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Impacto en la salud laboral de la exposición al calor extremo: una revisión sistemática
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Introducción: El conocimiento actual de los peligros del estrés térmico por calor en el entorno laboral, relacionado con el calentamiento global y los efectos sobre la tensión por calor es incipiente.
Objetivo: Recopilar la evidencia disponible sobre los efectos del calentamiento global, para la salud de los trabajadores.
Material y Métodos: Se realizó una revisión sistemática recuperando revisiones y metaanálisis disponibles en PubMed/MEDLINE y ScienceDirect utilizando las palabras claves: cambio climático; calentamiento global; estrés por calor; salud ocupacional y enfermedades ocupacionales para obtener tantas referencias como fuese posible, filtradas por “revisión sistemática y metaanálisis”. La búsqueda se restringió a artículos publicados en inglés desde 2012 hasta julio de 2022.
Resultados: Se recuperaron 541 referencias y finalmente 10 artículos fueron seleccionados para un análisis en profundidad. Los artículos incluidos se publicaron entre 2014 y 2022, pero la mayoría se emitieron a partir de 2018. La mayor parte de los estudios abordó las enfermedades y lesiones asociadas al estrés térmico por calor en el lugar de trabajo. Los factores de riesgo y exposición al calor en trabajadores al aire libre y las métricas de estrés térmico por calor aparecieron en seis estudios. Cuatro artículos hicieron mención a las medidas de enfriamiento o mitigación del calor.
Conclusiones: Los trabajadores expuestos al calor extremo tienen mayor riesgo de estrés térmico por calor, especialmente aquellos de países en desarrollo de regiones tropicales. Esos trabajadores incluyen el sector agrícola, de la construcción, bomberos, mineros, soldados y trabajadores de manufactura entre otros.
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Referencias
United Nations. What Is Climate Change? [Internet]. Nueva York: United Nations; 2022 [Citado 13/08/2022].
Disponible en: https://www.un.org/en/climatechange/what-is-climate-change
Stocker T, Qin D, eds. Climate change 2013: the physical science basis. Summary for Policymakers, Technical
Summary and Frequently Asked Questions [Internet]. Ginebra: WMO; 2013 [Citado 13/08/2022]. Disponible en:
https://www.ipcc.ch/site/assets/uploads/2018/03/WG1AR5_SummaryVolume_FINAL.pdf
Gao C, Kuklane K, Östergren PO, Kjellstrom T. Occupational heat stress assessment and protective strategies in
the context of climate change. Int J Biometeorol [Internet]. 2018 [Citado 13/08/2022];62(3):359-71. Disponible en:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854720/
Nerbass FB, Pecoits-Filho R, Clark WF, Sontrop JM, McIntyre CW, Moist L. Occupational Heat Stress and Kidney
Health: From Farms to Factories. Kidney International Reports [Internet]. 2017 [Citado 13/08/2022];2(6):998-1008.
Disponible en: https://www.kireports.org/article/S2468-0249(17)30370-4/fulltext
Sylla MB, Faye A, Giorgi F, Diedhiou A, Kunstmann H. Projected Heat Stress Under 1.5 °C and 2 °C Global Warming
Scenarios Creates Unprecedented Discomfort for Humans in West Africa. Earth’s Future [Internet]. 2018 [Citado
/08/2022];6(7):1029-44. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1029/2018EF000873
Opitz-Stapleton S, Sabbag L, Hawley K, Tran P, Hoang L, Nguyen PH. Heat index trends and climate change
implications for occupational heat exposure in Da Nang, Vietnam. Climate Services [Internet]. 2016 [Citado 13/08/2022];
-3:41-51. Disponible en: https://www.sciencedirect.com/science/article/pii/S2405880715300327
Nerbass FB, Pecoits-Filho R, Clark WF, Sontrop JM, McIntyre CW, Moist L. Occupational Heat Stress and Kidney
Health: From Farms to Factories. Kidney International Reports [Internet]. 2017 [Citado 13/08/2022];2(6):998-1008.
