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Years of toxic fumes exposure and respiratory symptoms in relation to lung function profile among enclosed parking-garage personnel in selected establishments of Cebu City.


May Hansel T. Bautista,
Samuel  C. Dy Jr.,
Samantha C. Hamoy,
Saskia K. Lasa,
Faith Adelweiz D. Tero,
Kimberly Rose D. Tero

Related Institution

College of Rehabilitative Sciences - Department of Respiratory Therapy - Cebu Doctors' University

Publication Information

Publication Type
Thesis Degree
Respiratory Therapy
Publication Date
March 2016


     The objective of the research study was to assess the respiratory symptoms and the lung function profile among enclosed parking-garage personnel in different establishments in Cebu City. Thirty (30) enclosed parking-garage personnel were selected through purposive sampling technique. The American Thoracic Society and National Heart and Lung Institute-Division of Lung Disease Respiratory Questionnaire (ATS-DLD-78-A) was utilized in the study to identify the prevalence of respiratory symptoms among the respondents. Also, a Medical International Research (MIR) Spirobank G portable spirometer was used to quantify the presence or absence of lung impairment.

     Through the use of American Thoracic Society and National Heart and Lung Institute-Division of Lung Disease Respiratory Questionnaire, results showed that most of the respondents experienced cough (53%), breathlessness (43.3%), chest illnesses (43.3%), phlegm (36.7%), wheezing (36.7%) and cough and phlegm (13.3%). The 30 enclosed parking-garage personnel in different establishments were categorized by the duration of working years of exposure with 10 respondents in each of the category, less than one (1) year, one (1) to three (3) years and more than three (3) years. Forced Expiratory Volume in One Second, Forced Vital Capacity, Forced Expiratory Volume in One Second/Forced Vital Capacity ratio and Peak Expiratory Flow were used to measure the lung function of the respondents and further assess the relationship to the respondent's toxic fumes exposure and respiratory symptoms. About 66.7% showed normal FEV1, mild FEV1 revealed 13.3%, moderate FEV1 presented 6.7% and 3.3% with severe FEV1. Forced Vital Capacity was also tested, 60.0% had a normal FVC, 23.3% with mild FVC level, 13.3% had moderate FVC and 3.3% with severe FVC. FEV1/FVC ratio was measured and only 3.3% showed abnormal result and the rest, 96.7% belonged to normal level. Lastly, PEF was presented; 73.3% with normal, 20.0% with mild and 6.7% with severe. With the use of Spearman's Rho Correlation, no relationship was shown between the years of toxic fumes exposure and the lung function profile of the respondents. Although, most of the results showed to have no relationship between respiratory symptom and lung function profile, a moderate negative relationship was seen between the respiratory symptom chest illness with the FEV1 and FVC parameter. Even though majority of results showed no relationship, the outcomes should not be neglected for minority of the respondents.

     Parking-garage personnel from other establishments in Cebu City should be considered in parallel to broaden the scope of the respondents and be able to determine differences or improvement from this study. Lung function measurement with the use of spirometer before working hours and after working hours of respondents may be done to assess for changes in pulmonary function with such exposure to toxic fumes. Furthermore, this study may be used by future researchers as a reference in formulating a new study with the correlation of duration of toxic fumes exposure and respiratory symptoms to lung function.


