Hawari F I, Obeidat N A, Ghonimat I M, Ayub H S, Dawahreh S S
Section of Pulmonary and Critical Care, Department of Medicine, King Hussein Cancer Center, Amman, Jordan; Cancer Control Office, King Hussein Cancer Center, Amman, Jordan.
Cancer Control Office, King Hussein Cancer Center, Amman, Jordan.
Respir Med. 2017 Jan;122:71-75. doi: 10.1016/j.rmed.2016.11.024. Epub 2016 Nov 30.
Evidence regarding the health effects of habitual waterpipe smoking is limited, particularly in young smokers. Respiratory health and cardiopulmonary exercise tests were compared in young male habitual waterpipe smokers (WPS) versus non-smokers.
69 WPS (≥3 times/week for three years) and 69 non-smokers were studied. Respiratory health was assessed through the American Thoracic Society and the Division of Lung Diseases (ATS-DLD-78) adult questionnaire. Pulmonary function and cardiopulmonary exercise tests were performed. Self-reported respiratory symptoms, forced expiratory volume in first second (FEV), forced vital capacity (FVC), FEV/FVC ratio, forced expiratory flow between 25 and 75% of FVC (FEF), peak expiratory flow (PEF), exercise time, peak end-tidal CO tension (PetCO), subject-reported leg fatigue and dyspnea; peak O uptake (VO max), and end-expiratory lung volume (EELV) change from baseline (at peak exercise) were measured.
WPS were more likely than non-smokers to report respiratory symptoms. WPS also demonstrated: shorter exercise time; lower peak VO; higher perceived dyspnea at mid-exercise; lower values of the following: FEV, FVC, PEF, and EELV change.
Habitual waterpipe tobacco smoking in young seemingly healthy individuals is associated with a greater burden of respiratory symptoms and impaired exercise capacity.
关于习惯性水烟吸食对健康影响的证据有限，尤其是在年轻吸烟者中。比较了年轻男性习惯性水烟吸食者（WPS）与非吸烟者的呼吸健康状况和心肺运动测试结果。
对69名WPS（三年来每周≥3次）和69名非吸烟者进行了研究。通过美国胸科学会和肺病科（ATS-DLD-78）成人问卷评估呼吸健康状况。进行了肺功能和心肺运动测试。测量了自我报告的呼吸道症状、第一秒用力呼气量（FEV）、用力肺活量（FVC）、FEV/FVC比值、FVC的25%至75%之间的用力呼气流量（FEF）、呼气峰值流量（PEF）、运动时间、呼气末二氧化碳分压峰值（PetCO）、受试者报告的腿部疲劳和呼吸困难；峰值摄氧量（VO₂max）以及与基线相比（运动峰值时）呼气末肺容积（EELV）的变化。
与非吸烟者相比，WPS更有可能报告呼吸道症状。WPS还表现出：运动时间更短；峰值VO₂更低；运动中期呼吸困难感更强；以下各项数值更低：FEV、FVC、PEF和EELV变化。
在看似健康的年轻个体中，习惯性吸食水烟与更重的呼吸道症状负担和运动能力受损有关。
