{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T03:28:51Z","timestamp":1787887731869,"version":"build-2784847793"},"reference-count":26,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,6,5]],"date-time":"2013-06-05T00:00:00Z","timestamp":1370390400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Coal mine dust exposure can cause both pneumoconiosis and chronic airflow limitation. The contributions of various pathophysiologic mechanisms to dust\u2010related lung function decrements remain unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Clinical and physiological findings were assessed for 15 underground coal miners who had demonstrated accelerated FEV<jats:sub>1<\/jats:sub> losses (decliners) over 6\u201318 years. Decliners' findings were evaluated in comparison to a group of 11 miners who had shown relatively stable lung function (referents) during the same period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At follow\u2010up examination, the decliners showed significantly greater mean airway resistance (10.47 vs. 6.78\u2009cmH<jats:sub>2<\/jats:sub>O\/L\/s; <jats:italic>P<\/jats:italic>\u2009=\u20090.05) and more air trapping (RV\/TLC\u2009=\u200937.5 vs. 29.1%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) compared to the referents. Decliners also demonstrated more evidence of small airways dysfunction and tended to have more bronchospasm than the referent group. Total lung capacity, lung compliance, diffusing capacity, and chest radiography did not differ significantly between the two groups. After cessation of mine dust exposures, the decliners' mean rate of FEV<jats:sub>1<\/jats:sub> loss normalized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a series of working coal miners, accelerated lung function declines were associated with air trapping and evidence of small airways dysfunction. A preventive benefit from controlling dust exposures was suggested. Am. J. Ind. Med. 56:1107\u20131112, 2013. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.22211","type":"journal-article","created":{"date-parts":[[2013,6,5]],"date-time":"2013-06-05T08:50:54Z","timestamp":1370422254000},"page":"1107-1112","source":"Crossref","is-referenced-by-count":22,"title":["Rapid decline in lung function in coal miners: Evidence of disease in small airways"],"prefix":"10.1002","volume":"56","author":[{"given":"Robert C.","family":"Stansbury","sequence":"first","affiliation":[{"name":"Section of Pulmonary and Critical Care Medicine, School of Medicine West Virginia University Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u2010Ann F.","family":"Beeckman\u2010Wagner","sequence":"additional","affiliation":[{"name":"Division of Respiratory Disease Studies, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services National Institute for Occupational Safety and Health Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei\u2010Lin","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Respiratory Disease Studies, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services National Institute for Occupational Safety and Health Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffery P.","family":"Hogg","sequence":"additional","affiliation":[{"name":"Department of Radiology, School of Medicine West Virginia University Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward L.","family":"Petsonk","sequence":"additional","affiliation":[{"name":"Section of Pulmonary and Critical Care Medicine, School of Medicine West Virginia University Morgantown West Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,6,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/145.3.605"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.163.3.2008084"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0046-8177(83)80140-3"},{"issue":"1","key":"e_1_2_7_5_1","first-page":"139","article-title":"Small airways disease and mineral dust exposure. 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