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      Effects of Smoking and Physical Activity on the Pulmonary Function of Young University Nursing Students in Cáceres (Spain)

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          ABSTRACT

          Background:

          The simultaneous effect of physical activity (PA) and smoking on pulmonary function in young people remains unclear.

          Propose:

          The aim of this study was to determine the influence of smoking and PA on pulmonary function in young university students in Cáceres, Spain.

          Methods:

          A sample of 120 young nursing students was studied (60 smokers and 60 nonsmokers). All subjects underwent spirometry with a COPD-6 portable device, and their level of PA was quantified using the International Physical Activity Questionnaire. The influence of PA and smoking on pulmonary function was determined by comparing hypotheses.

          Results:

          Significant differences were observed between smokers and nonsmokers in terms of percent forced expiratory volume in 1 second, percent forced expiratory volume in 6 seconds, lung age, and the difference between lung age and chronological age (LA–CA) in those who practiced mild PA. In the subjects who performed moderate and vigorous PA, these differences were not noted. In the intragroup analysis, significant differences were observed in smokers in terms of percent forced expiratory volume in 1 second, percent forced expiratory volume in 6 seconds, lung age, and LA–CA; however, in the control group, differences were only observed in terms of lung age and LA–CA. These findings were confirmed in the multivariate analysis.

          Conclusions/Implications for Practice:

          Our findings confirmed a deterioration in pulmonary function in smokers who did not perform moderate or vigorous PA. The level of PA performed was positively related to pulmonary function in smokers, whereas in nonsmokers, improvements were only significant in LA–CA.

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          Most cited references30

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          Effects of perinatal mental disorders on the fetus and child.

          Perinatal mental disorders are associated with increased risk of psychological and developmental disturbances in children. However, these disturbances are not inevitable. In this Series paper, we summarise evidence for associations between parental disorders and offspring outcomes from fetal development to adolescence in high-income, middle-income, and low-income countries. We assess evidence for mechanisms underlying transmission of disturbance, the role of mediating variables (underlying links between parent psychopathology and offspring outcomes) and possible moderators (which change the strength of any association), and focus on factors that are potentially modifiable, including parenting quality, social (including partner) and material support, and duration of the parental disorder. We review research of interventions, which are mostly about maternal depression, and emphasise the need to both treat the parent's disorder and help with associated caregiving difficulties. We conclude with policy implications and underline the need for early identification of those parents at high risk and for more early interventions and prevention research, especially in socioeconomically disadvantaged populations and low-income countries.
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            Measuring nicotine dependence: A review of the Fagerstrom Tolerance Questionnaire

            In the last decade, the importance of nicotine in maintaining smoking and in cessation difficulty has been acknowledged. Consequently, this has led to efforts to measure nicotine dependence. This paper focuses on a widely used, paper-and-pencil test of nicotine dependence--the Fagerstrom Tolerance Questionnaire (FTQ). The findings indicate that the FTQ correlates with other proposed measures of nicotine dependence (carbon monoxide, nicotine, and cotinine levels). The connection between FTQ scores and withdrawal symptoms is weak. In clinic outcome trials, the FTQ predicted success where no pharmacologic treatment was involved, while nicotine replacement appeared to mask the relation between FTQ scores and outcome. However, the FTQ may predict outcome with nicotine replacement as a function of dose. In placebo-controlled, nicotine replacement trials, FTQ scores were related to success by treatment. Problems with the FTQ are described with focus on item difficulties and analyses of the scale.
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              Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review.

              The purpose of this systematic review was to study the relative health risks of poor cardio-respiratory fitness (or physical inactivity) in normal-weight people vs. obesity in individuals with good cardio-respiratory fitness (or high physical activity). The core inclusion criteria were: publication year 1990 or later; adult participants; design prospective follow-up, case-control or cross-sectional; data on cardio-respiratory fitness and/or physical activity; data on BMI (body mass index), waist circumference or body composition; outcome data on all-cause mortality, cardiovascular disease mortality, cardiovascular disease incidence, type 2 diabetes or cardiovascular and type 2 diabetes risk factors. Thirty-six publications filled the criteria for inclusion. The data indicate that the risk for all-cause and cardiovascular mortality was lower in individuals with high BMI and good aerobic fitness, compared with individuals with normal BMI and poor fitness. In contrast, having high BMI even with high physical activity was a greater risk for the incidence of type 2 diabetes and the prevalence of cardiovascular and diabetes risk factors, compared with normal BMI with low physical activity. The conclusions of the present review may not be applicable to individuals with BMI > 35.
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                Author and article information

                Journal
                J Nurs Res
                J Nurs Res
                NRJ
                The Journal of Nursing Research
                Lippincott Williams & Wilkins
                1682-3141
                1948-965X
                October 2019
                20 September 2019
                : 27
                : 5
                : e46
                Affiliations
                [1 ]PhD, RN, Associate Professor, Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain
                [2 ]PhD, MD, Primary Attention Doctor, Zona Centro Health Center, Extremadura Health Service, Cáceres, Spain
                [3 ]PhD, RN, Associate Professor, Department of Nursing, Faculty of Medicine, University of Extremadura, Badajoz, Spain
                [4 ]PhD, RN, Associate Professor, Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain
                [5 ]RN, Teaching Assistant, Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain
                [6 ]PhD, RN, Professor, Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, Cáceres, Spain.
                Author notes
                [*]*Address correspondence to: Sergio RICO-MARTÍN, Nursing and Occupational Therapy College, Avd/ Universidad s/n, Cáceres 10003, Spain. Tel: +34 927251270; E-mail: sergiorico@ 123456unex.es
                Article
                NRJ50224 00008
                10.1097/jnr.0000000000000322
                6752695
                30925523
                31595999-6b62-44a1-b689-d4058ecb42e2
                Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

                This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 05 September 2018
                Page count
                Pages: 0
                Categories
                Original Articles
                Custom metadata
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                pulmonary function,smokers,physical activity,young,nursing students

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