International Journal of Environment, Agriculture and Biotechnology
Vol-7, Issue-4; Jul-Aug, 2022
Journal Home Page Available: https://ijeab.com/
Journal DOI: 10.22161/ijeab
Peer Reviewed
ISSN: 2456-1878 (Int. J. Environ. Agric. Biotech.)
https://dx.doi.org/10.22161/ijeab.74.21 186
Cardiopulmonary function, quality of life, musculoskeletal
pain and serum lead level of welders in Enugu, Nigeria
Charles Ikechukwu Ezema
1
, Chidubem K Nwafulume
2
, Chigozie Uchenwoke
3
, Canice C
Anyachukwu
4
, Jovita Ada Daniel
5
, Martins Nweke
6
, Onyenekenwa Cyprian Eneh
*7
1
Department of Medical Rehabilitation, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: charles.ezema@unn.edu.ng
2
Department of Medical Rehabilitation, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: mnwafulume@gmail.com
3
Department of Medical Rehabilitation, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: ucheman99@gmail.com
4
Department of Medical Rehabilitation, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: canice.anyachukwu@unn.edu.ng
5
Department of Prosthetics and Orthotics, School of Health Technology, Federal University of Technology, Owerri, Nigeria. Email:
jovita.daniel@futo.edu.ng
6
Department of Medical Rehabilitation, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: martins.nweke@gmail.com
7
Institute for Development Studies, Enugu Campus, University of Nigeria, Nsukka, Nigeria.
Email: onyenekenwa.eneh@unn.edu.ng
*
Author for correspondence: Eneh, Onyenekenwa Cyprian, Institute for Development Studies, Enugu Campus, University of Nigeria,
Nsukka, Nigeria. Email: onyenekenwa.eneh@unn.edu.ng
Received: 23 Oct 2021; Received in revised form: 15 Nov 2021; Accepted: 30 Nov 2021; Available online: 27 Aug 2022
©2022 The Author(s). Published by Infogain Publication. This is an open access article under the CC BY license
(https://creativecommons.org/licenses/by/4.0/).
Abstract— The study related serum lead level to cardiopulmonary function, quality of life and
musculoskeletal pain of welders in Enugu, Nigeria. Snowball sampling technique was adopted to reach
over 100 Enugu resident welders. The first 100 who met the inclusion criteria and gave their consent to
participate in the study were sampled. The welders’ serum lead level was 0.522μg/dl (0.06-1.26 μg/dl). The
welders had prevalent low back pain and a very high quality of life for the domain of physical health with a
score of 94, and high psychosocial and social relationship domains for quality of life with the scores of 69
and 75 respectively. About 64.2% of the welders had an elevated systolic blood pressure above 120mmHg
and 52.6% had diastolic blood pressure elevated above 80mmHg, while only 3.2% of the welders had pulse
rates above 100 beats per minute. The mean values for lung function were FVC = 1.43, FEV1 = 1.13 and
PEF = 1.61. The significant relationship between serum lead levels (FVC, FEV1 and PEF) could be
attributed to lead inhalation. The significant relationship between serum lead levels and low back pain and
knee pain could be attributed to lead’s effect on the musculoskeletal system.
Keywords— cardiopulmonary function, quality of life, musculoskeletal pain, serum lead level, welders.
I. INTRODUCTION
Welding is a very important process used for joining
metal. With the quick development of science and
industry, welding is used in more production fields, and
the number of welders is increasing. Welders are exposed
to many occupational hazards, including welding fumes,
leading to serious occupational health problem all over the
world. Lead affects major organ system in the body
including hematopoietic, gastrointestinal, respiratory,
renal, nervous and cardiovascular mainly through