 13 0.5; 8% NA 325 NS 364
Kreiss et al, 198935 281 44 9 NA; 19% 8.3 155 NS NS
Studies where radiological signs of silicosis were not found
Malmberg et al, 199336 45 52 22 0.16 §;NA 7.2 150 3.2 NS
Humerfelt et al, 19984 3445 38 7 <0.2 §;NA NA 31; 4.3 4.5 NS
Meijer et al, 20015 144 36 11 0.8; 9% 7.0 NS 2.2 NS
Jorna et al, 19946 172 45 12 2.2; 12% NA 124; 11 3.8 NS

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