Korean J Health Promot.  2020 Dec;20(4):151-155. 10.15384/kjhp.2020.20.4.151.

The Relationship between Smoking and Pulmonary Function Test by Body Mass Index and Age: The Korean National Health and Nutrition Survey

Affiliations
  • 1Department of Biomedical Laboratory Science, College of Health Science, Eulji University, Seongnam, Korea

Abstract

Background
Smoking is a known risk factor for decreasing pulmonary function. The objective of this study was to investigate the relationship between smoking and lung function considering obesity and age group.
Methods
This study was based on the data collected during the 2016 Korean National Health and Nutrition Examination Surveys (KNHANES VII). A total of 3,411 adults were retrieved from KNHANES VII. Among 3,411 adults, we studied 1,411 male subjects. Impaired lung function was measured by spirometry at least twice. Data were analyzed using one way analysis of variance.
Results
In this study, forced expiratory volume in the first second was associated with smoking status (P=0.024). The association was stronger in old subjects (P=0.008). Also, in the obese group, the association of lung function with smoking status was not significant, but the association was significant in the non-obese group (P=0.019).
Conclusions
In this study, Smoking was significantly associated with impaired lung function. The association was stronger in old men and obese men. In order to obtain an accurate assessment of the association between smoking and pulmonary function values, further prospective cohort study in the future is necessary.

Keyword

Smoking; Respiratory function tests; Obesity; Forced expiratory volume

Reference

1. Jung JW, Choi SH, Kim SH, Kang HR, Park HW, Chang YS, et al. Correlation between serum CEA and pulmonary function in the healthy adult population. Journal of Asthma, Allergy and Clinical Immunology. 2010; 30(1):30–5.
2. Lee JT, Kim EK, Won JY, Lee DY, Lee JD, Yoo NC, et al. Experimental and clinical studies on the intraarterial injection of holmium-166 chitosan complex in the treatment of hepatocellular carcinoma. J Korean Radiol Soc. 2001; 44(4):441–51.
Article
3. Lim SY, Rhee EJ, Sung KC. Metabolic syndrome, insulin resistance and systemic inflammation as risk factors for reduced lung function in Korean nonsmoking males. J Korean Med Sci. 2010; 25(10):1480–6.
Article
4. Kim SK, Hur KY, Choi YH, Kim SW, Chung JH, Kim HK, et al. The relationship between lung function and metabolic syndrome in obese and non-obese Korean adult males. Korean Diabetes J. 2010; 34(4):253–60.
Article
5. Lee KH. The effect of smoking on lung function. Tuberc Respir Dis. 2007; 63(4):323–30.
Article
6. Lee JU, Paek YJ. The relationship between reduced lung function and high sensitive C-reactive protein in healthy adult men. J Korean Acad Fam Med. 2007; 28(11):860–6.
7. Jang WC, Beom MS, Jeong IS, Hong YJ, Oh BS. Inflammatory reponse of the lung to hypothermia and fluid therapy after hemorrhagic shock in rats. Korean J Thorac Cardiovasc Surg. 2006; 39(12):879–90.
8. Xu X, Dockery DW, Ware JH, Speizer FE, Ferris BG Jr. Effects of cigarette smoking on rate of loss of pulmonary function in adults: a longitudinal assessment. Am Rev Respir Dis. 1992; 146(5 Pt 1):1345–8.
Article
9. Osaka D, Shibata Y, Abe S, Inoue S, Tokairin Y, Igarashi A, et al. Relationship between habit of cigarette smoking and airflow limitation in healthy Japanese individuals: the Takahata study. Intern Med. 2010; 49(15):1489–99.
Article
10. Kim T, Woo J, Lee W, Jo S, Chun H. Relationship between the change in body weight or body mass index and pulmonary function. Korean J Health Promot. 2019; 19(2):91–5.
Article
11. WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363(9403):157–63.
12. Lee EY, Kim YT, Yang JO, Hong SY. Long-term prognosis of paraquat-induced lung injury. Korean J Med. 2003; 65(3):308–14.
13. Sposato B, Scalese M, Milanese M, Scichilone N, Scala R, Perrella A. Smoking and obesity increase airway hyperesponsiveness risk in the elderly. Curr Aging Sci. 2016; 9(4):284–94.
Article
14. Rezaei S, Hajizadeh M, Pasdar Y, Hamzeh B, Moradinazar M, Najafi F. Association of smoking with general and abdominal obesity: evidence from a cohort study in west of Iran. J Res Health Sci. 2017; 18(1):e00401.
15. Watanabe T, Tsujino I, Konno S, Ito YM, Takashina C, Sato T, et al. Association between smoking status and obesity in a nationwide survey of Japanese adults. PLoS One. 2016; 11(3):e0148926.
Article
16. Nemery B, Moavero NE, Brasseur L, Stănescu DC. Smoking, lung function, and body weight. Br Med J (Clin Res Ed). 1983; 286(6361):249–51.
Article
17. Lindberg A, Larsson LG, Rönmark E, Jonsson AC, Larsson K, Lundbäck B. Decline in FEV1 in relation to incident chronic obstructive pulmonary disease in a cohort with respiratorysymptoms. COPD. 2007; 4(1):5–13.
18. Jung IS, Jung IK. Effects of smoking status on chronic obstructive pulmonary disease prevalence in males 40 years and older: findings from the Korean national health and nutrition examination survey. Korean J Health Promot. 2014; 14(4):155–61.
Article
Full Text Links
  • KJHP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr