吸烟和老年男性和女性的肺功能. 心血管健康研究研究
M W Higgins1, P L Enright, R A Kronmal
1National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md 20892.
JAMA
|June 2, 1993
概括
在老年人中,吸烟显著降低了肺功能. 即使在60岁以后,戒烟也会改善肺功能,与继续吸烟的人相比.
科学领域:
- 老年学是一门学科.
- 肺部病理学 肺部病理学
- 流行病学 流行病学
背景情况:
- 吸烟是可预防的发病率和死亡率的主要原因之一.
- 肺功能随着年龄的增长而下降,吸烟加剧了这种下降.
- 了解吸烟对老年人肺部健康的长期影响对于公共卫生干预至关重要.
研究的目的:
- 研究吸烟与老年人肺功能之间的关联.
- 为了确定在不同年龄戒烟是否会影响晚年肺功能.
主要方法:
- 来自基于人口的前性研究的基线数据的横截面分析.
- 参与者包括5201名65岁及以上的非机构男性和女性.
- 使用1秒内强制呼气体积 (FEV1) 和强制生命能力评估肺功能.
主要成果:
- 吸烟的发病率为10-20%,女性和黑人个体的发病率更高.
- 与从未吸烟者相比,目前吸烟者FEV1显著降低 (23%的男性,18%的女性).
- 在40岁之前戒烟大大恢复了FEV1水平;晚些时候戒烟与继续吸烟相比仍然显示出好处. 随着抽烟的几年,肺功能下降.
结论:
- 吸烟与老年人肺功能减弱密切相关.
- 戒烟在任何年龄,包括60岁以后,都会导致比继续吸烟更好的肺功能.
- 公共卫生工作应鼓励老年人戒烟,以保持肺部健康.
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