MedPath

Bronchial Obstruction in Dairy Farmers

Completed
Conditions
COPD
Registration Number
NCT03654469
Lead Sponsor
Rennes University Hospital
Brief Summary

Chronic Obstructive Pulmonary Disease (COPD) is a major public health problem and is expected to become the 3rd leading cause of death globally by 2020.

The main risk factor is tobacco. Tobacco poisoning is found in 80 to 90% of patients with COPD. However, non-smoking COPD is also described, with increasing prevalence figures, particularly related to occupational exposure, especially among farmers.

Detailed Description

A prospective screening study based on questionnaires and electronic mini-spirometry (Néo-6®) that includes a representative sample of dairy farmers from the departments of Morbihan and Île-et-Vilaine in Brittany.

The dairy farmers had an occupational medicine appointment and, if they demonstrated at least one marker of possible bronchial obstruction (chronic cough, chronic bronchitis, dyspnoea, wheezing, spirometry), they were referred to a pulmonologist.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1247
Inclusion Criteria
  • dairy farmers from the departments of Morbihan and Île-et-Vilaine in Brittany
  • control: non farmer
Exclusion Criteria
  • pigs or grain farmers
  • Pregnant women
  • oral corticosteroids or immunosuppressive drugs

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Level of bronchial obstruction3 years

Respiratory specific indices are extracted from a screening spirometry :

Forced expiratory volume in one second (FEV1) Forced Vital Capacity (FVC)

Bronchial obstruction is stated with a ratio FEV1 / FVC \< 0.8

Secondary Outcome Measures
NameTimeMethod
Prevalence of occupational specific COPD in dairy farmers3 years

Occupational specific COPD is defined as a ratio FEV1 / FVC \< 0.8 associated to a clinical situation :

* non reversibility after β2-agonists or corticoids administration,

* no personal nor familial allergic conditions,

* smoking history \< 1 cigarettes package per year.

Trial Locations

Locations (1)

Rennes University Hospital - Service de Pneumologie

🇫🇷

Rennes, France

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