The Association of Cigarette Smoking on Exercise Capacity and Skeletal Muscle Function in Taiwan Adult Smokers

NCT ID: NCT04688177

Last Updated: 2022-01-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

52 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-12-03

Study Completion Date

2021-04-29

Brief Summary

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Background and purpose: Cigarette smoking would post threats to physical health. Even though studies suggested that long-term cigarette smoking would lead to cardiovascular diseases, pulmonary diseases, or even cancer development, the smoking population all around the world was still common. Before progressing into the disease stage, cigarette smokers might have presented decreasing exercise capacity, skeletal muscle function, and cardiac autonomic function as early signs of physiological function decline. The purposes of this study are (1) to investigate the difference in exercise capacity, skeletal muscle function, and cardiac autonomic function between smokers and never smokers, and (2) to test the hypothesis that cigarette smoking is an independent factor associated with exercise capacity.

Methods: This is a cross-sectional observational study. This study will invite 150 participants from community in Taipei City. The body composition will be analyzed by bioelectrical impedance analysis, and resting heart rate variability will be evaluated by the heart rate variability monitor. Besides, grip strength, exhale carbon monoxide concentration, pulmonary function test, respiratory muscle performance will be measured. Moreover, subject will have to fill up the Fagerström Test for Nicotine Dependence and Seven-Day Physical Activity Recall Questionnaire. Last will be the cardiopulmonary exercise testing. Statistical analyses will be performed by statistical software for social sciences (SPSS) statistical package v.21.0 for Windows. (IBM SPSS Statistics for Windows, Version 21.0. Armonk, NY: IBM Corp.) Between-group comparisons of exercise capacity, skeletal muscle function and heart rate variability parameters will be performed using independent Student's t-test. Pearson's correlation coefficient will be used to test the correlations between outcome parameters. Stepwise regression analysis will be used to examine the independent association between smoking and exercise capacity after controlling for confounders. The α level will be set at 0.05. The results of this study would provide the early effects of cigarette smoking on physical function, and highlight the importance of early detection and intervention.

Detailed Description

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Conditions

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Cigarette Smoking

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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smokers

cigarette smokers male 20 ≤ age ≤ 45 years old female 20 ≤ age ≤ 55 years old

Body Composition

Intervention Type DEVICE

The subjects should lie in the supine position on a non-conducting surface for 5 min. 4 surface electrodes with cables will be attached to the right hand and ankle of subjects.

Heart rate variability

Intervention Type DEVICE

After supine quietly for 20 min, a lead I electrocardiogram will be taken for 5 min.

Grip Strength

Intervention Type DEVICE

The participants will squeeze the hand dynamometer as hard as possible with the dominant hand. 3 successive measurements will be taken.

Exhale Carbon Monoxide Concentration

Intervention Type DEVICE

Subjects in sitting position, performing 1 inspiration, then exhale to carbon monoxide meter.

Pulmonary Function Test

Intervention Type DEVICE

Subjects should be in a sitting position with a nose clip, then perform pulmonary function test. Participants should perform at least 3 acceptable attempts, but no more than 8 attempts in total.

Respiratory Muscle Function

Intervention Type DEVICE

Subject will perform both maximal inspiratory pressure and maximal expiratory pressure for 3 times in sitting position with the nose clip.

Fagerström Test for Nicotine Dependence

Intervention Type BEHAVIORAL

Fagerström Test for Nicotine Dependence Traditional Chinese version will be adopted. It is a 6-item questionnaire that could help quantify the smoking frequency, amounts, and level of dependence.

Seven-Day Physical Activity Recall Questionnaire

Intervention Type BEHAVIORAL

Physical activity will be measured by the Chinese Version of the Seven-Day Physical Activity Recall Questionnaire. Participants will need to recall the time (hours) they spent in various leisure activities in the past 7 days.

Cardiopulmonary exercise testing

Intervention Type DEVICE

Bruce protocol as the treadmill evaluation protocol will be adopted for cardiopulmonary exercise testing.

never smokers

age and gender-matched non-smokers

Body Composition

Intervention Type DEVICE

The subjects should lie in the supine position on a non-conducting surface for 5 min. 4 surface electrodes with cables will be attached to the right hand and ankle of subjects.

Heart rate variability

Intervention Type DEVICE

After supine quietly for 20 min, a lead I electrocardiogram will be taken for 5 min.

Grip Strength

Intervention Type DEVICE

The participants will squeeze the hand dynamometer as hard as possible with the dominant hand. 3 successive measurements will be taken.

Exhale Carbon Monoxide Concentration

Intervention Type DEVICE

Subjects in sitting position, performing 1 inspiration, then exhale to carbon monoxide meter.

Pulmonary Function Test

Intervention Type DEVICE

Subjects should be in a sitting position with a nose clip, then perform pulmonary function test. Participants should perform at least 3 acceptable attempts, but no more than 8 attempts in total.