1. Abbasi, I. N. , Ahsan, A. , Nafees, A. A.+ . " Correlation of respiratory symptoms and spirometric lung patterns in a rural community setting, Sindh, Pakistan: A cross sectional survey." BMC Pulmonary Medicine 12(18): 1-9, 2012. Retrieved from: http://doi: 10.1186/1471-2466-12-81
2. Anuja, A. V. , Veeraiah, V. , Johnson, P. , Subashin, A. S. . "Evaluation and comparison of pulmonary function tests in petrol pump workers Vs individuals unexposed to petrol fumes." Journal of Clinical and Biomedical Sciences 4(2): 276-281, 2014. Retrieved from: http://www.jcbsonline.ac.in/Articles/5_2_OriginalArticle_V4_I2.pdf
3. Aprajita, , Panwar, N. K. , Sharma, R. S. . "A study on the lung function tests in petrol-pump workers" Journal of Clinical and Diagnostic Research 5(5): 1046-1050, 2011. Retrieved from: http://www.jcdr.net/articles/PDF/1520/34%20-%202749.pdf
4. Balentine, J. R. , Nabili, S. N. . (2014, November 30). Upper respiratory tract infection.. . Retrieved from: http://www.medicinenet.com/upper_respiratory_infection/page2.htm
5. Bluepoint Environmen, . (2011, November 30). Health effects of indoor air pollution: Health effects of poor air quality.. . Retrieved from: http://www.bluepointenvironmental.com/indoor-air-quality-health-effects/
6. The BMJ, . (2015, November 30). Correlation and regression.. . Retrieved from: http://www.bmj.com/about-bmj/resources-readers/publications/statistics-square-one/11-correlation-and-regression
7. Chaloulakou, A. , Duci, A. , Spyrellis, N. . "Exposure to carbon monoxide in enclosed multilevel parking garages in Central Athens urban area." Indoor and Built Environment 11, 191-201, 2002. Retrieved from: http://www.chemeng.ntua.gr/files/Garage1.pdf
8. Chattopadhyay, O. . "Pulmonary function in automobile repair workers." Indian Journal of Community Medicine 32(1): 40-42, 2007. Retrieved from: http://medind.nic.in/iaj/t07/i1/iajt07i1p40.pdf
9. Costa, D. L. . Air pollution. Casarett and Doull’s Toxicology: The basic science of poisons (6th ed.). New York: McGraw-Hill, 2001. 979-1007.
10. Des Jardins, T. , Burton, G. G. . Clinical manifestations and assessment of respiratory disease (6th ed.). Missouri: Mosby Elsevier., 2011.
11. Dickey, J. H. . (2014, November 30). Air pollution and primary care medicine.. . Retrieved from: http://www.psr.org/chapters/boston/health-and-environment/air-pollution-and-primary.html#AIR-TOXICS-HAZ-AIR-POL
12. Douce, F. H. . Pulmonary function testing. Egan’s fundamentals of respiratory care (10th ed.). Missouri: Elsevier Mosby, 2013. 417-449. . Retrieved from: http://
13. Fume, . Merriam – Webster Online Dictionary. . Retrieved from: http://www.merriam-webster.com/dictionary/fume
14. Gamble, J. , Jones, W. , Minshall, S. . "Epidemiological-environmental study of diesel bus garage workers" Chronic Effects of Diesel Exhaust on the Respiratory System 44(1): 6-17, 1987. Retrieved from: http://doi: 10.1016/S0013-9351(87)80082-8
15. Global initiative fo, . (2009, November 30). Pocket guide to COPD diagnosis, management and prevention.. . Retrieved from: http://www.goldcopd.org/uploads/users/files/GOLD_Pocket_2010Mar31.pdf
17. Gysels, M. H. , Higginson, I. J. . " The lived experience of breathlessness and its implications for care: A qualitative comparison in cancer, COPD, heart failure and MND." BMC Palliative Care 10(15): 1-10, 2011. Retrieved from: http://doi: 10.1186/1472-684X-10-15
18. Han, X. , Naeher, L. P. . "A review of traffic-related air pollution exposure assessment studies in the developing world" Environment International 32, 106-120, 2005. Retrieved from: http://doi:10.1016/j.envint.2005.05.020
19. Harvard Health Publi, . (2014, November 30). That nagging cough.. . Retrieved from: http://www.health.harvard.edu/staying-healthy/that-nagging-cough
20. Hicks, G. H. , Eckrode, C. A. . Smoke inhalation injury and burns.. Respiratory disease: A case study approach to patient care (3rd ed.) Philadelphia: F. A. Davis Company, 2007. 189-219.
21. Holstege, C. P. . (2013, November 30). Smoke inhalation.. . Retrieved from: webmd.com/lung/smoke_inhalation_treatment_firstaid.htm?print=true
22. Jolley, C. , Moxtram, J. . "A physiological model of patient-reported." European Respiratory Review 18(112): 66-79, 2009. Retrieved from: http://doi: 10.1183/09059180.00000809
23. Kaneshiro, N. , Zieve, D. , Ogilvie, I. . (2013, November 30). Wheezing.. . Retrieved from: https://www.nlm.nih.gov/medlineplus/ency/article/003070.htm
