Pulmonary function, white blood corpuscles & haemoglobin levels in asymptomatic light smokers and non-smokers

  • Dr. Sharath Rao Postgraduate in Physiology, A.J. Institute of Medical Sciences and Research Centre, Kuntikana, Mangalore, Karnataka, India
  • Dr. Purushothaman Pavithran Assistant Professor of Physiology, A.J. Institute of Medical Sciences and Research Centre, Mangalore, Karnataka, India
  • Dr. Shirahatti Krishna Das Professor Head of Physiology, A.J. Institute of Medical Sciences and Research Centre, Kuntikana, Mangalore, Karnataka, India
Keywords: Pulmonary function, White blood corpuscles, Smokers, Non-smokers

Abstract

Context: Smoking, a risk factor for several diseases has also been reported as the largest preventable cause of morbidity and mortality globally. Tobacco smoking is associated with a decrease in lung function in smokers when compared to non-smokers.

Aims: To study and compare pulmonary function, WBC count and Hb levels in asymptomatic light smokers and non-smokers.

Settings and Design: Case control study.

Methods and Material: Patient relatives or subjects who had come for health check with a known history of smoking and apparently asymptomatic were recruited as our study subjects (n = 49). Healthy volunteers were also recruited from patient relatives. Subjects without any known history of smoking were selected as controls (n = 50).

Statistical analysis used: Data was analysed using SPSS V-19. P value ≤0.05 was considered significant.

Results: A statistically significant difference was found in total leucocyte count in smokers (P = 0.004) when compared to non-smokers. There was also a statistically significant increase in absolute neutrophil (P = 0.021), monocyte (P = 0.004) and eosinophil (P = 0.075) counts in smokers. FEV1/FVC (P = 0.005) and FEF 75 (P = 0.027) was significantly higher in non-smokers when compared to smokers. No significant difference was observed in haemoglobin concentration and differential leucocyte count, pulse rate, systolic pressure, diastolic pressure and rate pressure product among the two groups.

Conclusions: The present study gives ample evidence for the damage to the respiratory system along with activation of immune system as evident from a significant lowering of small airway patency and increased white cell counts

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References

Ezzati M, Lopez AD. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003 Sep 13;362(9387):847-52.

Lal PG, Wilson NC, Gupta PC. Attributable deaths from smoking in the last 100 years in India. Curr Sci [Internet]. 2012; Available from: http://www.indiaenvironmentportal.org.in/files/file/deaths%20from%20smoking.pdf

Zheng W, McLerran DF, Rolland BA, et al. Burden of total and cause-specific mortality related to tobacco smoking among adults aged ≥ 45 years in Asia: a pooled analysis of 21 cohorts. PLoS Med. 2014 Apr 22;11(4):e1001631. doi: https://dx.doi.org/10.1371%2Fjournal.pmed.1001631. eCollection 2014.

Reddy KS, Prabhakaran D, Chaturvedi V, Jeemon P, Thankappan KR, Ramakrishnan L, et al. Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations. Bull World Health Organ [Internet]. 2006 Jun;84(6):461–9. Available from: http://dx.doi.org//S0042-96862006000600015.

Gupta PC, Mehta HC. Cohort study of all-cause mortality among tobacco users in Mumbai, India. Bull World Health Organ. 2000;78(7):877-83.

Gajalakshmi V, Peto R, Kanaka TS, Jha P. Smoking and mortality from tuberculosis and other diseases in India: retrospective study of 43 000 adult male deaths and 35 000 controls. Lancet. 2003 Aug 16;362(9383):507-15.

Comstock GW, Brownlow WJ, Stone RW, Sartwell PE. Cigarette smoking and changes in respiratory findings. Am J Epidemiol. 2008 Oct 1;168(7):802-9. doi: https://doi.org/10.1093/aje/kwn321.

Peat JK, Woolcock AJ, Cullen K. Decline of lung function and development of chronic airflow limitation: a longitudinal study of non-smokers and smokers in Busselton, Western Australia. Thorax 1990 Jan;45(1):32–7.

