Occupational Differences in Plasma Lipid Profile and Lipid Peroxidation among Automobile Mechanics and Non-Exposed Adults in Southwestern Nigeria
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Abstract
Background: Automobile mechanics are occupationally exposed to petroleum-derived substances, metals and other workplace contaminants that may contribute to alterations in lipid metabolism and oxidative stress. This study investigated differences in plasma lipid profile and lipid peroxidation between automobile mechanics and non-exposed adults in Ondo Metropolis, Southwestern Nigeria.
Methods: An analytical cross-sectional study was conducted among 292 participants comprising 146 automobile mechanics and 146 non-exposed adults. Fasting blood samples were collected for determination of total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), very-low-density lipoprotein cholesterol (VLDL-C) and malondialdehyde (MDA). Data were analysed using independent-samples t-tests, Pearson correlation and multivariable linear regression adjusted for age, body mass index (BMI) and sex.
Results: Mechanics had higher mean TC, TG, LDL-C, VLDL-C and MDA, but lower HDL-C, than non-exposed adults (all p<0.001). Occupational group remained independently associated with TC, TG, HDL-C, LDL-C and MDA after adjustment for age, BMI and sex (all p<0.001). Among mechanics, duration of employment was positively correlated with TC, TG, VLDL-C and MDA, with the strongest association observed for MDA (r=0.572, p<0.001).
Conclusion: Automobile mechanics had a more atherogenic plasma lipid profile and higher lipid peroxidation than non-exposed adults. Improved occupational hygiene, consistent use of personal protective equipment and appropriate health surveillance are recommended.
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References
World Health Organization, International Labour Organization. WHO/ILO joint estimates of the work-related burden of disease and injury, 2000-2016: global monitoring report. Geneva: World Health Organization; 2021.
World Health Organization, International Labour Organization. WHO/ILO joint estimates of the work-related burden of disease and injury, 2000-2016: technical report. Geneva: World Health Organization; 2021.
Udonwa NE, Uko EK, Ikpeme BM, Ibanga IA, Okon BO. Exposure of petrol station attendants and auto mechanics to premium motor sprit fumes in Calabar, Nigeria. J Environ Public Health. 2009;2009:281876. doi:10.1155/2009/281876.
Omotosho IO. Oxidative stress indices as markers of lead and cadmium exposure toxicity in auto technicians in Ibadan, Nigeria. Oxid Med Cell Longev. 2019;2019:3030614. doi:10.1155/2019/3030614.
Saliu A, Adebayo O, Kofoworola O, Babatunde O, Ismail A. Comparative assessment of blood lead levels of automobile technicians in organised and roadside garages in Lagos, Nigeria. J Environ Public Health. 2015;2015:976563. doi:10.1155/2015/976563.
Iwegbue CMA, Nnanna CA, Ogwu IF, Odali EW, Martincigh BS. Concentrations, sources and exposure to metals in dust from automobile mechanic workshops in Nigeria. J Trace Elem Miner. 2024;10:100186. doi:10.1016/j.jtemin.2024.100186.
Offor CC, Nduka JK, Iloka GC. Hazards and risk assessment of metals in car-surface dust from automobile workshops of Eastern Nigeria. J Trace Elem Miner. 2026;16:100288. doi:10.1016/j.jtemin.2026.100288.
Chowdhury R, Ramond A, O'Keeffe LM, Shahzad S, Kunutsor SK, Muka T, et al. Environmental toxic metal contaminants and risk of cardiovascular disease: systematic review and meta-analysis. BMJ. 2018;362:k3310. doi:10.1136/bmj.k3310.
Verzelloni P, Urbano T, Wise LA, Vinceti M, Filippini T. Cadmium exposure and cardiovascular disease risk: a systematic review and dose-response meta-analysis. Environ Pollut. 2024;345:123462. doi:10.1016/j.envpol.2024.123462.
Obi-Ezeani CN, Dioka CE, Meludu SC, Onuora IJ, Usman SO, Onyema-Iloh OB. Blood pressure and lipid profile in automechanics in relation to lead exposure. Indian J Occup Environ Med. 2019;23(1):28-31. doi:10.4103/ijoem.IJOEM_122_18.
Xu H, Mao Y, Xu B, Hu Y. Low-level cadmium exposure and serum lipid profiles in US adults: findings from NHANES 2005-2016. J Trace Elem Med Biol. 2021;63:126651.
Adejumo OA, Enikuomehin AC, Ogunleye A, Osungbemiro WB, Adelosoye AA, Akinbodewa AA, et al. Cardiovascular risk factors and kidney function among automobile mechanic and their association with serum heavy metals in Southwest Nigeria: a cross-sectional study. PLoS One. 2023;18(10):e0292364. doi:10.1371/journal.pone.0292364.