24. Knowles, M. R. , Boucher, R. C. . "Mucus clearance as a primary innate defense mechanism for mammalian airways." The Journal of Clinical Investigation 109(5): 571-577, 2002. Retrieved from: http://doi: 10.1172/JCI15217
25. Krarti, M. , Ayari, A. . "Ventilation for enclosed parking garages." ASHRAE Journal 43(2): 52-57, 2001. Retrieved from: http://www.mobilecalibrationservices.com/Ventilation_for_enclosed_parking_garages.pdf
26. Krivoshto, I. N. , Richards, J. R. , Alberson, T. E. , Derlet, R. w. . "The toxicity of diesel exhaust: Implications for primary care." Journal of the American Board of Family Medicine 21, 55-62, 2008. Retrieved from: http://doi: 10.3122/jabfm.2008.01.070139
27. Martin, H. . (). Demand-controlled ventilation in vehicle parks. (SenseAir TN-021).. . Retrieved from: http://senseair.se/wp-content/uploads/2011/08/E-TN-021.pdf
28. Mayo Clinic, . (1997, November 30). Wheezing causes.. . Retrieved from: http://www.mayoclinic.org/symptoms/wheezing/basics/causes/sym-20050764
29. McDonald, J. H. . (2013, November 30). Handbook of biolological statistics.. . Retrieved from: http://www.biostathandbook.com/HandbookBioStatThird.pdf
30. Mottram, C. D. . (2012, November 30). Ruppel’s manual of pulmonary function testing (3rd ed).. . Retrieved from: http://www.academia.edu/17725282/Ruppels_Manual_of_Pulmonary_Function_Testing
31. Mount Sinai- Irving , . (2011, November 30). Diesel exhaust exposure: What to do.. . Retrieved from: http://www.usa829.org/Portals/0/Documents/Health-and-Safety/Safety-Library/Diesel-Exhaust-Exposure_What-To-Do.pdf
33. Ray, L. . (2014, November 30). What are the dangers of coughing?. . Retrieved from: http://www.livestrong.com/article/132143-what-are-dangers-coughing/
34. Rom, W. , Ryon, D. . "Diseases caused by respiratory irritants and toxic chemicals." Encyclopaedia of Occupational Health & Safety 21(23): 2011. Retrieved from: http://www.iloencyclopaedia.org/part-i-47946/respiratory-system/21-10-respiratory-system/diseases-caused-by-respiratory-irritants-and-toxic-chemicals
35. Rossoff, I. S. . Encyclopedia of clinical toxicology. New York: The Parthenon Publishing Group, 2002.
36. Rudell, B. , Ledin, M. , Hammarstom, U. , Stjernberg, N. , Lundback, B. , Sandstrom, T. . "Effects on symptoms and lung function in humans experimentally exposed to diesel exhaust." Occupational and Environmental Medicine 53, 658-662, 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1128571/pdf/oenvmed00082-0010.pdf
37. Sulaiman, R. , Din, N. , Ishak, N. H. . "Indoor air quality in selected underground car park in Malaysia: Studies on ventilation system and the design layout." Indoor Air Quality, Ventilation & Energy Conservation in Buildings, Sendi, Japan: 2007. . Retrieved from: http://https://www.researchgate.net/publication/266249931_INDOOR_AIR_QUALITY_IN_SELECTED_UNDERGROUND_CAR_PARK_IN_MALAYSIA_STUDIES_ON_VENTILATION_SYSTEM_AND_THE_DESIGN_LAYOUT
38. Sydbom, A. , Blomberg, A. , Parnia, S. , Stenfors, N. , Sandstrom, T. , Dahlen, S. . "Health effects of diesel exhaust emissions." European Respiratory Society Journal 17, 733-746, 2001. Retrieved from: http://erj.ersjournals.com/content/erj/17/4/733.full.pdf
39. Topacoglu, H. , Katsakoglou, S. , Ipekci, A. . "Effect of exhaust emissions on carbon monoxide levels in employees working at indoor car wash facilities." Hippokratia 18(21): 37-39, 2014. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103039/pdf/hippokratia-18-37.pdf
40. Townsend, C. , Maynard, R. . "Effects on health of prolonged exposure to low concentrations of carbon monoxide." Occupational and Environmental Medicine 59(10): 708-711, 2002. Retrieved from: http://doi:org/10.1136/oem.59.10.708
41. Toxic, . Merriam-Webster Online Dictionary. . Retrieved from: http://www.merriam-webster.com/dictionary/toxic
42. Tsuchiya, A. . (2005, November 30). Carbon monoxide measuring in the university garages.. . Retrieved from: http://nature.berkeley.edu/classes/es196/projects/2006final/tsuchiya.pdf
43. Vaidya, P. , Kashyap, S. , Sharma, A. , Gupta, D. , Mohapatra, P. . "Respiratory symptoms and pulmonary function tests in school teachers of Shimla. " Lung India (24): 6-10, 2007. Retrieved from: http://doi: 10.4103/0970-2113.44195
44. Woolley, R. . (2011, November 30). Lung capacity is best predictor of health longevity.. . Retrieved from: http://oxygensupercharger.com/lung-capacity-best-predictor-health-longevity/

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Cebu Doctors' University - Main Library U12 Y33b 2016 Fulltext Print Format

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