The effect of workplace smoking bans on heart rate variability and pulse wave velocity of non-smoking hospitality workers.

The effect of workplace smoking bans on heart rate variability and pulse wave velocity of non-smoking hospitality workers.
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DOI:
10.1007/s00038-014-0545-y
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发表时间:
2014-08
影响因子:
4.6
通讯作者:
Roeoesli, Martin
Roeoesli, Martin
中科院分区:
医学3区
文献类型:
--
作者:
Rajkumar, Sarah;Schmidt-Trucksaess, Arno;Wellenius, Gregory A.;Bauer, Georg F.;Huynh, Cong Khanh;Moeller, Alexander;Roeoesli, Martin

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为了研究二手烟暴露对心率变异性(HRV)和脉搏波速度(PWV)的影响,本研究采用了禁烟令引入时的准实验环境。研究人员测量了55名不吸烟的酒店工作人员在禁烟前和禁烟后3至12个月的HRV(神经系统自主活动的定量指标)和PWV(动脉僵硬度的指标),并与没有经历接触变化的对照组进行了比较。SHS暴露量由尼古丁特异性徽章确定,并以每天吸入香烟当量(CE/d)表示。与对照组相比,干预组PWV和HRV参数呈剂量依赖性显著改变。CE/d降低1个与连续差异均方根(RMSSD)升高2.3% (95% CI: 0.2, 4.4; p=0.031)、高频成分升高5.7% (95% CI: 0.9, 10.2; p=0.02)和PWV降低0.72% (95% CI: 0.40-1.05; p<0.001)相关。引入无烟工作场所后,PWV和HRV显著改善,表明心血管风险降低。
To investigate the effect of a change in second hand smoke (SHS) exposure on heart rate variability (HRV) and pulse wave velocity (PWV), this study utilized a quasi-experimental setting when a smoking ban was introduced. HRV, a quantitative marker of autonomic activity of the nervous system, and PWV, a marker of arterial stiffness, were measured in 55 non-smoking hospitality workers before and 3 to 12 months after a smoking ban and compared to a control group that did not experience an exposure change. SHS exposure was determined with a nicotine specific badge and expressed as inhaled cigarette equivalents per day (CE/d). PWV and HRV parameters significantly changed in a dose dependent manner in the intervention group compared to the control group. A one CE/d decrease was associated with a 2.3% (95% CI: 0.2, 4.4; p=0.031) higher root mean square of successive differences (RMSSD), a 5.7 % (95% CI: 0.9, 10.2; p=0.02) higher high frequency component and a 0.72% (95 % CI: 0.40–1.05; p<0.001) lower PWV. PWV and HRV significantly improved after introducing smoke-free workplaces indicating a decreased cardiovascular risk.
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发表时间: 2008-08-01
影响因子: 4.8
作者:
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影响因子: 7.7
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