- 6 professions were found to be at increased risk for COPD; findings included sculptors, gardeners, and warehouse workers.
Why this matters
- People should be asked about their job history for better disease management of COPD.
- Retrospective, population-based cohort using the UK Biobank cohort of 94,551 people with spirometry and smoking information.
- COPD was spirometry-defined as forced expiratory volume in 1 second (FEV1/forced vital capacity [FVC]
- All participants submitted lifetime job histories via OSCAR, a new, validated online tool that automatically codes jobs into the UK Standard Occupational Classification version 2000.
- Funding: Health and Safety Executive, UK.
- The following occupations had elevated risk for COPD by comparing job duration:
- Sculptor, painter, engraver, art restorer: prevalence ratio (PR) in job duration >10 years compared with 0.5-10 years, 1.77 vs 0.96 (P=.05), including subgroup of never-smokers (P=.004).
- Sports coach, athlete, instructor, scorer: PR, 1.69 vs 1.78 (P=.004).
- Gardener, groundsman, park keeper: PR, 1.72 vs 1.24 (P=.007).
- Agriculture and fishing: PR, 1.12 vs 1.76 (P=.009).
- Warehouse stock handler, stacker: PR, 1.83 vs 0.98 (P=.03).
- Plastics processor, molder among never-smokers: PR, 2.74 vs 1.28 (P=.03).
- Coal miners were underrepresented.