<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532019000100038</article-id>
<article-id pub-id-type="doi">10.31252/rpso.22.06.2019</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[USO DO LEITE COMO DESINTOXICANTE EM PINTORES: QUAL A EVIDÊNCIA?]]></article-title>
<article-title xml:lang="en"><![CDATA[MILK AS DETOXIFICANT AGENT FOR PAINTERS: WHAT IS THE EVIDENCE?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Católica do Porto Escola de Enfermagem ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>06</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>06</month>
<year>2019</year>
</pub-date>
<volume>7</volume>
<fpage>38</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532019000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Introdução/enquadramento/objetivos: Durante muitos anos, as empresas forneciam aos trabalhadores expostos a alguns agentes químicos uma dose diária de leite e consideravam o dever de segurança ocupacional cumprido. Isso ocorria, no entanto, numa altura em que a tecnologia de extração/ventilação (e outras medidas de proteção coletiva), bem como o uso de equipamentos de proteção individual não desempenhavam um papel fundamental na Prevenção. Em fóruns, os efeitos aparentemente terapêuticos do leite são discutidos inúmeras vezes, quando se fala das consequências de trabalhar como Pintor, para evitar algumas doenças profissionais. Constantemente, chegam pedidos de parecer a respeito da distribuição de leite a trabalhadores expostos a determinados agentes químicos em atividades industriais. Até mesmo em incêndios é frequente ser feito o mesmo raciocínio. Pretendeu-se com esta revisão adquirir mais conhecimentos sobre a temática, de forma a que a equipa de Saúde Ocupacional atue e emita pareceres, de acordo com a evidência científica atual.  Metodologia: Trata-se de uma Revisão Bibliográfica Integrativa, iniciada através de uma pesquisa realizada em fevereiro de 2019 nas bases de dados CINAHL Complete, MEDLINE Complete, Nursing &amp; Allied Health Collection: Comprehensive, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Library, Information Science &amp; Technology Abstracts, MedicLatina, PUBMED e RCAAP, bem como pesquisa em formato livre.  Conteúdo/Resultados: A história inicial do uso do leite como desintoxicante derivou da exposição inicial a trabalhadores (pintores) que contatavam com Chumbo. Encontram-se algumas revisões teóricas sobre esta problemática em estudos em animais, ainda que sem evidência consensual e em humanos os estudos apresentam carácter pouco robusto. Em relação a outros agentes químicos não existe evidência publicada.  Conclusões: A evidência atual não mostra benefício no incentivo do aumento de consumo de leite como elemento neutralizante de intoxicação ou envenenamento. As medidas preventivas sobre exposição ocupacional devem-se basear essencialmente em práticas de higiene industrial adequadas e em vigilâncias regulares preventivas. Esta crença é produto do hábito comportamental organizacional não baseado em evidências científicas. Contudo, é comum que alguns funcionários ainda a mantenham, sobretudo na indústria da Pintura Automóvel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction/ framework/ objectives: For many years, companies offered workers exposed to some chemical agents a daily dose of milk and considered the duty of occupational safety fulfilled. This occurred, however, at a time when the extraction/ventilation technology (and other measures of collective protection) and the use of personal protective equipment did not play a key role in prevention. In forums, the apparently therapeutic effects of milk are discussed countless times when discussing the consequences of working as a painter to avoid some occupational diseases. There are constant requests for an opinion on the distribution of milk to workers exposed to certain chemical agents in industrial activities. Even in fires, the same reasoning is often done. The purpose of this review was to acquire more knowledge about the subject, so that the Occupational Health team can act and issue opinions according to the current scientific evidence.  Methodology: This is an Integrative Bibliographic Review, initiated through a survey conducted in February 2019 through CINAHL Complete, MEDLINE Complete, Nursing &amp; Allied Health Collection: Comprehensive, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Cochrane Methodology Register, Library, Information Science &amp; Technology Abstracts, MedicLatina, PUBMED and RCAAP; and also a broadening of the research to a free format on the subject.  Content/Results: The history of the use of milk as a detoxifier was derived from the exposure to lead. There are some theoretical reviews of this problem in animal studies, all conflicting, and there are only human studies, of a rather robust nature. There is no published evidence regarding other agents. This belief is product of organizational behavioral habit and not based on scientific evidence. However, it is common that some employees maintain this belief, especially in the Automotive Paint industry.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Pintores Automóveis]]></kwd>
<kwd lng="pt"><![CDATA[Crenças]]></kwd>
<kwd lng="pt"><![CDATA[Leite]]></kwd>
<kwd lng="pt"><![CDATA[Desintoxicante]]></kwd>
<kwd lng="pt"><![CDATA[Saúde Ocupacional]]></kwd>
<kwd lng="en"><![CDATA[Painters]]></kwd>
<kwd lng="en"><![CDATA[Car Painters]]></kwd>
<kwd lng="en"><![CDATA[Beliefs]]></kwd>
<kwd lng="en"><![CDATA[Milk]]></kwd>
<kwd lng="en"><![CDATA[Detoxifying]]></kwd>
<kwd lng="en"><![CDATA[Occupational Health]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hernberg]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lead Poisoning in a Historical Perspective]]></article-title>
<source><![CDATA[American Journal of Industrial Medicine]]></source>
<year>2000</year>
<volume>38</volume>
<page-range>244-54</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Riva]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lafranconi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[D'orso]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Cesana]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lead Poisoning Historical Aspects of a Paradigmatic "Occupational and Environmental Disease". Safety and Health at]]></article-title>
<source><![CDATA[Work]]></source>
<year>2012</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>11-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stephens]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Waldron]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The influence of milk and related dietary constituents on lead metabolism]]></article-title>
