Comparison of Attitudinal Beliefs regarding Smoking and Antioxidant Vitamins Status in the College Male Smokers and Non-smokers

일부 남자 대학생 흡연자와 비흡연자의 흡연에 대한 인식 및 항산화 비타민 수준 비교

  • 김현아 (한국식품연구개발원) ;
  • 송경희 (명지대학교 이과대학 식품영양학과)
  • Published : 2002.07.31

Abstract

The purpose of this study was to investigate of attitudinal beliefs regarding smoking, and antioxidant vitamins status between smokers and non-smokers in college male students. Attitudinal beliefs regarding smoking and antioxidant vitamins intake were investigated by a questionnaire. The result obtained were as follows: Anthropometric measurements were no significant differences between smokers and non-smokers. The attitudinal beliefs regarding smoking of smokers were different from those of non-smokers(p<0.001). Compared with non-smokers, smokers responded more positively on advantage of smoking, while they felt less negatively on disadvantage of smoking. Systolic blood pressure(SBP) and diatolic blood pressure(DBP) of smokers were significantly higher than those of non-smokers(p<0.05). Although antioxidant vitamins intake was not significantly different between smokers and non-smokers, plasma level of vitamin C of smokers was significantly lower than that of non-smokers(p<0.05). However, plasma level of vitamin E was not significantly different between smokers and non-smokers.

본 연구는 건강한 남자 대학생을 중심으로 흡연 여부에 따른 흡연에 대한 인식 및 항산화 영양소 섭취수준과 혈장 농도를 비교하고자 흡연자 30명, 비흡연자 30명을 선정하여 신체계측과 설문조사를 통해 다음과 같은 결과를 얻었다. 대상자의 연령은 흡연자가 24.4세 비흡연자가 22.4세이고, 신장은 각각 173.4cm, 172.6cm, 체중은 69.8kg, 67.9kg으로 나타났으며, BMI, 체지방, 체지방량, 제지방량(LBM), 체수분량(TBW)에서 군간 유의적인 차이가 없었다. 수축기 혈압 및 이완기 혈압은 흡연자에게서 유의적으로 높았으며, 혈당은 유의적이지는 않았지만, 흡연자가 높은 경향을 보였다. 커피와 알코올을 섭취하는 비율은 모두 흡연자에서 유의적으로 높았으며, 일일 섭취하는 알코올의 양도 흡연자에서 유의적으로 높았다. 흡연자들의 흡연 이유로는 '스트레스 해소'가 가장 많았고, 다음으로는 '습관적', '대인관계 향상을 위해서' 순이었다. 흡연여부에 따라 흡연에 대한 인식도를 조사한 결과, 흡연자가 비흡연자에 비해 유의적으로 흡연에 동의하는 경향이 높은 것으로 나타났다. 식품섭취 빈도조사에 의한 항산화 비타민 섭취량은 비타민 A의 경우 흡연자 $505.15{\pm}123.32gR.E.$ 비흡연자 $519.48{\pm}111.25{\mu}gR.E.$로 유의적 차이는 없었다. 비타민 C는 각각 133.13 37.76mg, $124.68{\pm}27.12mg$로 유의적이지는 않았지만 흡연자가 약간 높았으며, 비타민 E 섭취량은 $6.91{\pm}2.39mg$, $7.09{\pm}1.73mg$로 차이를 보이지 않았다. 신체 계측치와 생화학적 성분간 상관관계에서는 이완기 혈압과 연령, 체지방, 체지방량이 양의 상관관계를 보였고, 혈장 비타민 C 농도는 체중(p<0.05), 체수분량(p<0.05)과 음의 상관관계가 있는 것으로 나타났다. 본 연구의 결과 혈압이나 혈당에서 흡연자가 비흡연자에 비해 높은 수준을 보여 흡연이 건강에 부정적인 영향을 미치는 것으로 나타났으며, 흡연에 대한 인식에서는 흡연자가 흡연에 동의하는 경향이 더 높았다. 흡연자와 비흡연자의 항산화 비타민 섭취량은 차이가 없었으나 활동량이 많고, 흡연력이 짧으며, 식이 섭취량이 비교적 많은 남자 대학생을 대상으로 하였음에도 불구하고 혈장의 비타민 C 농도가 유의적으로 낮았던 것은 흡연으로 인해 비타민 C 요구량이 증가된 것이라고 볼 수 있다. 따라서 항산화 영양소의 급원이 될 수 있는 식물의 섭취를 증가시키고 올바른 식습관을 형성하기 위한 교육이 이루어져야 할 것으로 사료된다.