Disponible en: https://www.kireports.org/article/S2468-0249(17)30370-4/fulltext
United Nations. Goal 8 Promote sustained, inclusive and sustainable economic growth, full and productive
employment and decent work for all [Internet]. Nueva York: United Nations; 2022 [Citado 13/08/2022]. Disponible en:
https://sdgs.un.org/goals/goal8
WHO. World Health Assembly resolution WHA60·26, “Workers’ Health: Global Plan of Action” [Internet].
Geneva: World Health Organization; 2007 [Citado 13/08/2022]. Disponible en: https://apps.who.int/gb/ebwha/pdf_
files/WHASSA_WHA60-Rec1/E/cover-intro-60-en.pdf
Nybo L, Kjellstrom T, Bogataj LK, Flouris AD. Global heating: Attention is not enough; we need acute and
appropriate actions. Temperature (Austin) [Internet]. 2017 [Citado 13/08/2022];4(3):199-201. Disponible en: https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC5605165/
Mora C, Dousset B, Caldwell IR, Powell FE, Geronimo RC, Bielecki CR, et al. Global risk of deadly heat. Nature
Clim Change [Internet]. 2017 [Citado 13/08/2022];7(7):501-6. Disponible en: https://www.nature.com/articles/
nclimate3322
Al-Bouwarthan M, Quinn MM, Kriebel D, Wegman DH. Assessment of Heat Stress Exposure among Construction
Workers in the Hot Desert Climate of Saudi Arabia. Annals of Work Exposures and Health [Internet]. 2019;63(5):505-
Disponible en: https://doi.org/10.1093/annweh/wxz033
Yi W, Chan APC. Optimal Work Pattern for Construction Workers in Hot Weather: A Case Study in Hong Kong.
Journal of Computing in Civil Engineering [Internet]. 2015 [Citado 13/08/2022];29(5):05014009. Disponible en: https://
ascelibrary.org/doi/10.1061/%28ASCE%29CP.1943-5487.0000419
Leyk D, Hoitz J, Becker C, Jochen Glitz K, Nestler K, Piekarski C. Health Risks and Interventions in Exertional Heat
Stress. Dtsch Arztebl Int [Internet]. 2019 [Citado 13/08/2022];116(31-32):537-44. Disponible en: https://www.ncbi.
nlm.nih.gov/pmc/articles/PMC6783627 /
Nunfam VF, Van Etten EJ, Oosthuizen J, Adusei-Asante K, Frimpong K. Climate change and occupational heat
stress risks and adaptation strategies of mining workers: Perspectives of supervisors and other stakeholders in Ghana.
Environmental Research [Internet]. 2019 [Citado 13/08/2022];169:147-55. Disponible en: https://www.sciencedirect.
com/science/article/pii/S0013935118305772
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and
meta-analyses: the PRISMA statement. PLoS Med [Internet]. 2009 [Citado 13/08/2022];6(7):e1000097. Disponible en:
https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1000097
Shea BJ, Grimshaw JM, Wells GA, Boers M, Andersson N, Hamel C, et al. Development of AMSTAR: a
measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology
[Internet]. 2007;7(1):10. Disponible en: https://doi.org/10.1186/1471-2288-7-10
Shea BJ, Hamel C, Wells GA, Bouter LM, Kristjansson E, Grimshaw J, et al. AMSTAR is a reliable and valid
measurement tool to assess the methodological quality of systematic reviews. Journal of Clinical Epidemiology
[Internet]. 2009 [Citado 14/08/2022];62(10):1013-20. Disponible en: https://www.sciencedirect.com/science/article/
pii/S0895435608003259
Xiang J, Bi P, Pisaniello D, Hansen A. Health impacts of workplace heat exposure: an epidemiological review.
Ind Health [Internet]. 2014 [Citado 13/08/2022];52(2):91-101. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/
articles/PMC4202759/
Morris NB, Jay O, Flouris AD, Casanueva A, Gao C, Foster J, et al. Sustainable solutions to mitigate occupational
heat strain - an umbrella review of physiological effects and global health perspectives. Environ Health [Internet].
