Accelerated lung function decline in an aluminium manufacturing industry cohort exposed to PM2.5: an application of the parametric g-formula Original paper

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  • Divine Aleru ID
    Divine Aleru

    User avatarDivine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

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October 23, 2025

Researched by:

  • Divine Aleru ID
    Divine Aleru

    User avatarDivine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

    Read More

Last Updated: 2025-10-23

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Divine Aleru

Divine Aleru is an accomplished biochemist and researcher with a specialized background in environmental toxicology, focusing on the impacts of heavy metals on human health. With deep-rooted expertise in microbiome signatures analysis, Divine seamlessly blends rigorous scientific training with her passion for deciphering the intricate relationships between environmental exposures and the human microbiome. Her career is distinguished by a commitment to advancing integrative health interventions, leveraging cutting-edge microbiome research to illuminate how toxic metals shape biological systems. Driven by curiosity and innovation, Divine is dedicated to translating complex environmental findings into actionable insights that improve individual and public health outcomes.

What was issued?

The study explores the effects of exposure to fine particulate matter (PM2.5) on lung function in workers at a U.S. aluminum manufacturing company. The study used the parametric g-formula to assess the relationship between exposure to PM2.5 and lung function decline over time. The results suggest that prolonged exposure to PM2.5 in aluminum manufacturing facilities accelerates lung function decline, particularly in smelting environments where exposure levels are higher. The study also examines hypothetical interventions that could reduce exposure and improve lung function outcomes.

Who is affected?

This study primarily affects workers in the aluminum manufacturing industry, especially those involved in smelting, fabrication, and refinery operations where particulate matter exposure is high. Vulnerable populations, such as individuals with preexisting respiratory conditions, elderly workers, and those with prolonged exposure, are most at risk. Regulatory bodies and public health officials are responsible for setting and enforcing exposure limits for particulate matter in occupational settings. Food and manufacturing companies using aluminum as a primary material may also be affected as they evaluate exposure risks to their workforce. Additionally, workers in similar industries with exposure to hazardous particulates are relevant to the findings.

Most important findings

The study found that workers in aluminum manufacturing facilities experience accelerated lung function decline due to long-term exposure to PM2.5. The data showed that exposure to particulate matter in smelting facilities leads to a significant reduction in forced expiratory volume (FEV1) and forced vital capacity (FVC) over time. Hypothetical interventions that reduced exposure to PM2.5 showed potential improvements in lung function, with a significant increase in predicted FEV1 and FVC after 10 years compared to the natural course of exposure. The findings indicate that even within the current permissible exposure limits, workers still experience adverse health effects, emphasizing the need for stricter exposure controls.

Key implications

For industry stakeholders, the key implication of these findings is the need to implement stronger controls on PM2.5 exposure, especially in high-risk environments like aluminum smelting. Engineering controls, respiratory protection, and better monitoring practices are essential to mitigate lung function decline among workers. Regulatory bodies should update existing occupational safety standards to lower permissible exposure levels for PM2.5 and incorporate findings from such studies into workplace health policies. Public health officials should work with industries to monitor respiratory health over time, promoting regular lung function testing and preventative measures. The study also suggests that industry-wide collaboration and adherence to updated safety standards will improve workers’ health outcomes.

Citation

Neophytou AM, Costello S, Picciotto S, Noth EM, Liu S, Lutzker L, Balmes JR, Hammond K, Cullen MR, Eisen EA. Accelerated lung function decline in an aluminium manufacturing industry cohort exposed to PM2.5: an application of the parametric g-formula. Occup Environ Med. 2019 Dec;76(12):888-894. doi: 10.1136/oemed-2019-105908

Aluminum (Al)

Aluminum is a pervasive metal found in a wide range of consumer products, from food packaging and cookware to medications and personal care items. Although often overlooked, aluminum exposure can accumulate over time, posing long-term health risks, especially to vulnerable populations like infants, children, and individuals with kidney conditions.