Keywords

References

  1. Nilsson R. Environmental tobacco smoke and lung cancer: A reappraisal. Ecotoxicology and Environmental Safety 34:2-17,1994 https://doi.org/10.1006/eesa.1996.0040
  2. Kim WD. Smoking and diseases of the hmg. Korean J. MedicaI Assodation. 30(8): 843-847,1987
  3. Kim DH. The health disorder of nicotine and alcohol. Korean Assodation of Smoking & Health, 1996
  4. Muscat JE, Wynder EL. Exposure to environmental tobacco smoke and risk of heart attack. Intemational J Epid 24:715-719,1995 https://doi.org/10.1093/ije/24.4.715
  5. Nam JJ, Kim HR, Choi EY. 1998 Nationa health and nutntion survey. Korean J Community nutrition 5(3): 537-553,2000
  6. Choi HM et al. 21 century nutiiUon. Komunsa p.p. 433-449,2000
  7. Bolton-Smith C. Antioxidant vitamiii intakes in Scotdsh smokers and non-smokers: Dose effects and biochemical conelates. Ann. NY Acad Sci 686:347-360, 1993 https://doi.org/10.1111/j.1749-6632.1993.tb39199.x
  8. Midgette AS, Baron JA, Rohan TE. Do cigarette smokers have diets that increase their hsk of coronary heart disease and cancer?. Am J Epidemiol 137:521-529,1993 https://doi.org/10.1093/oxfordjournals.aje.a116705
  9. Faruque MO, Khan MR, Rahman M, Ahmed F. Relationship between smoking and antioxidant status. Br J Nutr 73(4): 625-632,1995 https://doi.org/10.1079/BJN19950064
  10. Lee HW. Analysis of dietary intakes, semm lipids and antioxidant vitamins in female adlolesent smokers. Graduate school of Seoul womens university, 1998
  11. Schectman G, Byrd JC, Gruchow HW. The influence of smoking on vitamin C status in adults. Am J Public Health 79(2): 158-162,1989 https://doi.org/10.2105/AJPH.79.2.158
  12. Song MS. Effect of smoking on nutriton intake in college female students. Graduate school of public health, Yonsei university, 1987
  13. Knekt P, Jarvmen R, Seppanen R, Rissanen A, Aromaa A, Heinonen OP, Albances D, Heinonen M, Pukkala E, Teppo L. Dietary antioxidant and the risk of lung cancer. Am J Epidemiol 134(5): 471479,1991 https://doi.org/10.1093/oxfordjournals.aje.a116118
  14. Lee SS, Choi IS, Lee KW, Choi YJ, Oh SH. A study on the nutrients intake and serum lipid pattem m smoIdivg college men. Korean J Nuthtion 29(5): 489-498,1996
  15. Thompson RL, Pyke S, Scott EA, Thompson SG, Wood DA. Cigarette smoking, polyunsaturated fats and coronaiy heart disease. Ann NY Acad Sci 686:130-139, 1993 https://doi.org/10.1111/j.1749-6632.1993.tb39167.x
  16. Kim JH, Moon JS. A study on dietary intakes and nutritional status in college women smokers -II. Assessment of nutritional status for antioxidant vitamins-. Korean J Community Nutrition 2(2): 159-168, 1997
  17. Korean dietetic association. Photographs of food portions commonly used, 1999
  18. National Rural Living Science Institute. Food compositon table. 5th revision, 1996
  19. Tsan ZL, Nancy C, Michael DK, Wilham NB. Spedfic spectrophotometry of ascorbic add in serum or plasma by use of ascorbate oxidase. din Chem 28(11): 2225-2228 1982
  20. Craft NE, Brown ED, Smith JC. Effects of storage and handling conditions on concentrations of individual carotenoids, retinols and tocopherol in plasma. Clin Chem 34(1): 44-48,1988
  21. Albanes D, Jones Y, Micozzi MS, Mattson ME. Assodations between smoking and body weight in the US populadon: Analysis of NHANES H. Am. J. Public Health 77:439444,1987 https://doi.org/10.2105/AJPH.77.4.439