Respiratory Muscle Function

Intervention Type DEVICE

Subject will perform both maximal inspiratory pressure and maximal expiratory pressure for 3 times in sitting position with the nose clip.

Fagerström Test for Nicotine Dependence

Intervention Type BEHAVIORAL

Fagerström Test for Nicotine Dependence Traditional Chinese version will be adopted. It is a 6-item questionnaire that could help quantify the smoking frequency, amounts, and level of dependence.

Seven-Day Physical Activity Recall Questionnaire

Intervention Type BEHAVIORAL

Physical activity will be measured by the Chinese Version of the Seven-Day Physical Activity Recall Questionnaire. Participants will need to recall the time (hours) they spent in various leisure activities in the past 7 days.

Cardiopulmonary exercise testing

Intervention Type DEVICE

Bruce protocol as the treadmill evaluation protocol will be adopted for cardiopulmonary exercise testing.

Interventions

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Body Composition

The subjects should lie in the supine position on a non-conducting surface for 5 min. 4 surface electrodes with cables will be attached to the right hand and ankle of subjects.

Intervention Type DEVICE

Heart rate variability

After supine quietly for 20 min, a lead I electrocardiogram will be taken for 5 min.

Intervention Type DEVICE

Grip Strength

The participants will squeeze the hand dynamometer as hard as possible with the dominant hand. 3 successive measurements will be taken.

Intervention Type DEVICE

Exhale Carbon Monoxide Concentration

Subjects in sitting position, performing 1 inspiration, then exhale to carbon monoxide meter.

Intervention Type DEVICE

Pulmonary Function Test

Subjects should be in a sitting position with a nose clip, then perform pulmonary function test. Participants should perform at least 3 acceptable attempts, but no more than 8 attempts in total.

Intervention Type DEVICE

Respiratory Muscle Function

Subject will perform both maximal inspiratory pressure and maximal expiratory pressure for 3 times in sitting position with the nose clip.

Intervention Type DEVICE

Fagerström Test for Nicotine Dependence

Fagerström Test for Nicotine Dependence Traditional Chinese version will be adopted. It is a 6-item questionnaire that could help quantify the smoking frequency, amounts, and level of dependence.

Intervention Type BEHAVIORAL

Seven-Day Physical Activity Recall Questionnaire

Physical activity will be measured by the Chinese Version of the Seven-Day Physical Activity Recall Questionnaire. Participants will need to recall the time (hours) they spent in various leisure activities in the past 7 days.

Intervention Type BEHAVIORAL

Cardiopulmonary exercise testing

Bruce protocol as the treadmill evaluation protocol will be adopted for cardiopulmonary exercise testing.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* male 20 ≤ age ≤ 45 years old
* female 20 ≤ age ≤ 55 years old
* age and gender-matched non-smokers

Exclusion Criteria

* uncontrolled cardiovascular diseases, neurological diseases, musculoskeletal system problems, or systemic diseases that contraindicate the exercise
* women in pregnancy or menopausal women
* any ongoing medication that has a documented effect on the autonomic nervous system (e.g., tricyclic anti-depressants)
* has been diagnosed with autonomic nervous system disorders
Minimum Eligible Age

20 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Taiwan University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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National Taiwan University, College of Medicine, Department of Physical Therapy

Taipei, Zhongzheng, Taiwan

Site Status

Countries

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Taiwan

References

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PMID: 2132889 (View on PubMed)

Related Links

Access external resources that provide additional context or updates about the study.

https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=1054&pid=6010

Health Promotion Administration, Ministry of Health and Welfare, Taiwan. Taiwan Tobacco Control Annual Report 2015. 2015.

https://www.tafm.org.tw/ehc-tafm/s/viewDocument?documentId=4d29bb25941b459fa89f45a3aeff1ad5

Liu JY, Chen TJ, Hwang SJ. Predicting Factors of Smoking Cessation in Outpatient Smoking Cessation Clinic. Taiwan J Fam Med 2017; 27: 146-153.

https://www.airitilibrary.com/Publication/alDetailedMesh?docid=1815638x-200512-x-3-31-38-a

Tsai YM. The Effect of Smoking on the Recuperation after Exercise. Journal of Exercise Physiology and Fitness, (3), 2005.

https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=10167390-201208-201210020010-201210020010-245-253

Chung CY, Hung CC, Hwang SJ, Chen HC. The Application of Bioimpedance Analysis in Internal Medicine. J Intern Med Taiwan 2012; 23: 245-253.

https://health99.hpa.gov.tw/onlineQuiz/smoking

衛生福利部國民健康署健康九九網站。尼古丁成癮度量表。2020。Access date: 2020/07/28.

https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=15632555-200302-28-1-1-8-a

Chien MY, Wu TY, Kwan WK, Chien CL. Reliability of the Chinese Version of the 7-day Recall Physical Activity Questionnaire and Its Correlation with Impairments of Disease and Function. FJPT 2003; 28(1):01-08.

Other Identifiers

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202010123RIND

Identifier Type: -

Identifier Source: org_study_id

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