身体状况独立的老年人的吸烟状况及其与运动能力、日常生活身体活动和生活质量的关系。

Smoking status and its relationship with exercise capacity, physical activity in daily life and quality of life in physically independent, elderly individuals.

作者信息

Mesquita R, Gonçalves C G, Hayashi D, Costa V de S P, Teixeira D de C, de Freitas E R F S, Felcar J M, Pitta F, Molari M, Probst V S

机构信息

Centro de Pesquisa em Ciências da Saúde, Universidade Norte do Paraná, Londrina, PR, Brazil; Programa de Mestrado e Doutorado em Ciências da Reabilitação, Universidade Estadual de Londrina, Universidade Norte do Paraná, Londrina, PR, Brazil; Laboratório de Pesquisa em Fisioterapia Pulmonar, Departamento de Fisioterapia, Universidade Estadual de Londrina, Londrina, PR, Brazil.

Centro de Pesquisa em Ciências da Saúde, Universidade Norte do Paraná, Londrina, PR, Brazil.

出版信息

Physiotherapy. 2015 Mar;101(1):55-61. doi: 10.1016/j.physio.2014.04.008. Epub 2014 May 17.

DOI:10.1016/j.physio.2014.04.008

PMID:25108641

Abstract

OBJECTIVE

To investigate the relationship between smoking status and exercise capacity, physical activity in daily life and health-related quality of life in physically independent, elderly (≥60 years) individuals.

DESIGN

Cross-sectional, observational study.

SETTING

Community-dwelling, elderly individuals.

PARTICIPANTS

One hundred and fifty-four elderly individuals were categorised into four groups according to their smoking status: never smokers (n=57), passive smokers (n=30), ex-smokers (n=45) and current smokers (n=22).

MAIN OUTCOME MEASURES

Exercise capacity [6-minute walk test (6MWT)], physical activity in daily life (step counting) and health-related quality of life [36-Item Short Form Health Survey (SF-36) questionnaire] were assessed.

RESULTS

Current and ex-smokers had lower mean exercise capacity compared with never smokers: 90 [standard deviation (SD) 10] % predicted, 91 (SD 12) % predicted and 100 (SD 13) % predicted distance on 6MWT, respectively [mean differences -9.8%, 95% confidence intervals (CI) -17.8 to -1.8 and -9.1%, 95% CI -15.4 to -2.7, respectively; P<0.05 for both]. The level of physical activity did not differ between the groups, but was found to correlate negatively with the level of nicotine dependence in current smokers (r=-0.47, P=0.03). The median score for the mental health dimension of SF-36 was worse in passive {72 [interquartile range (IQR) 56 to 96] points} and current [76 (IQR 55 to 80) points] smokers compared with ex-smokers [88 (IQR 70 to 100) points] (median differences -16 points, 95% CI -22.2 to -3.0 and -12 points, 95% CI -22.8 to -2.4, respectively; P<0.05 for both).

CONCLUSIONS

Among elderly individuals, current smokers had lower exercise capacity than never smokers. Although the level of physical activity did not differ between the groups, an association was found with smoking. Tobacco exposure was associated with worse scores for the mental health dimension of SF-36 in physically independent, elderly individuals.

摘要

目的

调查身体状况独立的老年（≥60岁）个体的吸烟状况与运动能力、日常生活中的身体活动以及健康相关生活质量之间的关系。

设计

横断面观察性研究。

地点

社区居住的老年人。

参与者

154名老年人根据其吸烟状况分为四组：从不吸烟者（n = 57）、被动吸烟者（n = 30）、既往吸烟者（n = 45）和当前吸烟者（n = 22）。

主要观察指标

评估运动能力[6分钟步行试验（6MWT）]、日常生活中的身体活动（计步）和健康相关生活质量[36项简短健康调查（SF - 36）问卷]。

结果

与从不吸烟者相比，当前吸烟者和既往吸烟者的平均运动能力较低：6MWT上预测距离分别为90[标准差（SD）10]%、91（SD 12）%和100（SD 13）%[平均差异分别为-9.8%，95%置信区间（CI）-17.8至-1.8和-9.1%，95%CI -15.4至-2.7；两者P<0.05]。各组之间的身体活动水平没有差异，但发现当前吸烟者的身体活动水平与尼古丁依赖程度呈负相关（r = -0.47，P = 0.03）。与既往吸烟者[88（四分位间距（IQR）70至100）分]相比，被动吸烟者{72[IQR 56至96]分}和当前吸烟者[76（IQR 55至80）分]的SF - 36心理健康维度中位数得分更差（中位数差异分别为-16分，95%CI -22.2至-3.0和-12分，95%CI -22.8至-2.4；两者P<0.05）。