DOI QR코드

DOI QR Code

Effect of Smoking Duration, Smoked Cigarettes per Day and Cessation Period on Pulmonary Function in Ex-smokers: Based on the 6th Korea National Health and Nutrition Examination Survey Data (KNHANES, 2016)

흡연중단자에서 흡연기간, 흡연량, 금연기간이 폐기능에 미치는 영향: 2016년 국민건강영양조사 활용

  • Received : 2018.07.05
  • Accepted : 2018.10.23
  • Published : 2018.11.30

Abstract

Purpose: This study aimed to investigate the effect of smoking duration, smoked cigarettes per day and smoking cessation period on pulmonary function among ex-smokers: based on the 6th Korea National Health and Nutrition Examination Survey (KNHANES). Methods: This study was analyzed using the 6th KNHANES data. Pulmonary function tests were performed on a total of 4,214 adults (> 40 years old). A total of 770 adults ex-smokers were eligible for inclusion in the final analysis. Forced vital capacity (FVC), forced expiratory volume in one second ($FEV_1$) and $FEV_1/FEV$ were measured to evaluate pulmonary function. Results: This study showed that there were significant differences in both $FEV_1$ and FVC values based on gender, age and height, among ex-smokers. $FEV_1/FVC$ significantly differed by age, height and the smoking duration prior to smoking cessation. Multiple regression analysis revealed that, $FEV_1/FVC$ accounted for 26.0% of the variance by age, height and smoking duration. There was a difference in the mean value of $FEV_1/FVC$ with or without smoking for more than 10 years. Conclusion: This study's findings show that smoking for over 10 years in an ex-smoker can lead to problems with the respiratory system. The long-term cigarette has progressive ill effects on the respiratory system.

Keywords

References

  1. Organization for Economic Cooperation and Development (OECD). Health at a Glance 2017 [Internet]. Paris: OECD Publishing; 2017 [cited 2018 Mar 1]. Available from: http://dx.doi.org/10.1787/health_glance-2017-16-en
  2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington DC: American Psychiatric Association Publishing; 2013. p. 571.
  3. Lee HS, Kim NY, Lim DH, Joo HD, Lee JB, Gam S, et al. Effect of smoking on pulmonary function in ex-smokers and current smokers. Korean Journal of Family Medicine. 2000;21(2):211-221.
  4. Kim CS, Choi DY, Seon WS, Ko YS. Habits of smoking and pulmonary function in current smokers. Korean Academy of Family Medicine. 1999;20(2):158-166.
  5. Hancox B, Whyte K. Pockets guide to lung function tests. Lee SY. Seoul: Medbook; 2003. p. 1-50.
  6. Prescott E, Bjerg AM, Anderson PK, Lange P, Vesto J. Gender difference in smoking effects on lung function and risk of hospitalization for COPD: Results from a Danish longitudinal population study. The European Respiratory Journal. 1997;10(4):822-827.
  7. Lee KH. The effect of smoking on lung function. Tuberculosis and Respiratory Diseases. 2007;63(4):323-330. https://doi.org/10.4046/trd.2007.63.4.323
  8. Tantisuwat A, Thaveeratitham P. Effects of smoking on chest expansion, lung function, and respiratory muscle strength of youths. Journal of Physical Therapy Science. 2014;26(2):167-170. https://doi.org/10.1589/jpts.26.167
  9. Tager IB, Weiss ST, Munoz A, Rosner B, Speizer FE. Longitudinal study of the effects of maternal smoking on pulmonary function in children. The New England Journal of Medicine. 1983;309(12):699-703. https://doi.org/10.1056/NEJM198309223091204
  10. Nierenberg C. Do Smokers' Lung Heal after They Quit? U.S. Live Science; [cited 2017 Jun 30] Available from: https://www.livescience.com/59667-quit-smoking-lungs-heal.html
  11. Camilli AE, Burrows B, Knudson RJ, Lyle SK, Lebowitz MD. Longitudinal changes in forced expiratory volume in one second in adults: Effects of smoking and smoking cessation. American Review of Respiratory Disease. 1987;135(4):794. https://doi.org/10.1164/arrd.1987.135.4.794
  12. Kim BW, Kim DC, Ryu JK, Kim HK, Kim SH. The Effect of age, height, weight and season on FVC and $FEV_1/FVC $ in elderly persons. Journal of Korean Health & Fundamental Medical Science. 2014;7(2):65-70.
  13. Kiefer EM, Hankinson JL, Barr RG. Similar relation of age and height to lung function among whites, African Americans, and Hispanics. American Journal of Epidemiology. 2011;173(4):376-387. https://doi.org/10.1093/aje/kwq417
  14. Janssens JP, Pache JC, Nicod LP. Physiological changes in respiratory function associated with ageing. The European Respiratory Journal. 1999;13(1):197-205. https://doi.org/10.1183/09031936.99.14614549
  15. Tantisuwat A, Thaveeratitham P. Effects of smoking on chest expansion, lung function, and respiratory muscle strength of youths. Journal of physical therapy science. 2014;26(2):167-170. https://doi.org/10.1589/jpts.26.167
  16. Park MH. Pulmonary functions and related factors in shipyard workers. [master's thesis]. Gimhae: Inje University; 2011. p. 26.
  17. Liu Y, Pleasants R, Croft J, Wheaton A, Heidari K, Malarcher A, et al. Strange C. Smoking duration, respiratory symptoms, and COPD in adults aged ${\geq}45$ years with a smoking history. International Journal of COPD.International Journal of Chronic Obstructive Pulmonary Disease. 2015;10:1409-1416. https://doi.org/10.2147/COPD.S82259
  18. Jha P, Ramasundarahettige C, Landsman V, Rostron B, Thun M, Anderson RN, et al. 21st-century hazards of smoking and benefits of cessation in the United States. The New England journal of medicine. 2013;368(4):341-350. https://doi.org/10.1016/j.jvs.2013.03.031