Department of Sport Management, National Taiwan University of Sport, Taichung City 404, Taiwan.
Sports Administration, Ministry of Education, Taipei City 104, Taiwan.
Medicina (Kaunas). 2023 Jul 23;59(7):1350. doi: 10.3390/medicina59071350.
The primary aim of this study was to examine the relationships between smoking status and health-related physical fitness and balance ability in older males residing in Taiwan. This investigation adopted a cross-sectional design, utilizing data from 7688 older males who took part in the 2014-2015 wave of the National Physical Fitness Survey of Taiwan. Various data sources, including a standardized structured questionnaire, anthropometric measurements, health-related physical fitness assessments, and balance ability tests, were analyzed. The participants were divided into three categories based on their smoking habits: never smokers, former smokers, and current smokers. Multiple regression analyses were performed to evaluate the linear association between cigarette smoking status and health-related physical fitness and balance ability performance. Health-related physical fitness and balance performance were significantly greater ( < 0.05) in the never smoker group than in the current smoker group. Current smoking status was significantly negatively ( < 0.05) associated with cardiopulmonary function, muscular endurance, flexibility, and balance performance. A history of smoking (former smoker) was significantly negatively ( < 0.05) associated with the 2-min step test, 30-s arm curl and chair stand, as well as the 8-foot up-and-go test; however, the association was not significant for the back scratch, chair sit-and-reach, and one-leg stance with eyes open performance. These results suggest that current cigarette smoking is detrimental to health-related physical fitness and balance performance in older males. Quitting smoking may reverse the effects of smoking on overall body flexibility and static balance performance in Taiwanese older adults, thereby reducing the risk of falls and incapacity.
本研究的主要目的是探讨吸烟状况与健康相关体能和平衡能力在台湾老年男性中的关系。本研究采用横断面设计，利用 2014-2015 年台湾国民体质调查中 7688 名老年男性的数据进行分析。采用了标准化的结构化问卷、人体测量学指标、健康相关体能评估和平衡能力测试等多种数据来源。根据吸烟习惯将参与者分为三组：从不吸烟者、曾经吸烟者和当前吸烟者。采用多元回归分析评估吸烟状况与健康相关体能和平衡能力表现之间的线性关联。健康相关体能和平衡表现显著优于（<0.05）从不吸烟者组，而当前吸烟者组则显著较差（<0.05）。当前吸烟状况与心肺功能、肌肉耐力、柔韧性和平衡表现呈显著负相关（<0.05）。吸烟史（曾经吸烟者）与 2 分钟踏步试验、30 秒手臂卷曲和椅子站立以及 8 英尺起身行走测试显著负相关（<0.05）；然而，背部搔抓、椅子坐-伸手和单腿站立睁眼测试的相关性不显著。这些结果表明，当前吸烟会对老年男性的健康相关体能和平衡表现产生不利影响。戒烟可能会逆转吸烟对台湾老年人整体身体柔韧性和静态平衡表现的影响，从而降低跌倒和失能的风险。