  22. Kang MH, Park JA. Dietary pattems of elderly people by smoking status. Journal of the Korean Society of Food and NutriBon 24(5): 663-675,1995
  23. Newsholme JC, Ivy AC. The effects of tobacco smoking on the alimentaiy canal. JAMA 112
  24. Kim MK, Jang MJ. The quantitative determination of reversible and irreversible oxidative damages induced by smoking cessation and supplementation of antioxidaUve vitamins in korean male smokers. Korean J Nutntion 33(2): 167-178,2000
  25. Kim MK. Effects of vitamin C&E and/or smoking cessation on antioxidant vitamin status in plamsma and erythrocyte lipid peroxide concentrahon in college male smokers. Graduate school of Kummm imiversity, 1998
  26. Rothman K, Keller A. The effect of joint exposure to alcohol and tobacco or risk of cancer mouth and pharynz. J Chronic Disease 25:711-716,1972 https://doi.org/10.1016/0021-9681(72)90006-9
  27. Han JC, Oh KJ, Lee GH. Investigation of smoking behavior by age and psychosocial factors in Korean. Study of smoking and hygiene 110-198,1995
  28. Warburton DM: Psychopharmacological aspects of nicotine. Oxford University Press, Qxford, 1990
  29. Kim JH , Lee WS, Moon JS , Kim KW . A study on dietary intakes and nuthtional status in college women smokers- I. Anthropometric measurements and nutiient intakes - Korean J Communty Nuthtion 2(1): 33-43,1997
  30. Kim KW, Kim SR, Kim JH. Assessment of nutritional status and factors related to smoking in adolescent males-II. Psychsocial factors influencing smoking among male high school students. Korean J Communty Nutrition 3(3): 358-367,1998
  31. Lee SS. Effect of antioxidant vitamin supplementation on food intake and blood composition in smoking college men. The graduate school chonnam national univ., 1996
  32. Fieding JE. Smoldng: Heath effects and control. N Engl. J Med 313:491498,1985 https://doi.org/10.1056/NEJM198508223130807
  33. Kallner AB, Hartmann D, Homig DH. On the requirements of ascorbic acid in man: steady state tumover and body pool in smokers. Am J Clin Nutr 34: 1347-1355,1981
  34. Smith, JL, Hodges RE. Semm levels of vitamin C in smokeis and nonsmokers. Ann NY Acad Sd 498:144-152,1987 https://doi.org/10.1111/j.1749-6632.1987.tb23758.x
  35. Midgette AS, Baron JA, Rohan TE. Do dgarette smokers have diets that increase their risk of coronary heart disease and cancer?. Am J Epideimol 137:521-529,1993 https://doi.org/10.1093/oxfordjournals.aje.a116705
  36. Ma J, Hampl JS, Betts NM. Antioxidant intakes and smoking status : data from the continuing survey of food intakes by individuals 1994-1996. Am J Clin Nutr 71:774-780,2000
  37. Abby M, Noakes M, Nestel PJ. Dietaiy supplementation with orange and carrot juice in dgarette smokeis lowers oxidation products in copper-oxidized low-density lipoproteins. J Am Diet Assoc 95:671-675,1995 https://doi.org/10.1016/S0002-8223(95)00183-2
  38. Munro LH, Burton G, Kelly Ff. Plasma alpha-tocopherol concentrations are lower in smokers than in non-smokers after ingestion of a similar oral of this antioxidant vitamin. Clin Sd 92:87-93,1997
  39. Fukuzawa K, Takase S, Tsukatani H. The effect of concentration on the antioxidant effectiveness of -tocopherol in lipid peroxidation induced by superoxide free radicals. Arch Biochem Biophys 240:117-120,1985 https://doi.org/10.1016/0003-9861(85)90013-X