Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas

Background Further evidence is needed on the effects that short- and long-term exposure to secondhand smoke (SHS) have on the respiratory health of patients with lung disease. Within the TackSHS project we aimed to assess the acute respiratory effects in lung function that result from short-term SHS...

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Autores: Keogan, Sheila, Alonso, Tamara, Sunday, Salome, Tigova, Olena, Fernández Muñoz, Esteve, López, María José, Gallus, Silvano, Semple, Sean, Tzortzi, Ana, Boffi, Roberto, Gorini, Giuseppe, López Nicolás, Ángel, Radu Loghin, Cornel, Soriano, Joan B., Clancy, Luke, The TackSHS Project Investigators
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2020
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/179741
Acceso en línea:https://hdl.handle.net/2445/179741
Access Level:acceso abierto
Palabra clave:Asma
Malalties pulmonars obstructives cròniques
Pulmó
Hàbit de fumar
Asthma
Chronic obstructive pulmonary diseases
Lung
Smoking
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repository_id_str
spelling Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areasKeogan, SheilaAlonso, TamaraSunday, SalomeTigova, OlenaFernández Muñoz, EsteveLópez, María JoséGallus, SilvanoSemple, SeanTzortzi, AnaBoffi, RobertoGorini, GiuseppeLópez Nicolás, ÁngelRadu Loghin, CornelSoriano, Joan B.Clancy, LukeThe TackSHS Project InvestigatorsAsmaMalalties pulmonars obstructives cròniquesPulmóHàbit de fumarAsthmaChronic obstructive pulmonary diseasesLungSmokingBackground Further evidence is needed on the effects that short- and long-term exposure to secondhand smoke (SHS) have on the respiratory health of patients with lung disease. Within the TackSHS project we aimed to assess the acute respiratory effects in lung function that result from short-term SHS exposure among patients with asthma and chronic obstructive pulmonary disease (COPD). Methods The study design was an intervention trial with measurements before/after exposure to SHS in legal outdoor smoking areas. We studied patients with asthma or COPD from Czechia, Ireland, and Spain. Forced spirometry, peak flow and carbon monoxide (CO) measurements were performed pre- and 24 h post- exposure. Results Overall, 60 patients were studied, 30 with asthma, and 30 with COPD; 35 (58.3%) were female. There were no significant differences observed in exhaled CO between pre- and 24 h post-exposure neither in women (p = 0.210), nor in men (p = 0.169). A statistically significant decrease in forced vital capacity (FVC) was seen, overall, in asthma participants (p = 0.02) and in forced expiratory volume in the first second (FEV1), (p = 0.02), FVC (p = 0.04) and peak expiratory flow rate (PEFR) (p = 0.04) in female asthmatic participants. The observed decreases in respiratory measurements in COPD were not significant. There were no reported increases in symptoms, respiratory medication, or use of health services 24 h after the exposure. Conclusion We conclude that acute, short-term SHS exposure had a statistically significant effect on spirometry in female asthma patients but did not significantly modify spirometric indices 24 h later in COPD patients.Informa UK Limited2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://hdl.handle.net/2445/179741Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésVersió postprint del document publicat a: https://doi.org/10.1080/02770903.2020.1766062Journal of Asthma, 2020, vol. 58, num. 9, p. 1169-1175https://doi.org/10.1080/02770903.2020.1766062(c) Informa UK Limited, 2020info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1797412026-05-27T06:46:51Z
dc.title.none.fl_str_mv Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
title Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
spellingShingle Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
Keogan, Sheila
Asma
Malalties pulmonars obstructives cròniques
Pulmó
Hàbit de fumar
Asthma
Chronic obstructive pulmonary diseases
Lung
Smoking
title_short Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
title_full Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
title_fullStr Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
title_full_unstemmed Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
title_sort Lung function changes in patients with chronic obstructive pulmonary disease (COPD) and asthma exposed to secondhand smoke in outdoor areas
dc.creator.none.fl_str_mv Keogan, Sheila
Alonso, Tamara
Sunday, Salome
Tigova, Olena
Fernández Muñoz, Esteve
López, María José
Gallus, Silvano
Semple, Sean
Tzortzi, Ana
Boffi, Roberto
Gorini, Giuseppe
López Nicolás, Ángel
Radu Loghin, Cornel
Soriano, Joan B.
Clancy, Luke
The TackSHS Project Investigators
author Keogan, Sheila
author_facet Keogan, Sheila
Alonso, Tamara
Sunday, Salome
Tigova, Olena
Fernández Muñoz, Esteve
López, María José
Gallus, Silvano
Semple, Sean
Tzortzi, Ana
Boffi, Roberto
Gorini, Giuseppe
López Nicolás, Ángel
Radu Loghin, Cornel
Soriano, Joan B.
Clancy, Luke
The TackSHS Project Investigators
author_role author
author2 Alonso, Tamara
Sunday, Salome
Tigova, Olena
Fernández Muñoz, Esteve
López, María José
Gallus, Silvano
Semple, Sean
Tzortzi, Ana
Boffi, Roberto
Gorini, Giuseppe
López Nicolás, Ángel
Radu Loghin, Cornel
Soriano, Joan B.
Clancy, Luke
The TackSHS Project Investigators
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Asma
Malalties pulmonars obstructives cròniques
Pulmó
Hàbit de fumar
Asthma
Chronic obstructive pulmonary diseases
Lung
Smoking
topic Asma
Malalties pulmonars obstructives cròniques
Pulmó
Hàbit de fumar
Asthma
Chronic obstructive pulmonary diseases
Lung
Smoking
description Background Further evidence is needed on the effects that short- and long-term exposure to secondhand smoke (SHS) have on the respiratory health of patients with lung disease. Within the TackSHS project we aimed to assess the acute respiratory effects in lung function that result from short-term SHS exposure among patients with asthma and chronic obstructive pulmonary disease (COPD). Methods The study design was an intervention trial with measurements before/after exposure to SHS in legal outdoor smoking areas. We studied patients with asthma or COPD from Czechia, Ireland, and Spain. Forced spirometry, peak flow and carbon monoxide (CO) measurements were performed pre- and 24 h post- exposure. Results Overall, 60 patients were studied, 30 with asthma, and 30 with COPD; 35 (58.3%) were female. There were no significant differences observed in exhaled CO between pre- and 24 h post-exposure neither in women (p = 0.210), nor in men (p = 0.169). A statistically significant decrease in forced vital capacity (FVC) was seen, overall, in asthma participants (p = 0.02) and in forced expiratory volume in the first second (FEV1), (p = 0.02), FVC (p = 0.04) and peak expiratory flow rate (PEFR) (p = 0.04) in female asthmatic participants. The observed decreases in respiratory measurements in COPD were not significant. There were no reported increases in symptoms, respiratory medication, or use of health services 24 h after the exposure. Conclusion We conclude that acute, short-term SHS exposure had a statistically significant effect on spirometry in female asthma patients but did not significantly modify spirometric indices 24 h later in COPD patients.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/179741
url https://hdl.handle.net/2445/179741
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Versió postprint del document publicat a: https://doi.org/10.1080/02770903.2020.1766062
Journal of Asthma, 2020, vol. 58, num. 9, p. 1169-1175
https://doi.org/10.1080/02770903.2020.1766062
dc.rights.none.fl_str_mv (c) Informa UK Limited, 2020
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Informa UK Limited, 2020
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Informa UK Limited
publisher.none.fl_str_mv Informa UK Limited
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300719

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