Heat stress: a cause of chronic kidney disease along the Mesoamerican west coast?

Objectives High incidence of chronic kidney disease (CKD), unrelated to conventional risk factors and anecdotally linked to young male sugarcane workers, occurs along the Pacific coastline, from south-Mexico down to north-Costa Rica. We hypothesise occupational heat stress with chronic dehydration a...

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Bibliographic Details
Published in:Occupational and environmental medicine (London, England) England), 2011-09, Vol.68 (Suppl 1), p.A66-A66
Main Authors: Wesseling, Catharina, Aragon, Aurora, Peraza, Sandra, Hogstedt, Christer, Kjellström, Tord, Albin, Maria, Elinder, Carl-Gustav, Jakobsson, Kristina
Format: Article
Language:English
Subjects:
Agricultural land
Altitude
Cotton
Dehydration
Farmworkers
Heat tolerance
Kidneys
Musa
Occupational exposure
Occupational health
Oryza sativa
Plantations
Risk factors
Subsistence agriculture
Sugarcane
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Summary:Objectives High incidence of chronic kidney disease (CKD), unrelated to conventional risk factors and anecdotally linked to young male sugarcane workers, occurs along the Pacific coastline, from south-Mexico down to north-Costa Rica. We hypothesise occupational heat stress with chronic dehydration as a major risk factor. Methods We discuss four recent Central American studies, three Nicaraguan and a Salvadorian, as the basis for the heat stress hypothesis. Results All studies observed high prevalences of CKD ≥ stage 3 (glomerular filtration rate
ISSN:1351-0711
1470-7926
DOI:10.1136/oemed-2011-100382.212