Effect of Smoking on Heart Rate at Rest, During Exercise, and on Heart Rate Recovery in Young Males

Aarti Pandya, Sweety Shah
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Abstract

Background and need of research: Smoking contributes to several respiratory diseases due to its hazardous effect on respiratory and circulatory system which ultimately affects cardiovascular system. HR is very important, non-invasive and easy-to-measure index of myocardial work. From this study, difference in heart rate can be identified at an early stage among smokers to prevent effects of smoking on cardiac system. Method: An Observational study was conducted in individuals of age between 18 to 45 years. 50 Male subjects who were smoking since more than 2 years, having normal BMI (18.5-22.9Kg/m2) according to Asian classification were included. Person with Severe Cardio respiratory disorder, neurological conditions, any fracture or musculoskeletal disorder which may hamper in step test were excluded. Subjects were divided into 2 groups: 1] Smokers and 2] Non-smokers.HR was measured at rest, during and post 5 minutes of Queens College Step Test to compare between both groups. Result: Mean age, BMI, HR rest, HR during exercise and post HR of smokers were (36.24±6.65), (22.09±0.7), (77.2±4.89), (120.96±5.54) and (90.16±5.72) and in non-smokers were (35.76±7.03), (21.78±1.1), (46.88±6.46), (139.16±8.17) and (73.92±5.9) respectively. Comparison was done using unpaired-t test, Smokers had significantly higher HR at rest, slower HR increase during exercise compared to non-smokers. During recovery, the HR decline was significantly attenuated in smokers. Conclusion and clinical implication: Smoking is found to affect young male smokers’ Heart Rate. Therefore, more actions should be taken to spread awareness about its harmful effects and smoking cessation, especially in young adults. Keywords: Smoking, Queens College Step Test, Heart Rate
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吸烟对年轻男性休息、运动时心率及心率恢复的影响
研究背景和需要:吸烟对呼吸和循环系统的危害最终影响到心血管系统,从而导致多种呼吸系统疾病。心率是一项重要的、无创的、易于测量的心肌功指标。通过本研究,可以早期发现吸烟者的心率差异,预防吸烟对心脏系统的影响。方法:对年龄在18 - 45岁之间的个体进行观察性研究。纳入50例吸烟2年以上,BMI正常(18.5 ~ 22.9 kg /m2)的男性受试者。患有严重的心肺疾病、神经系统疾病、骨折或肌肉骨骼疾病的人可能会妨碍步进试验。研究对象分为两组:1]吸烟者和2]非吸烟者。在休息时,在皇后学院步骤测试期间和后5分钟测量HR,以比较两组之间的差异。结果:吸烟者的平均年龄、BMI、休息时心率、运动时心率、术后心率分别为(36.24±6.65)、(22.09±0.7)、(77.2±4.89)、(120.96±5.54)、(90.16±5.72),非吸烟者的平均年龄、BMI、运动时心率分别为(35.76±7.03)、(21.78±1.1)、(46.88±6.46)、(139.16±8.17)、(73.92±5.9)。使用非配对t检验进行比较,吸烟者在休息时的HR显著高于非吸烟者,在运动时的HR增长较慢。在恢复期间,吸烟者的心率下降明显减弱。结论及临床意义:吸烟对年轻男性吸烟者心率有影响。因此,应该采取更多的行动来传播其有害影响和戒烟的意识,特别是在年轻人中。关键词:吸烟,皇后学院步进测试,心率
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