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Reviews on Environmental Health

Editor-in-Chief: Carpenter, David O. / Sly, Peter

Editorial Board: Brugge, Doug / Edwards, John W. / Field, R.William / Garbisu, Carlos / Hales, Simon / Horowitz, Michal / Lawrence, Roderick / Maibach, H.I. / Shaw, Susan / Tao, Shu / Tchounwou, Paul B.

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Volume 32, Issue 4


Decline in lung function among cement production workers: a meta-analysis

Somayeh Rahimi Moghadam
  • Student Research Committee, Health Sciences Research Centre, Mazandaran University of Medical Sciences, Sari, Iran
  • Other articles by this author:
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/ Siavosh Abedi / Mahdi Afshari / Ehsan Abedini
  • Student Research Committee, Health Sciences Research Centre, Mazandaran University of Medical Sciences, Sari, Iran
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/ Mahmood Moosazadeh
  • Corresponding author
  • Health Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran. Tel.: +98-911-3555367
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Published Online: 2017-10-10 | DOI: https://doi.org/10.1515/reveh-2017-0017



Several studies with different results have been performed regarding cement dust exposure and its pathogenic outcomes during the previous years. This study aims to combine these results to obtain a reliable estimate of the effect of exposure to cement dust.


PubMed and other data banks were searched to identify required electronic articles. The search was extended interviewing with relevant experts and research centers. Point and pooled estimates of outcome with 95% confidence intervals were estimated.


Participants were 5371 exposed and 2650 unexposed persons. Total mean differences (95% confidence intervals) were estimated as of −0.48 (−0.71 to −0.25) L for forced vital capacity (FVC), −0.7 (−0.92 to −0.47) L for forced expiratory volume in the first second (FEV1), −0.43 (−0.68 to −0.19) L for FEV1/FVC%, −0.73 (−1.15 to −0.30) L/min for PEFR and −0.36 (−0.51 to −0.21) L/s for FEF25-75.


Our meta-analysis showed that cement dust has significant impact on lung function and reduces the indicators of FVC, FEV1, FEV1/FVC, PEFR and FEF25-75.

Keywords: cement dust; pulmonary function; spirometry


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About the article

Received: 2017-05-26

Accepted: 2017-08-16

Published Online: 2017-10-10

Published in Print: 2017-12-20

Author Statement

Research funding: Authors state no funding involved. Conflict of interest: Authors state no conflict of interest. Informed consent: Informed consent is not applicable. Ethical approval: The conducted research is not related to either human or animal use.

Citation Information: Reviews on Environmental Health, Volume 32, Issue 4, Pages 333–341, ISSN (Online) 2191-0308, ISSN (Print) 0048-7554, DOI: https://doi.org/10.1515/reveh-2017-0017.

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