Influence of current smoking on adherence and responses to pulmonary rehabilitation in patients with COPD

Influence of current smoking on adherence and responses to pulmonary rehabilitation in patients with COPD

Author Santana, Vivian T. S. Google Scholar
Squassoni, Selma D. Google Scholar
Neder, Jose Alberto Autor UNIFESP Google Scholar
Fiss, Elie Google Scholar
Institution Hosp Municapal Univ Sao Bernardo do Campo
Hosp & Maternidade Beneficencia Portuguesa Santo
FMABC
Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To investigate the modulating effects of current smoking on adherence and responses to pulmonary rehabilitation (PR) in patients with chronic obstructive pulmonary disease (COPD). Methods: in a prospective study, 18 ex-smokers and 23 current smokers (GOLD stages II-III) were enrolled in a 12-week multidisciplinary, supervised PR program. the patients were assessed clinically and as to subjective variables (dyspnea and health-related quality of life) and objective variables (body composition, pulmonary function and 6-min walking distance). the degree of nicotine dependence in current smokers was assessed by the Fagerstrom test. Program completion defined PR adherence. Results: There was a significant association between current smoking and non-adherence to PR with 30.4% vs. 11.1% and odds ratio=2.9 (1.6-4.1; p<0.01). However, the current smokers who completed the program (n=16) had a similar absentee rate to the ex-smokers, as well as similar gains in the subjective (quality of life) and objective (walked distance) items. Additionally, there was a significant reduction in daily cigarette consumption and in the degree of nicotine dependence in current smokers (p<0.05). Conclusions: Although current smoking is negatively related to PR adherence, CORD smokers who complete the PR can have similar gains in functionality and quality of life compared to ex-smokers. Moreover, PR may be related to decreased nicotine dependence, even without a formal smoking withdrawal program.
Keywords COPD
rehabilitation
exercise
smoking
physical therapy
Language Portuguese
Date 2010-01-01
Published in Revista Brasileira de Fisioterapia. Sao Carlos Sp: Associacao Brasileira Pesquisa Pos-graduacao Fisioterapia-abrapg-ft, v. 14, n. 1, p. 16-23, 2010.
ISSN 1413-3555 (Sherpa/Romeo, impact factor)
Publisher Associacao Brasileira Pesquisa Pos-graduacao Fisioterapia-abrapg-ft
Extent 16-23
Origin http://dx.doi.org/10.1590/S1413-35552010000100004
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000276003500004
SciELO ID S1413-35552010000100004 (statistics in SciELO)
URI http://repositorio.unifesp.br/handle/11600/32050

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