Sleep disturbances and occupational exposure to solvents.

A solvent can be defined as "a liquid that has the ability to dissolve, suspend or extract other materials, without chemical change to the material or solvent". Numerous chemical or technical processes rely on these specific properties of organic solvents in industry. Occupational exposure to solvents is not rare and some activities may cause substantial exposure to these substances in the workforce. Short-term or acute exposures cause a prenarcotic syndrome, and long lasting exposure conditions have been associated with various neurological and neuropsychiatric disorders, e.g., anosmia, hearing loss, colour vision dysfunctions, peripheral polyneuropathy and depression, but most significantly with the gradual development of an irreversible toxic encephalopathy. For the last 3 decades reports and epidemiological studies have been published reporting sleep disturbances among other complaints, related to long-term exposure to these compounds. In addition, the question has been posed if solvents can be the cause of a sleep apnoea syndrome in exposed workers, or on the contrary, if these workers are misdiagnosed and 'common' sleep apnoea syndromes are the cause of their chronic symptoms of fatigue and memory and attentional disturbances.

[1]  B. Gullberg,et al.  A CPRS SUBSCALE TO ASSESS MENTAL SYMPTOMS IN WORKERS EXPOSED TO JET FUEL — SOME METHODOLOGICAL CONSIDERATIONS *) , 1978, Acta psychiatrica Scandinavica. Supplementum.

[2]  N. Carter,et al.  Occupational exposure to organic solvents and sleep-disordered breathing. , 1997, Neuroepidemiology.

[3]  T. Honma,et al.  Neurochemical profile of effects of 28 neurotoxic chemicals on the central nervous system in rats (1). Effects of oral administration on brain contents of biogenic amines and metabolites. , 1994, Industrial health.

[4]  H. Kay Environmental Health Criteria , 1980 .

[5]  K. Rootwelt,et al.  Carbon disulfide exposure and neurotoxic sequelae among viscose rayon workers. , 1990, American journal of industrial medicine.

[6]  M. Wise,et al.  Trichloroethane (TCE) and central sleep apnea: a case study. , 1983, Journal of Toxicology and Environmental Health, Part A.

[7]  O. Almkvist,et al.  Sleep disturbances and exposure to organic solvents. , 1992, Archives of environmental health.

[8]  P. Arlien‐Søborg,et al.  Brain autopsy in organic solvent syndrome , 1993, Acta Neurologica Scandinavica.

[9]  E Mitran,et al.  Neurotoxicity associated with occupational exposure to acetone, methyl ethyl ketone, and cyclohexanone. , 1997, Environmental research.

[10]  A J Block,et al.  Alcohol increases sleep apnea and oxygen desaturation in asymptomatic men. , 1981, The American journal of medicine.

[11]  R. Lilis,et al.  Neurotoxic effects of solvent exposure on sewage treatment workers. , 1988, Archives of environmental health.

[12]  J. Ulfberg,et al.  Occupational exposure to organic solvents as a cause of sleep apnoea. , 1993, British journal of industrial medicine.

[13]  Y. Doi An epidemiologic review on occupational sleep research among Japanese workers. , 2005, Industrial health.

[14]  K. Brady,et al.  Sleep disturbances associated with posttraumatic stress disorder and alcohol dependence. , 2008, Addictive behaviors.

[15]  K. Nakagaki,et al.  Partial insomnia, hyperactivity and hyperdipsia induced by repeated administration of toluene in rats: their relation to brain monoamine metabolism. , 1985, Toxicology.

[16]  A. Kaukiainen,et al.  Solvent-related health effects among construction painters with decreasing exposure. , 2004, American journal of industrial medicine.

[17]  L. Godderis,et al.  Neurobehavioral and clinical effects in workers exposed to CS(2). , 2006, International journal of hygiene and environmental health.

[18]  S. D. Grosbois,et al.  La santé mentale et l’exposition aux solvants organiques en milieu de travail , 1985 .

[19]  H. Arito,et al.  Effect of subchronic inhalation exposure to low-level trichloroethylene on heart rate and wakefulness-sleep in freely moving rats. , 1994, Sangyo igaku. Japanese journal of industrial health.

[20]  I. Sulg,et al.  The clinical significance of sleep apnoea in workers exposed to organic solvents: implications for the diagnosis of organic solvent encephalopathy , 1992, Journal of Neurology.