Obi-Ezeani CN, Meludu SC, Onuora IJ, Onyegbule OA, Nnoruka EO, Dioka CE. Comparative analysis of biochemical parameters among workers in autorepair workshops with respect to duration of exposure. Indian J Occup Environ Med. 2025;29(3):221-226. doi:10.4103/ijoem.ijoem_1_25.
Mach F, Baigent C, Catapano AL, Koskinas KC, Casula M, Badimon L, et al. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk. Eur Heart J. 2020;41(1):111-188. doi:10.1093/eurheartj/ehz455.
Ademuyiwa O, Ugbaja RN, Idumebor F, Adebawo O. Plasma lipid profiles and risk of cardiovascular disease in occupational lead exposure in Abeokuta, Nigeria. Lipids Health Dis. 2005;4:19. doi:10.1186/1476-511X-4-19.
Navas-Acien A, Guallar E, Silbergeld EK, Rothenberg SJ. Lead exposure and cardiovascular disease: a systematic review. Environ Health Perspect. 2007;115(3):472-482. doi:10.1289/ehp.9785.
Yim G, Wang Y, Howe CG, Romano ME. Exposure to metal mixtures in association with cardiovascular risk factors and outcomes: a scoping review. Toxics. 2022;10(3):116. doi:10.3390/toxics10030116.
Tellez-Plaza M, Guallar E, Navas-Acien A, O'Leary DH, Parker JL, Selvin E. Cadmium exposure and atherosclerosis: a systematic review of epidemiological evidence. Curr Atheroscler Rep. 2013;15(10):356.
Dehghan Haghighi J, Hormozi M, Payandeh A. Blood serum levels of selected biomarkers of oxidative stress among printing workers occupationally exposed to low-levels of toluene and xylene. Toxicol Ind Health. 2022;38(5):299-307. doi:10.1177/07482337221092501.
Wan H, Wang D, Liang Y, He Y, Ma Q, Li T, et al. Single and combined associations of blood lead and essential metals with serum lipid profiles in community-dwelling adults. Front Nutr. 2023;10:1129169. doi:10.3389/fnut.2023.1129169.
Sellaro F, Pernetti R, Oddone E. Early biological effects in outdoor workers exposed to urban air pollution: a systematic review. Environ Pollut. 2024;362:124985. doi:10.1016/j.envpol.2024.124985.
Someah MS, Golbabaei F, Arjomandi R, Babaei Semiromi F, Mohammadi A. Oxidative stress among workers occupationally exposed to hazardous substances. Iran J Public Health. 2023;52(8):1613-1625.
Pega F, Náfrádi B, Momen NC, Ujita Y, Streicher KN, Prüss-Ustün AM, et al. Global, regional, and national burdens of ischemic heart disease and stroke attributable to exposure to long working hours for 194 countries, 2000-2016: a systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Environ Int. 2021;154:106595. doi:10.1016/j.envint.2021.106595.
Pega F, Hamzaoui H, Náfrádi B, Momen NC. Global, regional and national burden of disease attributable to 19 selected occupational risk factors for 183 countries, 2000-2016: a systematic analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. Scand J Work Environ Health. 2022;48(2):158-168. doi:10.5271/sjweh.4001.
Iwegbue CMA, Aganbi E, Nwajei GE, Eguavoen O. Risk assessment of potentially toxic metals in indoor dust from electronic workshops in Nigeria. Indoor Built Environ. 2020;29(8):1137-1152.
Iwegbue CMA, Obi G, Emoyan OO, Odali EW, Egobueze FE, Tesi GO, et al. Characterization of metals in indoor dusts from electronic workshops, cybercafés and offices in southern Nigeria: implications for on-site human exposure. Ecotoxicol Environ Saf. 2018;159:342-353. doi:10.1016/j.ecoenv.2018.04.070.
Adejumo M, Olaiya YV, Sridhar MKC. Blood lead levels and occupational exposure among automobile workers in Nigeria. Int J Health Sci. 2017;5(2):17-27.
Ataro Z, Geremew A, Urgessa F. Chemical exposure in garage workers and related health risks on the biochemical levels: a comparative study in Harar town, eastern Ethiopia. SAGE Open Med. 2019;7:2050312119846792. doi:10.1177/2050312119846792.
International Labour Organization. World employment and social outlook: trends 2022. Geneva: International Labour Office; 2022.
World Health Organization. WHO global air quality guidelines: particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. Geneva: World Health Organization; 2021.
World Health Organization. Global report on hypertension: the race against a silent killer. Geneva: World Health Organization; 2023.
United Nations Environment Programme. Chemicals and waste: global chemicals outlook. Nairobi: United Nations Environment Programme; 2022.
United States Environmental Protection Agency. Integrated science assessment for lead. Washington (DC): US Environmental Protection Agency; 2024.