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

dc.contributor.authorSantana, Vivian T. S.
dc.contributor.authorSquassoni, Selma D.
dc.contributor.authorNeder, Jose Alberto [UNIFESP]
dc.contributor.authorFiss, Elie
dc.contributor.institutionHosp Municapal Univ Sao Bernardo do Campo
dc.contributor.institutionHosp & Maternidade Beneficencia Portuguesa Santo
dc.contributor.institutionFMABC
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:59:02Z
dc.date.available2016-01-24T13:59:02Z
dc.date.issued2010-01-01
dc.description.abstractObjective: 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.en
dc.description.affiliationHosp Municapal Univ Sao Bernardo do Campo, Dept Fisioterapia, Sao Bernardo Do Campo, SP, Brazil
dc.description.affiliationHosp & Maternidade Beneficencia Portuguesa Santo, Dept Fisioterapia, Santo Andre, SP, Brazil
dc.description.affiliationFMABC, Dept Reabilitacao Pulm, Santo Andre, SP, Brazil
dc.description.affiliationFMABC, Dept Pneumol, Santo Andre, SP, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Pneumol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Pneumol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent16-23
dc.identifierhttp://dx.doi.org/10.1590/S1413-35552010000100004
dc.identifier.citationRevista Brasileira de Fisioterapia. Sao Carlos Sp: Associacao Brasileira Pesquisa Pos-graduacao Fisioterapia-abrapg-ft, v. 14, n. 1, p. 16-23, 2010.
dc.identifier.doi10.1590/S1413-35552010000100004
dc.identifier.issn1413-3555
dc.identifier.scieloS1413-35552010000100004
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/32050
dc.identifier.wosWOS:000276003500004
dc.language.isopor
dc.publisherAssociacao Brasileira Pesquisa Pos-graduacao Fisioterapia-abrapg-ft
dc.relation.ispartofRevista Brasileira de Fisioterapia
dc.rightsAcesso aberto
dc.subjectCOPDen
dc.subjectrehabilitationen
dc.subjectexerciseen
dc.subjectsmokingen
dc.subjectphysical therapyen
dc.titleInfluence of current smoking on adherence and responses to pulmonary rehabilitation in patients with COPDen
dc.typeArtigo
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