[Citado 13/08/2022];19(1):95. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487490/
Moda HM, Filho WL, Minhas A. Impacts of Climate Change on Outdoor Workers and their Safety: Some Research
Priorities. Int J Environ Res Public Health [Internet]. 2019 [Citado 14/08/2022]; 16(18):E3458. Disponible en: https://
www.ncbi.nlm.nih.gov/pmc/articles/PMC6765781/
Levi M, Kjellstrom T, Baldasseroni A. Impact of climate change on occupational health and productivity: a
systematic literature review focusing on workplace heat. Med Lav [Internet]. 2018 [Citado 14/08/2022];109(3):163-
Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7689800/
Habibi P, Moradi G, Dehghan H, Moradi A, Heydari A. The impacts of climate change on occupational heat strain
in outdoor workers: A systematic review. Urban Climate [Internet]. 2021 [Citado 14/08/2022]; 36:100770. Disponible
en: https://www.sciencedirect.com/science/article/pii/S2212095521000018
Flouris AD, Dinas PC, Ioannou LG, Nybo L, Havenith G, Kenny GP, et al. Workers’ health and productivity
under occupational heat strain: a systematic review and meta-analysis. Lancet Planet Health [Internet]. 2018
[Citado 14/08/2022]; 2(12):521-31. Disponible en: https://www.thelancet.com/journals/lanplh/article/PIIS2542-
(18)30237-7/fulltext
El Khayat M, Halwani DA, Hneiny L, Alameddine I, Haidar MA, Habib RR. Impacts of Climate Change and Heat
Stress on Farmworkers’ Health: A Scoping Review. Front Public Health [Internet]. 2022 [Citado 14/08/2022];10:782811.
Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861180/
Binazzi A, Levi M, Bonafede M, Bugani M, Messeri A, Morabito M, et al. Evaluation of the impact of heat stress
on the occurrence of occupational injuries: Meta-analysis of observational studies. Am J Ind Med [Internet]. 2019
[Citado 14/08/2022];62(3):233-43. Disponible en: https://onlinelibrary.wiley.com/doi/10.1002/ajim.22946
Ansah EW, Ankomah-Appiah E, Amoadu M, Sarfo JO. Climate change, health and safety of workers in developing
economies: A scoping review. The Journal of Climate Change and Health [Internet]. 2021 [Citado 01/08/2022];3:100034.
Disponible en: https://www.sciencedirect.com/science/article/pii/S2667278221000316
Acharya P, Boggess B, Zhang K. Assessing Heat Stress and Health among Construction Workers in a Changing
Climate: A Review. Int J Environ Res Public Health [Internet]. 2018 [Citado 01/08/2022];15(2):E247. Disponible en:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858316/
Ebi KL, Capon A, Berry P, Broderick C, de Dear R, Havenith G, et al. Hot weather and heat extremes: health
risks. The Lancet [Internet]. 2021 [Citado 05/09/2022];398:698-708. Disponible en: https://linkinghub.elsevier.com/
retrieve/pii/S0140673621012083
Ciuha U, Pogačar T, Bogataj LK, Gliha M, Nybo L, Flouris AD, et al. Interaction between Indoor Occupational Heat
Stress and Environmental Temperature Elevations during Heat Waves. Weather Climate and Society [Internet]. 2019
[Citado 14/08/2022];11(4):755-62. Disponible en: https://journals.ametsoc.org/doi/10.1175/WCAS-D-19-0024.1
Kjellstrom T, Lemke B, Otto M. Climate conditions, workplace heat and occupational health in South-
East Asia in the context of climate change. WHO South-East Asia Journal of Public Health [Internet]. 2017 [Citado
/09/2022];6(2):15. Disponible en: https://journals.lww.com/wsep/Fulltext/2017/06020/Climate_conditions,_
workplace_heat_and.5.aspx
Berry HL, Bowen K, Kjellstrom T. Climate change and mental health: a causal pathways framework. Int J Public
Health [Internet]. 2010 [Citado 05/09/2022];55(2):123-32. Disponible en: https://link.springer.com/article/10.1007/
s00038-009-0112-0
Ylipaa J, Gabrielsson S, Jerneck A. Climate Change Adaptation and Gender Inequality: Insights from Rural
Vietnam. Sustainability [Internet]. 2019 [Citado 09/09/2022];11(10):2805. Disponible en: https://www.mdpi.
