Handicap status of exclusive narghile smokers compared to exclusive cigarette smokers: A case control-study

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• 作者：Ghazi Ben Hadj Mohamed^a ; Helmi Ben Saad^a ; ^b ; ^c ; ^{helmi.bensaad@rns.tn" class="auth_mail" title="E-mail the corresponding author}
• 关键词：CCQ ; clinical-COPD-questionnaire ; COPD ; chronic-obstructive-pulmonary-disease ; CS ; cigarette-smokers ; ECS ; exclusive-cigarette-smokers ; ENS ; exclusive-narghile-smokers ; HNS ; healthy-non-smokers ; HRQOL ; health-related-quality-of-life ; Non-S ; non-smokers ; NS ; narghile-smokers ; NY ; narghile-years ; PA ; physical-activity ; PAQ ; physical-activity-questionnaire ; PY ; pack-years ; QOL ; quality-of-life ; SD ; standard-deviation ; SEL ; socio-economic-level ; SF-36 ; short-form-health-survey ; SGRQ ; Saint-George&rs
• 刊名：Egyptian Journal of Chest Diseases and Tuberculosis
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：65
• 期：2
• 页码：397-403
• 全文大小：521 K

文摘

The aim of the present case–control study was to compare the quality-of-life (QOL) and physical-activity (PA) data of exclusive-narghile-smokers (ENS) with age- and tobacco quantity matched exclusive-cigarette-smokers (ECS).

Methods

Males aged ⩾ 20 years who are ENS or ECS for more than 10 years were recruited to participate in this case–control study. Amounts of used tobacco (narghile-years (NY), pack-years (PY)) were determined. QOL (symptoms, activity, impacts and total scores) and PA (daily, sporting, leisure and PA scores) data were collected according the Saint-George’s-respiratory and the Voorrips PA questionnaires. Student t-test and Chi-2 test were used to compare the profiles of the two groups. Pearson correlation-coefficient (r) was used for evaluating the relationship between used quantity of tobacco and PA and QOL data.

Results

Two age (44 ± 9 vs. 45 ± 14 years) and quantity of used tobacco (30 ± 32 NY vs. 37 ± 34 PY) matched groups (63 ENS and 54 ECS) were compared. Compared to the ENS group, the ECS group has a worse QOL with significantly higher activities, impact and total scores (respectively, 22 ± 22 vs. 32 ± 25; 11 ± 12 vs. 23 ± 24 and 18 ± 14 vs. 28 ± 20), has significantly lower sporting and PA scores (respectively, 12 ± 8 vs. 8 ± 6 and 17 ± 8 vs. 14 ± 7). There were clear negative dose–effect relationships between sporting (r = −0.39), leisure (r = −0.38) or PA (r = −0.46) scores and quantity of used cigarettes. However, no significant relationship was found between quantity of used narghile and QOL or PA data.

Conclusion

Chronic exclusive narghile-use is less detrimental to PA and QOL than chronic exclusive cigarette smoking.