Çakir Altinyaprak Ecem, Fidanci İzzet, Kumbaroğlu Fatma Birgül, Düger Tülin
Faculty of Medicine, Department of Family Medicine, Hacettepe University, Ankara, Turkey.
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Prim Health Care Res Dev. 2025 May 29;26:e46. doi: 10.1017/S1463423625100108.
This study aims to evaluate the effect of smokers' nicotine addiction levels and physical activity capacities (aerobic capacities) on exhaled carbon monoxide (CO) measurement values in respiratory air.
This study is a cross-sectional epidemiological descriptive type study. About 146 smokers, aged 18 and above, who applied to Hacettepe University Family Medicine outpatient clinics between March and May 2023 were included in the study. The Fagerström Test for Nicotine Dependence (FTND) and 6-minute walk test (6-MWT) were performed to the participants, and the relationship of the data with exhaled CO level was examined.
In the data we obtained, it was observed that the addiction score evaluated by the FTND had a positive, moderately statistically significant effect on the CO level (r = 0.483 p < 0.001). Although the percentage of aerobic capacity (physical activity capacities) assessed by the 6-MWT appeared to have a very weak negative relationship with the exhaled CO level, it was found to be not statistically significant (r = -0.112 p = 0.177).
The data we obtained showed that smoking addiction has harmful effects such as increasing CO in the body, but there is no relationship between physical activity and the amount of exhaled CO. It has been observed that quitting smoking and complying with lifestyle change recommendations are an important necessity for a healthier life. To improve patients' overall health outcomes, family physicians are crucial in helping patients quit smoking and encouraging lifestyle modifications. This study might have encouraged the reflection of smoking habits and thus motivated quitting.
本研究旨在评估吸烟者的尼古丁成瘾水平和身体活动能力（有氧能力）对呼出气体中一氧化碳（CO）测量值的影响。
本研究为横断面流行病学描述性研究。纳入了2023年3月至5月期间到哈杰泰佩大学家庭医学门诊就诊的146名18岁及以上的吸烟者。对参与者进行了尼古丁依赖的法格斯特罗姆测试（FTND）和6分钟步行测试（6-MWT），并检查了数据与呼出CO水平的关系。
在我们获得的数据中，观察到通过FTND评估的成瘾得分对CO水平有正向的、中度统计学显著影响（r = 0.483，p < 0.001）。虽然通过6-MWT评估的有氧能力（身体活动能力）百分比与呼出CO水平似乎有非常弱的负相关关系，但发现其无统计学意义（r = -0.112，p = 0.177）。
我们获得的数据表明，吸烟成瘾有增加体内CO等有害影响，但身体活动与呼出CO量之间没有关系。据观察，戒烟并遵循生活方式改变建议是更健康生活的重要必要条件。为改善患者的整体健康结果，家庭医生在帮助患者戒烟和鼓励生活方式改变方面至关重要。本研究可能促使人们反思吸烟习惯，从而激发戒烟。
