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VOLUME 11 , ISSUE 3 ( July-September, 2022 ) > List of Articles

Original Article

A Cross-sectional Study of Lung Functions and Respiratory Morbidity in Stone Sculptors in Rural Areas of Kanchipuram District

S. Vidhya Priya

Keywords : Chronic obstructive pulmonary disease, forced expiratory volume in one second, pulmonary function tests, silica

Citation Information : Priya SV. A Cross-sectional Study of Lung Functions and Respiratory Morbidity in Stone Sculptors in Rural Areas of Kanchipuram District. Indian J Respir Care 2022; 11 (3):261-266.

DOI: 10.4103/ijrc.ijrc_73_22

License: CC BY-NC-SA 4.0

Published Online: 01-12-2022

Copyright Statement:  Copyright © 2022; Indian Journal of Respiratory Care.


Context: Stone sculptors are more prone to many occupation.related lung diseases due to continuous exposure to dust particles generated in the workplace. All of these lead to impaired lung functions, which affects the quality of life. Objectives: The objective of this study is to assess the prevalence of respiratory symptoms and respiratory morbidity.related quality of life among stone sculptors. Methodology: This is a cross.sectional study among 125 stone sculptors in the rural areas of Mahabalipuram. Data regarding demographic variables, socioeconomic status, respiratory symptoms, quality of life using the St. George's Respiratory Questionnaire (SGRQ), and spirometry values (using pulmonary function test - mini spirometry) were collected and analyzed. Results: Among the study individuals, 33 (26.4%) had dyspnea, 25 (20%) had cough, 17 (13.6%) had sputum production, 12 (9.6%) had wheezing, 4 (3.2%) had chest pain, and 4 (3.2%) had hemoptysis. The age of the stone sculptors and duration of years of work, smoking, comorbidities and respiratory symptoms had a significant negative correlation with forced expiratory volume in one second/forced vital capacity ratio. The age of the stone sculptors, duration of years of work, duration of smoking, and duration of alcohol intake also had a significant positive correlation with the SGRQ score. Conclusion: Stone sculptors develop impaired lung functions and reduced quality of life based on the aforementioned factors. To prevent them from developing and worsening respiratory morbidity, periodic screening of individuals, effective use of personal protective equipment, and smoking control measures should be implemented and reinforced in the workplace.

  1. World Health Organization. Regional Office for the Eastern Mediterranean. Occupational Health: A Manual for Primary Health Care Workers; 2002. Available from: [Last accessed on 2021 Dec 10].
  2. Vlahovich KP, Sood A. A 2019 update on occupational lung diseases: A narrative review. Pulm Ther 2021;7:75-87.
  3. Lippmann M, Yeates DB, Albert RE. Deposition, retention, and clearance of inhaled particles. Br J Ind Med 1980;37:337-62.
  4. Theodore FH, Paul G. Pulmonary deposition and retention of inhaled aerosols. In: E-Book: Environmental Science. First edition: Elsevier; Cambridge, Massachusetts, United States 1964. Available from: [Last accessed on 2021 Dec 15].
  5. Mengesha YA, Bekele A. Relative chronic effects of different occupational dusts on respiratory indices and health of workers in three Ethiopian factories. Am J Ind Med 1998;34:373-80.
  6. Nguyen JA, Salmi D. Educational Case: Pneumoconiosis. Academic pathology, 2021;8:23742895211013530. https://doi. org/10.1177/23742895211013530.
  7. Malmberg P, Hedenström H, Sundblad BM. Changes in lung function of granite crushers exposed to moderately high silica concentrations: A 12 year follow up. Br J Ind Med 1993;50:726-31.
  8. Theriault GP, Peters JM, Fine LJ. Pulmonary function in granite shed workers of Vermont. Arch Environ Health 1974;28:18-22.
  9. Zhao JQ, Li JG, Zhao CX. Prevalence of pneumoconiosis among young adults aged 24-44 years in a heavily industrialized province of China. J Occup Health 2019;61:73-81.
  10. Benjamin RM. Improving health by improving health literacy. Public Health Rep 2010;125:784-5.
  11. Sheikh JA, Khan ZA, Khan T, Chowdhary S. Pulmonary function among stone quarry workers in India: The effect of duration of exposure, smoking status and job profile on pulmonary function tests. J Health Soc Sci 2018;3:137-46.
  12. Hurley JF, Burns J, Copland L, Dodgson J, Jacobsen M. Coalworkers’ simple pneumoconiosis and exposure to dust at 10 British coalmines. Br J Ind Med 1982;39:120-7.
  13. Xia Y, Liu J, Shi T, Xiang H, Bi Y. Prevalence of pneumoconiosis in Hubei, China from 2008 to 2013. Int J Environ Res Public Health 2014;11:8612-21.
  14. Bang KM, Althouse RB, Kim JH, Game SR. Recent trends of age-specific pneumoconiosis mortality rates in the United States, 1985-1996: Coal workers’ pneumoconiosis, asbestosis, and silicosis. Int J Occup Environ Health 1999;5:251-5.
  15. Shrivastava A, Tomar SP, Patel M. Prevalence of symptoms of occupational lung diseases in marble cutting workers. Int J Community Med Public Health 2018;5:3368.
  16. Gamble JF, Hessel PA, Nicolich M. Relationship between silicosis and lung function. Scand J Work Environ Health 2004;30:5-20.
  17. Hessel PA, Gamble JF, Nicolich M. Relationship between silicosis and smoking. Scand J Work Environ Health 2003;29:329-36.
  18. Brown T. Silica exposure, smoking, silicosis and lung cancer-complex interactions. Occup Med (Lond) 2009;59:89-95.
  19. Kurihara N, Wada O. Silicosis and smoking strongly increase lung cancer risk in silica-exposed workers. Ind Health 2004;42:303-14.
  20. Yu IT, Tse LA. Exploring the joint effects of silicosis and smoking on lung cancer risks. Int J Cancer 2007;120:133-9.
  21. Zhang M, Zheng YD, Du XY, Lu Y, Li WJ, Qi C, et al. Silicosis in automobile foundry workers: A 29-year cohort study. Biomed Environ Sci 2010;23:121-9.
  22. Melo V, Baía L, Rita Gaio A, Duarte R. Silicosis, tuberculosis time bomb? Rev Port Pneumol (2006) 2016;22:355-7.
  23. Yadav SP, Anand PK, Singh H. Awareness and practices about silicosis among the sandstone quarry workers in desert ecology of Jodhpur, Rajasthan, India. J Hum Ecol 2011;33:191-6.
  24. Han B, Yan B, Zhang J, Zhao N, Sun J, Li C, et al. The influence of the social support on symptoms of anxiety and depression among patients with silicosis. Scientific World Journal 2014;2014:724804.
  25. Rajavel S, Raghav P, Gupta MK, Muralidhar V. Silico-tuberculosis, silicosis and other respiratory morbidities among sandstone mine workers in Rajasthan – A cross-sectional study. PLoS One 2020;15:e0230574.
  26. Ghotkar VB, Maldhure BR, Zodpey SP. Involvement of lung and lung function tests in stone quarry workers. Indian J Tuberc 1995;42:155-60. Available from: [Last accessed on 2021 Dec 20].
  27. Aghilinejad M, Naserbakht A, Naserbakht M, Attari G. Silicosis among stone-cutter workers: A cross-sectional study. Tanaffos 2012;11:38-41.
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