Taylor C B, Houston-Miller N, Haskell W L, Debusk R F
Stanford University School of Medicine, CA.
Addict Behav. 1988;13(4):331-5. doi: 10.1016/0306-4603(88)90039-1.
To determine the influence of exercise training on smoking after acute myocardial infarction (AMI), smoking rates in 42 pre-AMI smokers assigned to exercise training were compared with 26 pre-AMI smokers assigned to no training. Exercise training occurred 3-26 weeks after AMI. The increase in functional capacity in 3-26 weeks was significantly greater in training than in no-training patients: 1.8 vs. 1.2 METs respectively (p less than 0.05). Adherence to exercise training was higher in non-smokers and former smokers than in those who continued to smoke: 89% and 88% vs. 80% respectively (NS). The prevalence of smoking 6 months post-AMI was lower in training than in no-training patients: 31% vs. 39% respectively (NS). Plasma thiocyanates collected on a random sample of 42 patients suggested that 19% of patients who are smoking after MI fail to report doing so. Self-reported cigarette consumption at 28 weeks was half as great in training as in no-training patients: 11 +/- 7 vs. 22 +/- 16 cigarettes per day (p less than 0.03). Firm advice to stop smoking followed by medically supervised exercise training with frequent followup reduces self-reported cigarette consumption in patients after AMI.
为了确定运动训练对急性心肌梗死（AMI）后吸烟情况的影响，将42名分配到运动训练组的AMI前吸烟者的吸烟率与26名分配到无训练组的AMI前吸烟者进行了比较。运动训练在AMI后3 - 26周进行。训练组患者在3 - 26周内功能能力的增加显著大于无训练组患者：分别为1.8代谢当量和1.2代谢当量（p < 0.05）。非吸烟者和既往吸烟者对运动训练的依从性高于继续吸烟者：分别为89%、88%和80%（无显著性差异）。AMI后6个月时，训练组患者的吸烟率低于无训练组患者：分别为31%和39%（无显著性差异）。对42名患者的随机样本采集的血浆硫氰酸盐表明，心肌梗死后仍在吸烟的患者中有19%未报告吸烟情况。在28周时，训练组患者自我报告的香烟消费量是无训练组患者的一半：分别为每天11±7支和22±16支（p < 0.03）。给予戒烟的坚定建议，随后进行医学监督的运动训练并频繁随访，可降低AMI后患者自我报告的香烟消费量。
