Assessment and repeatability of aerobic capacity using the Chester Step Test among current, former, and never smokers.

IF 3.2 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Internal and Emergency Medicine Pub Date : 2025-01-01 Epub Date: 2024-11-02 DOI:10.1007/s11739-024-03794-2
Grazia Caci, Lucia Spicuzza, Rosalia Emma, Davide Campagna, Meera Nadir, Erika Anastasi, Francesco Pennisi, Stanley Hunter, Shivraj Bhide, Riccardo Polosa
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Abstract

Cigarette smoking contributes to reduced cardiorespiratory performance, which may improve upon cessation. Consequently, former smokers' cardiorespiratory fitness should not be significantly different from that of never-smokers. This study aims to compare V̇O2max values among current, former, and never smokers and assess the repeatability of measurements using the Chester Step Test (CST). V̇O2max measurements were available from a total of 70 subjects (23 current, 23 former, and 24 never-smokers) and showed significant repeatability. Current smokers had the worst aerobic capacity, with a mean VO2max ± SD of 38.8 ± 4.5, which was significantly lower than the VO2max of 41.62 ± 3.8 in never-smokers (p < 0.0001) and 41.43 ± 4.6 in former smokers (p < 0.0001). No significant differences were observed between never-smokers and former smokers. V̇O2max estimates by CST were reproducible and showed that the aerobic capacity of individuals who smoke is substantially inferior compared to never and former smokers. Improvement in cardiorespiratory performance following smoking cessation may have important implications for smoking cessation, especially for those smokers who perceive enhanced physical performance as a tangible benefit.

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使用切斯特台阶测试法评估当前吸烟者、曾经吸烟者和从不吸烟者的有氧运动能力及其重复性。
吸烟会导致心肺功能下降,戒烟后可能会有所改善。因此,曾经吸烟者的心肺功能应该与从不吸烟者没有显著差异。本研究旨在比较现吸烟者、曾吸烟者和从不吸烟者的最大吸氧量,并使用切斯特台阶试验(CST)评估测量结果的可重复性。共有70名受试者(23名当前吸烟者、23名曾经吸烟者和24名从不吸烟者)提供了最大吸氧量测量值,并显示出显著的可重复性。当前吸烟者的有氧能力最差,平均 VO2max ± SD 值为 38.8 ± 4.5,明显低于从不吸烟者的 VO2max 41.62 ± 3.8(P 2max 估计值由 CST 得出,具有可重复性,表明吸烟者的有氧能力大大低于从不吸烟者和曾经吸烟者。戒烟后心肺功能的改善可能会对戒烟产生重要影响,尤其是对那些认为提高身体机能是一种实际好处的吸烟者而言。
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来源期刊
Internal and Emergency Medicine
Internal and Emergency Medicine 医学-医学:内科
CiteScore
7.20
自引率
4.30%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Internal and Emergency Medicine (IEM) is an independent, international, English-language, peer-reviewed journal designed for internists and emergency physicians. IEM publishes a variety of manuscript types including Original investigations, Review articles, Letters to the Editor, Editorials and Commentaries. Occasionally IEM accepts unsolicited Reviews, Commentaries or Editorials. The journal is divided into three sections, i.e., Internal Medicine, Emergency Medicine and Clinical Evidence and Health Technology Assessment, with three separate editorial boards. In the Internal Medicine section, invited Case records and Physical examinations, devoted to underlining the role of a clinical approach in selected clinical cases, are also published. The Emergency Medicine section will include a Morbidity and Mortality Report and an Airway Forum concerning the management of difficult airway problems. As far as Critical Care is becoming an integral part of Emergency Medicine, a new sub-section will report the literature that concerns the interface not only for the care of the critical patient in the Emergency Department, but also in the Intensive Care Unit. Finally, in the Clinical Evidence and Health Technology Assessment section brief discussions of topics of evidence-based medicine (Cochrane’s corner) and Research updates are published. IEM encourages letters of rebuttal and criticism of published articles. Topics of interest include all subjects that relate to the science and practice of Internal and Emergency Medicine.
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