摘要：Occupational exposure to heat stress in casting and smelting industries can cause adverse health effects on employees who working in such industries. The present study was set to assess the correlation and agreement of heat stress indices, including wet bulb globe temperature (WBGT), and thermal work limit (TWL), and the deep body temperature indices in workers of several casting and smelting industries located in the vicinity of Tehran, Iran. In This cross-sectional study 40 workers randomly selected and were examined. WBGT and TWL were the indices used for assessing heat stress, and the tympanic temperature and the oral temperature were measured as the heat strain indices. The correlation and agreement of indices were measured using SPSS vs.16. The results of the assessment of WBGT, TWL, the tympanic temperature, and oral temperature showed that 80, 17.5, 40, and 32.5 percent of workers exposed to heat stress higher than permissible limits proposed by standard bodies. Moreover, the present study showed that the significant correlation coefficient between heat stress and heat strain indices was in the range of 0.844- 0.869. Further, there was observed a good agreement between TWL and heat strain indices. The agreement between TWL and the oral temperature was 0.63 (P-value≤ 0.001) and between TWL and tympanic temperature was 0.612 (P-value≤ 0.001). However, the agreement between WBGT and heat strain indices was not satisfactory. These values were 0.154 (P-value ≥ 0.068) and 0.215 (P-value≥ 0.028) for the oral temperature and the tympanic temperature, respectively. The TWL index had a better agreement than WBGT with heat strain indices so TWL index is the better choice for assessing the heat stress in casting and metal smelting industries.