[21]  A. J. Block,et al.  Effect of alcohol ingestion on breathing and oxygenation during sleep. Analysis of the influence of age and sex. , 1986, The American journal of medicine.

[22]  M Ikeda,et al.  Exposure of workers to a mixture of toluene and xylenes. II. Effects. , 1994, Occupational and environmental medicine.

[23]  G. D. den Heeten,et al.  Cerebral impairment in chronic solvent‐induced encephalopathy , 2008, Annals of neurology.

[24]  S. Dager,et al.  Neuropsychological function in retired workers with previous long-term occupational exposure to solvents. , 1999, Occupational and environmental medicine.

[25]  P. Orbaek,et al.  Prospective clinical and psychometric investigation of patients with chronic toxic encephalopathy induced by solvents. , 1988, Scandinavian journal of work, environment & health.

[26]  A. Wennberg,et al.  Psychiatric and neurological symptoms in workers occupationally exposed to organic solvents — results of a differential epidemiological study , 1983, Acta psychiatrica Scandinavica. Supplementum.

[27]  B Haeger-Aronsen,et al.  Effects of long-term exposure to solvents in the paint industry. A cross-sectional epidemiologic study with clinical and laboratory methods. , 1985, Scandinavian journal of work, environment & health.

[28]  M Nurminen,et al.  Behavioral effects of long-term exposure to a mixture of organic solvents. , 1976, Scandinavian journal of work, environment & health.

[29]  K. Kilburn Neurobehavioral and respiratory findings in jet engine repair workers: A comparison of exposed and unexposed volunteers. , 1999, Environmental research.

[30]  A. Wiens,et al.  Organic solvent-induced encephalopathy in industrial painters. , 1986, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[31]  A. Seidler,et al.  Sleep apnea and occupational exposure to solvents. , 2002, Scandinavian journal of work, environment & health.

[32]  K Husman,et al.  Symptoms of car painters with long-term exposure to a mixture of organic solvents. , 1980, Scandinavian journal of work, environment & health.

[33]  A Isaksson,et al.  Long-term exposure to jet fuel. II. A cross-sectional epidemiologic investigation on occupationally exposed industrial workers with special reference to the nervous system. , 1978, Scandinavian journal of work, environment & health.

[34]  M. Ikeda,et al.  Dose-dependent increase in subjective symptoms among toluene-exposed workers. , 1993, Environmental research.

[35]  C. Hogstedt,et al.  Neuropsychiatric function of housepainters with previous long-term heavy exposure to organic solvents. , 1995, Scandinavian Journal of Work, Environment and Health.

[36]  O. Ladefoged,et al.  Neurological Effects of White Spirit: Contribution of Animal Studies during a 30-Year Period*. , 2006, Basic & clinical pharmacology & toxicology.

[37]  B. Deelman,et al.  Psychological Treatment of Patients with Chronic Toxic Encephalopathy: Lessons from Studies of Chronic Fatigue and Whiplash , 2003, Psychotherapy and Psychosomatics.

[38]  M. Viaene Overview of the neurotoxic effects in solvent-exposed workers , 2002 .

[39]  A Isaksson,et al.  Exposure to organic solvents. A cross-sectional epidemiologic investigation on occupationally exposed care and industrial spray painters with special reference to the nervous system. , 1980, Scandinavian journal of work, environment & health.

[40]  B. Robinson,et al.  Sleep apnoea in alcoholic patients after withdrawal. , 1985, Clinical science.

[41]  N. Hisanaga,et al.  The neurotoxicity of toluene: EEG changes in rats exposed to various concentrations. , 1977, British journal of industrial medicine.

[42]  H. Veulemans,et al.  Neurobehavioural changes and persistence of complaints in workers exposed to styrene in a polyester boat building plant: influence of exposure characteristics and microsomal epoxide hydrolase phenotype , 2001, Occupational and environmental medicine.

[43]  T. Meinhardt,et al.  Epidemiologic investigations of styrene-butadiene rubber production and reinforced plastics production. , 1978, Scandinavian journal of work, environment & health.

[44]  I. Sulg,et al.  Sleep apnoea and organic solvent exposure , 1987, Journal of Neurology.

[45]  L. Barregard,et al.  Self-reported symptoms and their effects on cognitive functioning in workers with past exposure to solvent-based glues: an 18-year follow-up , 2007, International archives of occupational and environmental health.