0340/2023 - Associação entre exposição ocupacional a agrotóxicos e ototoxicidade em agricultores do Pontal do Paranapanema-SP. Association between occupational pesticide exposure and ototoxicity in farmers of Pontal do Paranapanema-SP.
O objetivo do estudo foi avaliar os efeitos ototóxicos e saúde geral de agricultores expostos a agrotóxicos na região do Pontal do Paranapanema-SP. Participantes de ambos os sexos com idade entre 18-40, 40-60 e >60 anos, foram alocados em dois grupos: Grupo Não Exposto (GNE) e Grupo Ocupacionalmente Exposto (GOE). Foram avaliados questionário de exposição e saúde, meatoscopia, audiometria tonal liminar, logoaudiometria e imitanciometria. Cipermetrina, clorpirifós e glifosato foram os agrotóxicos mais notificados. Os tempos de exposição relatados em maior frequência foram 0-10, 31-40 e 51-60 anos. Cefaleia, distúrbios visuais e da coluna vertebral foram as queixas mais detectadas, além de hipertensão e distúrbios gástricos e renais. Apenas 35 (18-40) e 30% (40-60) dos GOE apresentaram boa percepção auditiva. Tontura rotatória, infecção de ouvido, zumbido e otalgia foram relatados. Houve aumento de limiares auditivos na frequência convencional e alta em GOE, em quase todas as frequências e idades, além de alteração do reflexo estapediano. Concluiu-se que a exposição ocupacional a agrotóxicos tem potencial ototóxico e pode prejudicar a saúde geral. Ações de saúde que visem a prevenção em agricultores da região do Pontal do Paranapanema são prioritárias.
Palavras-chave:
Agrotóxicos, Saúde ambiental, Perda Auditiva, Equipamento de Proteção Individual
Abstract:
The aim of study was evaluate ototoxic effects and on general health in farmers exposed to pesticides in the Pontal do Paranapanema region, SP, Brazil. Participants of both sexes with ages of 18-40, 40-60 and >60 years were allocated into the two groups: Non-Exposed Group (NEG) and Occupationally Exposed Group (OEG). Questionnaire of exposure and health, meatoscopy, pure tone audiometry, logoaudiometry, high-frequency thresholds, and immittance testing were performed. Cypermethrin, chlorpyrifos and glyphosate were the most pesticides reported. The exposure times related in more frequency in respective age ranges were: 0-10, 31-40 and 51-60 years. Headache, vision and spinal disorders were complaints more detected, in addition hypertension and gastric and renal disorders. Only 35 (18-40) and 30% (40-60) of OEG had good auditory perception. Rotation dizziness, ear infection, tinnitus and otalgia were reported. There was increase in auditory thresholds in conventional and high frequency in OEG, in almost all frequencies and ages evaluated, in addition alteration of stapedial reflex. In conclusion, occupational pesticide exposure has ototoxic potential and can impairs general health. Preventive health actions for farmers in the Pontal do Paranapanema region are a priority.
Keywords:
Pesticides, Environmental Health, Hearing Impairment, Personal Protective Equipment.
Association between occupational pesticide exposure and ototoxicity in farmers of Pontal do Paranapanema-SP.
Resumo (abstract):
The aim of study was evaluate ototoxic effects and on general health in farmers exposed to pesticides in the Pontal do Paranapanema region, SP, Brazil. Participants of both sexes with ages of 18-40, 40-60 and >60 years were allocated into the two groups: Non-Exposed Group (NEG) and Occupationally Exposed Group (OEG). Questionnaire of exposure and health, meatoscopy, pure tone audiometry, logoaudiometry, high-frequency thresholds, and immittance testing were performed. Cypermethrin, chlorpyrifos and glyphosate were the most pesticides reported. The exposure times related in more frequency in respective age ranges were: 0-10, 31-40 and 51-60 years. Headache, vision and spinal disorders were complaints more detected, in addition hypertension and gastric and renal disorders. Only 35 (18-40) and 30% (40-60) of OEG had good auditory perception. Rotation dizziness, ear infection, tinnitus and otalgia were reported. There was increase in auditory thresholds in conventional and high frequency in OEG, in almost all frequencies and ages evaluated, in addition alteration of stapedial reflex. In conclusion, occupational pesticide exposure has ototoxic potential and can impairs general health. Preventive health actions for farmers in the Pontal do Paranapanema region are a priority.
Palavras-chave (keywords):
Pesticides, Environmental Health, Hearing Impairment, Personal Protective Equipment.
Judai, M. A., Simões, J. S. T., Favareto, A. P. A., Antunes, P. A.. Associação entre exposição ocupacional a agrotóxicos e ototoxicidade em agricultores do Pontal do Paranapanema-SP.. Cien Saude Colet [periódico na internet] (2023/nov). [Citado em 09/03/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/associacao-entre-exposicao-ocupacional-a-agrotoxicos-e-ototoxicidade-em-agricultores-do-pontal-do-paranapanemasp/18966?id=18966
