Purpose <p>Cigarette smoking (CS) impact on cardiopulmonary function has been extensively investigated on sedentary, middle-aged smokers (SMK) with pulmonary disease, but not on young SMK with high fitness level. This study evaluated the cardiopulmonary and gas-exchange kinetics during and after moderate exercise in young, physically active SM without known diseases.</p> Methods <p>Ten SMK (age: 21 ± 2&#xa0;year., body mass: 78 ± 6&#xa0;kg; stature: 1.79 ± 0.07&#xa0;m; 12 ± 5 cigarette/day for 6 ± 2&#xa0;year.; mean ± SD) and twelve non-smokers (CTRL; age: 24 ± 3&#xa0;year., body mass: 78 ± 9&#xa0;kg; stature: 1.80 ± 0.08&#xa0;m) matched also for exercise habits performed an incremental cycloergometric test to assess maximum pulmonary oxygen uptake (<InlineEquation ID="IEq1"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{{\text{O}}_{2}\:\text{m}\text{a}\text{x}}\)</EquationSource> </InlineEquation>) and first ventilatory threshold (VT<sub>1</sub>). After pulmonary evaluation, participants performed four 6-min moderate-intensity tests at 90% VT<sub>1</sub>. The time constant (τ) of the on- and off-phases were determined for expiratory ventilation (<InlineEquation ID="IEq2"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{\text{E}}\)</EquationSource> </InlineEquation>), <InlineEquation ID="IEq3"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\)</EquationSource> </InlineEquation>, heart rate (<i>f</i><sub>H</sub>) and cardiac output (<InlineEquation ID="IEq4"> <EquationSource Format="TEX">\(\:\dot{\text{Q}}\)</EquationSource> </InlineEquation>).</p> Results <p>Despite similar static lung volumes, SMK exhibited lower peak expiratory flow (-21%; <i>P</i> = 0.009) and maximal voluntary ventilation (-12%; <i>P</i> = 0.008). SMK had lower <InlineEquation ID="IEq5"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{{\text{O}}_{2\:\text{m}\text{a}\text{x}}}\)</EquationSource> </InlineEquation> (3657 ± 325 vs. 3397 ± 316&#xa0;ml∙min<sup>− 1</sup> for CTRL and SMK, respectively; <i>P</i> = 0.009) and mechanical power at VT<sub>1</sub> (201 ± 26 vs. 185 ± 16&#xa0;W for CTRL and SMK respectively; <i>P</i> = 0.041). In on-phase, SMK demonstrated longer τ in <InlineEquation ID="IEq6"> <EquationSource Format="TEX">\(\:\dot{\text{Q}}\)</EquationSource> </InlineEquation> (+ 22%; <i>P</i> = 0.032), <InlineEquation ID="IEq7"> <EquationSource Format="TEX">\(\:{f}_{\text{H}}\)</EquationSource> </InlineEquation> (+ 56%; <i>P</i> = 0.005), <InlineEquation ID="IEq8"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\)</EquationSource> </InlineEquation> (+ 41%; <i>P</i> = 0.032), <InlineEquation ID="IEq9"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{\text{E}}\)</EquationSource> </InlineEquation> (+ 47%; <i>P</i> = 0.007) and. In off-phase, τ in SMK was lengthened for <InlineEquation ID="IEq10"> <EquationSource Format="TEX">\(\:\dot{\text{Q}}\)</EquationSource> </InlineEquation> (+ 51%; <i>P</i> = 0.041), <InlineEquation ID="IEq11"> <EquationSource Format="TEX">\(\:{f}_{\text{H}}\)</EquationSource> </InlineEquation> (+ 42%; <i>P</i> = 0.022), <InlineEquation ID="IEq12"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\)</EquationSource> </InlineEquation> (+ 20%; <i>P</i> = 0.002) and <InlineEquation ID="IEq13"> <EquationSource Format="TEX">\(\:{\dot{\text{V}}}_{\text{E}}\)</EquationSource> </InlineEquation> (+ 42%; <i>P</i> = 0.018).</p> Conclusion <p>CS slowed cardiopulmonary and gas-exchange kinetics at moderate exercise even in young individuals with short smoking history.</p>

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Cigarette smoking slows the on- and the off- cardiorespiratory and gas-exchange kinetics during moderate exercise in young, physically active adults

  • Marta Borrelli,
  • Asia Motalli,
  • Christian Doria,
  • Nicholas Toninelli,
  • Stefano Longo,
  • Giuseppe Coratella,
  • Emiliano Cè,
  • Susanna Rampichini,
  • Fabio Esposito

摘要

Purpose

Cigarette smoking (CS) impact on cardiopulmonary function has been extensively investigated on sedentary, middle-aged smokers (SMK) with pulmonary disease, but not on young SMK with high fitness level. This study evaluated the cardiopulmonary and gas-exchange kinetics during and after moderate exercise in young, physically active SM without known diseases.

Methods

Ten SMK (age: 21 ± 2 year., body mass: 78 ± 6 kg; stature: 1.79 ± 0.07 m; 12 ± 5 cigarette/day for 6 ± 2 year.; mean ± SD) and twelve non-smokers (CTRL; age: 24 ± 3 year., body mass: 78 ± 9 kg; stature: 1.80 ± 0.08 m) matched also for exercise habits performed an incremental cycloergometric test to assess maximum pulmonary oxygen uptake ( \(\:{\dot{\text{V}}}_{{\text{O}}_{2}\:\text{m}\text{a}\text{x}}\) ) and first ventilatory threshold (VT1). After pulmonary evaluation, participants performed four 6-min moderate-intensity tests at 90% VT1. The time constant (τ) of the on- and off-phases were determined for expiratory ventilation ( \(\:{\dot{\text{V}}}_{\text{E}}\) ), \(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\) , heart rate (fH) and cardiac output ( \(\:\dot{\text{Q}}\) ).

Results

Despite similar static lung volumes, SMK exhibited lower peak expiratory flow (-21%; P = 0.009) and maximal voluntary ventilation (-12%; P = 0.008). SMK had lower \(\:{\dot{\text{V}}}_{{\text{O}}_{2\:\text{m}\text{a}\text{x}}}\) (3657 ± 325 vs. 3397 ± 316 ml∙min− 1 for CTRL and SMK, respectively; P = 0.009) and mechanical power at VT1 (201 ± 26 vs. 185 ± 16 W for CTRL and SMK respectively; P = 0.041). In on-phase, SMK demonstrated longer τ in \(\:\dot{\text{Q}}\) (+ 22%; P = 0.032), \(\:{f}_{\text{H}}\) (+ 56%; P = 0.005), \(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\) (+ 41%; P = 0.032), \(\:{\dot{\text{V}}}_{\text{E}}\) (+ 47%; P = 0.007) and. In off-phase, τ in SMK was lengthened for \(\:\dot{\text{Q}}\) (+ 51%; P = 0.041), \(\:{f}_{\text{H}}\) (+ 42%; P = 0.022), \(\:{\dot{\text{V}}}_{{\text{O}}_{2}}\) (+ 20%; P = 0.002) and \(\:{\dot{\text{V}}}_{\text{E}}\) (+ 42%; P = 0.018).

Conclusion

CS slowed cardiopulmonary and gas-exchange kinetics at moderate exercise even in young individuals with short smoking history.