Kidney function in sugarcane cutters in Nicaragua - A longitudinal study of workers at risk of Mesoamerican nephropathy
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We examined sugarcane cutters at start of harvest and 9 weeks later.

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Pre-shift renal function decreased substantially after 9 weeks of harvest work.

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Estimated glomerular filtration rate decreased by 10 mL/min.

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Serum urea N (BUN) and urinary NGAL also increased substantially.

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Repeated dehydration is a likely cause of long-term decrease in renal function.

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