TITLE

Smokers with airway obstruction are more likely to quit smoking

AUTHOR(S)
Bednarek, M.; Gorecka, D.; Wielgomas, J.; Czajkowska-Malinowska, M.; Regula, J.; Mieszko-Filipczyk, G.; Jasionowicz, M.; Bijata-Bronisz, R.; Lempicka-Jastrzebska, M.; Czajkowski, M.; Przybylski, G.; Zielinski, J.
PUB. DATE
October 2006
SOURCE
Thorax;Oct2006, Vol. 61 Issue 10, p869
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Chronic obstructive pulmonary disease (COPD), usually caused by tobacco smoking, is one of the leading causes of morbidity and mortality. Smoking cessation at an early stage of the disease usually stops further progression. A study was undertaken to determine if diagnosis of airway obstruction was associated with subsequent success in smoking cessation, as advised by a physician. Methods: 4494 current smokers (57.4% men) with a history of at least 10 pack-years of smoking were recruited from 100 000 subjects screened by spirometric testing for signs of airway obstruction. At the time of screening all received simple smoking cessation advice. 1177 (26.2%) subjects had airway obstruction and were told that they had COPD and that smoking cessation would halt rapid progression of their lung disease. No pharmacological treatment was proposed. After 1 year all subjects were invited for a follow up visit. Smoking status was assessed by history and validated by exhaled carbon monoxide level. Results: Nearly 70% attended a follow up visit (n = 3077): 61% were men, mean (SD) age was 52 (10) years, mean (SD) tobacco exposure 30 (17) pack-years, and 33.3% had airway obstruction during the baseline examination. The validated smoking cessation rate in those with airway obstruction was 16.3% compared with 12.0% in those with normal spirometric parameters (p = 0.0003). After correction for age, sex, nicotine dependence, number of cigarettes smoked daily, and lung function, success in smoking cessation was predicted by lower lung function, lower nicotine dependence, and lower tobacco exposure. Conclusions: Simple smoking cessation advice combined with spirometric testing resulted in good 1 year cessation rates, especially in subjects with airway obstruction.
ACCESSION #
22926532

 

Related Articles

  • COPD.  // Thorax;Dec2001 Supp, Vol. 56, piii85 

    This article presents various studies related to chronic obstructive pulmonary diseases. Knowledge of a patient's smoking habit enables appropriate smoking advice to be given. However some smokers may deny their habit thus making counselling difficult. The breath carbon monoxide level monitor...

  • Asthma in adults. Morris, David // GP: General Practitioner;8/22/2008, p30 

    The article offers information on asthma, a chronic inflammatory condition leading to obstruction of the small airways that is characteristically reversible, in adults. It states that most common differential diagnosis in adults is chronic obstructive pulmonary disease (COPD). It says that...

  • What Does Current Research Say About COPD Treatment Options? Ranger, Laurel McKee // Pulmonary Reviews;Jan2008, Vol. 13 Issue 1, p17 

    The article presents several options for the treatment of chronic obstructive pulmonary disease (COPD). Smoking cessation and use of supplemental oxygen reduce symptoms of the disease. Long-acting bronchodilators are recommended for those with moderate COPD. Novel therapies include the use of...

  • Skeletal muscle properties and fatigue resistance in relation to smoking history. Wüst, Rob C. I.; Morse, Christopher I.; de Haan, Arnold; Rittweger, Jörn; Jones, David A.; Degens, Hans // European Journal of Applied Physiology;Sep2008, Vol. 104 Issue 1, p103 

    Although smoking-related diseases, such as chronic obstructive pulmonary disease (COPD), are often accompanied by increased peripheral muscle fatigability, the extent to which this is a feature of the disease or a direct effect of smoking per se is not known. Skeletal muscle function was...

  • Overcoming Gaps in the Management of Chronic Obstructive Pulmonary Disease in Older Patients. Gelberg, Jacob; McIvor, R. Andrew // Drugs & Aging;2010, Vol. 27 Issue 5, p367 

    Chronic obstructive pulmonary disease (COPD) is a common disorder with a high prevalence among elderly men and women and an increasing mortality rate. Its diagnosis relies on spirometry, with a diagnostic cut-off value of a forced expiratory volume in 1 second (FEV1)/forced vital capacity ratio...

  • Ethical analysis of the justifiability of labelling with COPD for smoking cessation. Kotz, Daniel // Journal of Medical Ethics;Sep2009, Vol. 35 Issue 9, p2 

    Background: Spirometry for early detection of chronic obstructive pulmonary disease (COPD) and smoking cessation is criticised because of the potential negative effects of labelling with disease. Aim: To assess the effects of opinions of smokers with mild to moderate COPD on the effectiveness of...

  • Smoking and COPD: accelerated lung ageing. Cope, Graham // Practice Nursing;Feb2014, Vol. 25 Issue 2, p68 

    The article informs that smoking is the most important preventable risk factor for chronic obstructive pulmonary disease (COPD). It indicates that various elements of cigarette smoke progressively damage lung defence systems, and that airway obstruction with mucus and tissue degradation...

  • Medical Treatment of COPD Patients with Mild and Moderate Airflow Obstruction. Ferguson, Gary T.; Fromer, Leonard // Current Respiratory Medicine Reviews;Dec2012, Vol. 8 Issue 6, p454 

    The prevalence of chronic obstructive pulmonary disease (COPD) is increasing and is now the third most common cause of death in the United States. It is estimated that half of all people in the United States with COPD have not been diagnosed, reflecting factors that include patient delay in...

  • Chronic obstructive pulmonary disease. Crockett, Tony // Update;12/15/2005, Vol. 71 Issue 6, p14 

    This article focuses on the treatment of chronic obstructive pulmonary disease (COPD). COPD is a common illness that is incurable, progressive and. usually, ultimately fatal. It is characterised by airway obstruction that is irreversible or only partly reversible, alveolar damage and...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sign out of this library

Other Topics