com/2071-1050/11/10/2805
UNDP. Climate Change and Labor: Impacts of Heat in the Workplace | United Nations Development Programme
[Internet]. Nueva York: UNDP; 2016 [Citado 09/09/2022]. Disponible en: https://www.undp.org/publications/climatechange-
and-labor-impacts-heat-workplace
Valdivia Mazeyra MF, Muñoz Ramos P, Serrano R, Alonso Riaño M, Gil Giraldo Y, Quiroga B. Mesoamerican
nephropathy: A not so unknown chronic kidney disease. Nefrologia (Engl Ed) [Internet]. 2021 [Citado
/09/2022];S0211-6995(21)00100-4. Disponible en: https://www.revistanefrologia.com/es-linkresolver-nefropatiaendemica-
mesoamericana-una-enfermedad-S0211699521001004
Sánchez Polo V, García-Trabanino R, Rodríguez G, Madero M. Mesoamerican Nephropathy (MeN): What We
Know so Far. Int J Nephrol Renovasc Dis [Internet]. 2020 [Citado 10/09/2022];13:261-72. Disponible en: https://www.
ncbi.nlm.nih.gov/pmc/articles/PMC7588276/
Abraham G, Agarwal SK, Gowrishankar S, Vijayan M. Chronic Kidney Disease of Unknown Etiology: Hotspots
in India and Other Asian Countries. Seminars in Nephrology [Internet]. 2019 [Citado 10/09/2022];39(3):272-7.
Disponible en: https://www.seminarsinnephrology.org/article/S0270-9295(19)30011-7/fulltext
Jayasumana C. Chronic Interstitial Nephritis in Agricultural Communities (CINAC) in Sri Lanka. Seminars in
Nephrology [Internet]. 2019 [Citado 10/09/2022];39(3):278-83. Disponible en: https://www.seminarsinnephrology.
org/article/S0270-9295(19)30012-9/fulltext
Kanclerz K, Wołyniec W, Rutkowski P, Renke M. Mesoamerican nephropathy – a new challenge for occupational
physicians. Med Pr [Internet]. 2020 [Citado 10/09/2022];71(3):353-61. Disponible en: http://www.journalssystem.
com/medpr/Nefropatia-mezoamerykanska-nowe-wyzwanie-dla-lekarzy-medycyny-pracy-,114104,0,2.html
Correa-Rotter R, García-Trabanino R. Mesoamerican Nephropathy. Seminars in Nephrology [Internet].
[Citado 10/09/2022];39(3):263-71. Disponible en: https://www.seminarsinnephrology.org/article/S0270-
(19)30010-5/fulltext
Haas M. Mesoamerican nephropathy: pathology in search of etiology. Kidney International [Internet]. 2018
[Citado 10/09/2022];93(3):538-40. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0085253817307755
Fischer RSB, Mandayam S, Chavarria D, Vangala C, Nolan MS, García LL, et al. Clinical Evidence of Acute
Mesoamerican Nephropathy. Am J Trop Med Hyg [Internet]. 2017 [Citado 10/09/2022];97(4):1247-56. Disponible en:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5637619/
Kjellstrom T, Briggs D, Freyberg C, Lemke B, Otto M, Hyatt O. Heat, Human Performance, and Occupational
Health: A Key Issue for the Assessment of Global Climate Change Impacts. Annu Rev Public Health [Internet].
[Citado 14/08/2022];37:97-112. Disponible en: https://www.annualreviews.org/doi/abs/10.1146/annurevpublhealth-
-021740
Singh S, Hanna EG, Kjellstrom T. Working in Australia’s heat: health promotion concerns for health and
productivity. Health Promot Int [Internet]. 2015 [Citado 10/09/2022];30(2):239-50. Disponible en: https://academic.
oup.com/heapro/article-lookup/doi/10.1093/heapro/dat027
Jia YA, Rowlinson S, Ciccarelli M. Climatic and psychosocial risks of heat illness incidents on construction site.
Appl Ergon [Internet]. 2016 [Citado 10/09/2022]; 53 Pt A:25-35. Disponible en: https://linkinghub.elsevier.com/
retrieve/pii/S0003-6870(15)30066-1
Ioannou LG, Mantzios K, Tsoutsoubi L, Nintou E, Vliora M, Gkiata P, et al. Occupational Heat Stress: Multi-
Country Observations and Interventions. Int J Environ Res Public Health [Internet]. 2021 [Citado 11/09/2022];18:6303.
Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296111/
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