Pulmonary function abnormalities in never smoking flight attendants exposed to secondhand tobacco smoke in the aircraft cabin

Arjomandi, Mehrdad; Haight, Thaddeus; Redberg, Rita; Gold, Warren M.

doi:10.1097/jom.0b013e3181a7f048

Cited by 32Smoking Behavior and CessationChronic Obstructive Pulmonary Disease (COPD) ResearchOccupational exposure and asthma

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Pulmonary function abnormalities in never smoking flight attendants exposed to secondhand tobacco smoke in the aircraft cabin

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Arjomandi, Mehrdad, Haight, Thaddeus, Redberg, Rita, Gold, Warren M.·2009·Journal of Occupational & Environmental Medicine

DOI 10.1097/jom.0b013e3181a7f048PMC PMC2722845

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Abstract

OBJECTIVE: To determine whether the flight attendants who were exposed to secondhand tobacco smoke in the aircraft cabin have abnormal pulmonary function. METHODS: We administered questionnaires and performed pulmonary function testing in 61 never-smoking female flight attendants who worked in active air crews before the smoking ban on commercial aircraft (preban). RESULTS: Although the preban flight attendants had normal FVC, FEV1, and FEV1/FVC ratio, they had significantly decreased flow at mid- and low-lung volumes, curvilinear flow-volume curves, and evidence of air trapping. Furthermore, the flight attendants had significantly decreased diffusing capacity (77.5% +/- 11.2% predicted normal) with 51% having a diffusing capacity below their 95% normal prediction limit. CONCLUSIONS: This cohort of healthy never-smoking flight attendants who were exposed to secondhand tobacco smoke in the aircraft cabin showed pulmonary function abnormalities suggestive of airway obstruction and impaired diffusion.

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Authors: Arjomandi, M., Haight, T., Redberg, R., & Gold, W. M.
Affiliations: University of California, San Francisco (US)
San Francisco VA Medical Center (US)
Corresponding author: Gold, Warren M.
ORCID: Arjomandi, Mehrdad
Haight, Thaddeus
Redberg, Rita
Venue: Journal of Occupational & Environmental Medicine
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2009-06
Volume: 51
Issue: 6
Pages: 639-646
ISSN: 1076-2752 (ISSN-L)
DOI: 10.1097/jom.0b013e3181a7f048
PMC: PMC2722845
OpenAlex: W2043151873
Cited by: 32
References: 59
Citations by year: 2026: 1 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2019: 2 · 2018: 2 · 2017: 4 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 3 · 2012: 2
FWCI: 1.11
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Journal of Occupational and Environmental Medicine (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Flight Attendant Medical Research Institute
University of California, San Francisco
National Heart, Lung, and Blood Institute (L30 HL082326, K23HL083099)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords: passive smoking, flight attendants, aircraft cabin, never-smoking women, lung function, airway obstruction, diffusing capacity for carbon monoxide, air trapping, flow-volume curve, occupational exposure, smoking bans
MeSH terms: Aged, Aircraft, Female, Forced Expiratory Flow Rates, Humans, Lung, Middle Aged, Surveys and Questionnaires, Respiratory Function Tests, Respiratory Insufficiency, Tobacco Smoke Pollution, Occupational Exposure

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Pulmonary function abnormalities in never smoking flight attendants exposed to secondhand tobacco smoke in the aircraft cabin

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