Paul Robert H, Brickman Adam M, Cohen Ronald A, Williams Leanne M, Niaura Raymond, Pogun Sakire, Clark C Richard, Gunstad John, Gordon Evian
Centers for Behavioral and Preventive Medicine, Department of Psychiatry, Brown Medical School, Providence, RI 02903, USA.
J Clin Neurosci. 2006 May;13(4):457-65. doi: 10.1016/j.jocn.2005.04.012.
Previous studies that have examined the impact of cigarette smoking on cognition have revealed mixed results; some studies report no impact and others report detrimental effects, especially in older individuals. Few studies, however, have examined the effects of cigarette smoking on both young and old healthy individuals using highly robust and standardized methods of cognitive assessment. This study draws on an international database to contrast cognitive differences between younger and older individuals who regularly smoke cigarettes and non-smokers. Data were sampled from 1000 highly screened healthy individuals free of medical or psychiatric health complications. A cohort of 62 regular smokers (n = 45 < 45 years of age; n = 1745 years) with a Fagerstrom nicotine dependency score of 1 or more were identified and matched to a cohort of 62 healthy nonsmokers (n = 43 < 45 years; n = 1945 years) on demographic variables and estimated intelligence. Performances on cognitive measures of attention, reaction time, cognitive flexibility, psychomotor speed, and memory were considered for analysis. As a group, smokers performed more poorly than nonsmokers on one measure of executive function. A significant age and smoking status interaction was identified with older smokers performing more poorly than older nonsmokers and younger smokers on a measure of long-delayed recall of new information. Cigarette smoking is associated with isolated and subtle cognitive difficulties among very healthy individuals.
以往研究吸烟对认知影响的结果不一;一些研究报告无影响,另一些则报告有不利影响,尤其是在老年人中。然而,很少有研究使用高度可靠且标准化的认知评估方法,来检验吸烟对年轻和年长健康个体的影响。本研究利用一个国际数据库,对比经常吸烟的年轻人和年长者与不吸烟者之间的认知差异。数据取自1000名经过严格筛选、无医学或精神健康并发症的健康个体。确定了一组62名Fagerstrom尼古丁依赖评分为1或更高的经常吸烟者(n = 45年龄小于45岁;n = 17年龄大于等于45岁),并将其与一组62名健康非吸烟者(n = 43年龄小于45岁;n = 19年龄大于等于45岁)在人口统计学变量和估计智力方面进行匹配。分析考虑了注意力、反应时间、认知灵活性、心理运动速度和记忆等认知测量指标的表现。总体而言,吸烟者在一项执行功能测量指标上的表现比非吸烟者差。在新信息的长时延迟回忆测量指标上,发现了显著的年龄与吸烟状况交互作用,年长吸烟者的表现比年长非吸烟者和年轻吸烟者差。在非常健康的个体中,吸烟与孤立且细微的认知困难有关。