<source><![CDATA[Food and Cosmetics Toxicology]]></source>
<year>1975</year>
<volume>13</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>555-63</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>Health and Safety Executive Report</collab>
<source><![CDATA[Her Majesty's inspectors of factories 1833-1983: essays to commemorate 150 years of health and safety inspection - In "Greenberg, Morris. 150 years in the treatment and prevention of lead poisoning by medical means- A Historical review"]]></source>
<year>1983</year>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[William]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Markowitz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Environmental and Occupational Medicine, 4th Edition]]></source>
<year>2007</year>
<publisher-name><![CDATA[Walkers Kluver, Lippincot Williams &amp; Wilkins]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Legge]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Goadby]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Lead poisoning and lead absorption; the symptoms, pathology and prevention, with special reference to their industrial origin and an account of the principal processes involving risk]]></source>
<year>1912</year>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[Longmans, Green &amp; Co]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lockart]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Milk Supplementation as a Prophylactic in Industry - Its Use and Misuse]]></article-title>
<source><![CDATA[Ocupacional Medicine]]></source>
<year>1963</year>
<volume>13</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>65-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Devóz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Araújo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Batista]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Barbosa]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Barcelos]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Milk and Dairy Products Intake Is Associated with Low Levels of Lead (Pb) in Workers highly exposed to the Metal]]></article-title>
<source><![CDATA[Biological Trace Element Research]]></source>
<year>2017</year>
<volume>178</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>29-35</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Spickett]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The influence of milk in the diet on the toxicity of orally ingested lead in rats]]></article-title>
<source><![CDATA[Food and Cosmetics Toxicology]]></source>
<year>1981</year>
<volume>19</volume>
<page-range>429-36</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kordas]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The "Lead Diet" Can Dietary Approaches Prevent or Treat Lead Exposure?]]></article-title>
<source><![CDATA[Journal of Pediatrics]]></source>
<year>2017</year>
<volume>185</volume>
<page-range>224-31</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chuang]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Tsai]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chao]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Lian]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ho]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The influence of milk intake on the lead toxicity to the sensory nervous system in lead workers]]></article-title>
<source><![CDATA[Neurotoxicology]]></source>
<year>2004</year>
<volume>25</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>941-9</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Adei]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Adei]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Osei]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessment of perception and knowledge of occupational chemical hazards, in the Kumasi metropolitan spray-painting industry, Ghana]]></article-title>
<source><![CDATA[Journal of Science and Technology]]></source>
<year>2011</year>
<volume>31</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>83-94</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="">
<collab>Direção-Geral de Saúde</collab>
<source><![CDATA["Histórico de Destaques: Recomendações para a exposição ao fumo de incêndios"]]></source>
<year>2016</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="">
<collab>Instituto Nacional de Emergência Médica</collab>
<source><![CDATA[Folheto informativo do centro de informação antivenenos (CIAV)]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="">
<collab>Proteção Civil Portuguesa</collab>
<source><![CDATA[Folheto sobre exposição a incêndios]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="">
<collab>Associação Empresarial de Portugal</collab>
<source><![CDATA[Manual de Formação: Higiene e Segurança no Trabalho - Programa Formação PME]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hodges]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Minich]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Review Article: Modulation of Metabolic Detoxification Pathways Using Foods and Food-Derived Components: A Scientific Review with Clinical Application]]></article-title>
<source><![CDATA[Journal of Nutrition and Metabolism]]></source>
<year>2015</year>
<volume>760689</volume>
<page-range>23</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Deth]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Clarke]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ni]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Trivedi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical evaluation of glutathione concentrations after consumption of milk containing different subtypes of ß-casein: results from a randomized, cross-over clinical trial]]></article-title>
<source><![CDATA[Nutrition Journal]]></source>
<year>2016</year>
<volume>15</volume>
<page-range>82</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Choi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Denney]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Spaeth]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Nast]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ptomey]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Dairy intake is associated with brain glutathione concentration in older adults]]></article-title>
<source><![CDATA[American Journal of Clinical Nutrition]]></source>
<year>2015</year>
<volume>101</volume>
<page-range>287-93</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
