禁煙,肺機能,体重増加:フォローアップ研究
Susan Chinn1, Deborah Jarvis, Roberto Melotti
1Department of Public Health Sciences, King's College London, 5th Floor Capital House, 42 Weston Street, London SE1 3QD, UK. sue.chinn@kcl.ac.uk
Lancet (London, England)
|May 12, 2005
まとめ
禁煙は肺機能を改善しますが,体重増加は,特に男性にとって,これらの恩恵を減らす可能性があります. 禁煙が呼吸器の健康に与える肯定的な効果を最大化するためには,体重管理が不可欠です.
科学分野:
- 肺内医学 肺内医学 肺内医学
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 禁煙と体重の変化が肺機能に及ぼす影響の国際的データは限られている.
- 以前の研究では,これらの要因が呼吸器肺機能に与える純影響を完全に明らかにできませんでした.
研究 の 目的:
- 禁煙が肺機能に与える純利益を推定する.
- 呼吸器肺機能の変化に対する喫煙と体重変化の独立した影響を決定する.
主な方法:
- 27のセンターで実施された欧州共同体呼吸器健康調査の6654人の参加者のデータを活用した.
- 肺機能は20~44歳の個人に2回 (1991~93年,1998~2002年) 測定された.
- 喫煙状態と体重の変化による肺機能の変化を分析し,年齢と身長を調整し,性別別分析を行った.
主要な成果:
- 禁煙は,非喫煙者と比較して,1秒間の強制排気量 (FEV1) の減少が低く,特に持続的な禁煙者において関連していました.
- 喫煙者はFEV1.1の減少がより顕著であった.
- 体重増加は,FEV1に対する禁煙の利点を著しく低下させ,男性ではより顕著な効果を示した.
結論:
- 保存されたFEV1.1によって示されるように,禁煙は肺機能に利点をもたらします.
- 効果的な体重管理は,特に男性において,禁煙から得られる肺機能の恩恵を最大化するために不可欠です.
- 禁煙と体重の変化の相互作用は,呼吸器の健康を維持するための重要な要因を強調しています.
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