Sandvik L, Erikssen G, Thaulow E. Long term effects of smoking on physical fitness and lung function: a longitudinal study of 1393 middle aged Norwegian men for seven years. BMJ. 1995 Sep 16;311(7007):715-8.

Ahmad N, Bano R, Mattoo F, Mattoo GM. A comparative Study of Lung Function Tests in Smokers and Non-smokers in Rural Maharashtra. J Med Sci.2009;12(2).

Kumar J, Kumar G, Sharma AK, Khan FA, Sharma SJ. The Effect of Smoking on the Blood Parameters of Young Adults. Journal of Clinical and Diagnostic Research [Internet]. 2012;6(7):1244–7.

Vyas HP, Vinchhi RP, Sheth MS, Vyas NJ. Comparison of pulmonary function among smokers and non-smokers – A retrospective study. Int J Med Sci Public Health 2014;3 (Online First). https://pdfs.semanticscholar.org/a748/432c9a7aa35f1d6f5e428daf6fb5fe7f29d4.pdf

Parry H, Cohen S, Schlarb JE, Tyrrell DA, Fisher A, Russell MA, et al. Smoking, alcohol consumption, and leukocyte counts. Am J Clin Pathol. 1997 Jan;107(1):64-7.

Sunyer J, Muñoz A, Peng Y, Margolick J, Chmiel JS, Oishi J, et al. Longitudinal relation between smoking and white blood cells. Am J Epidemiol. 1996 Oct 15;144(8):734-41.

Raj JB, Kumar S , Jennifer G. Association of High Peripheral Neutrophil Count in Healthy Young Smokers With Impaired Pulmonary Function Test. Sch J App Med Sci, 2013;1(4):245–8. Available from: http://saspublisher.com/wp-content/uploads/2013/08/SJAMS14245-248.pdf.

Gillum RF, Mussolino ME, Madans JH. Counts of neutrophils, lymphocytes, and monocytes, cause-specific mortality and coronary heart disease: the NHANES-I epidemiologic follow-up study. Ann Epidemiol. 2005 Apr;15(4):266-71.

Lee Y-H, Shin M-H, Kweon S-S, Choi J-S, Rhee J-A, Ahn H-R, et al. Cumulative smoking exposure, duration of smoking cessation, and peripheral arterial disease in middle-aged and older Korean men. BMC Public Health .2011 Feb 11;11:94. Available from: http://dx.doi.org/10.1186/1471-2458-11-94.

Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003 Dec;42(6):1206–52. Available from: http://dx.doi.org/10.1161/01.HYP.0000107251.49515.c2.

Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Crapo R, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. Standardisation of spirometry. Eur Respir J. 2005 Aug;26(2):319-38.

Goel A, Desh Deepak, Naveen Gaur. Study of relationship of tobacco smoking with haemoglobin concentration in healthy adults. Journal of Pharmacutical and Biomedical Sciences [Internet]. 2010;1(1):1–3.

Asif M, Karim S, Umar Z, Malik A, Ismail T, Chaudhary A, Alqahtani MH and Rasool M. Effect of cigarette smoking based on hematological. Türk Biyokimya Dergisi [Turkish Journal of Biochemistry–Turk J Biochem] 2013;38(1):75–80. Available from: http://dx.doi.org/10.5505/tjb.2013.49369.

Yeung MC, Buncio AD. Leukocyte count, smoking, and lung function. Am J Med. 1984 Jan;76(1):31-7.

Tell GS, Grimm RH Jr, Vellar OD, Theodorsen L. The relationship of white cell count, platelet count, and hematocrit to cigarette smoking in adolescents: the Oslo Youth Study. Circulation. 1985 Nov;72(5):971-4.

Jensen JA, Goodson WH, Hopf HW, Hunt TK. Cigarette smoking decreases tissue oxygen. Arch Surg. 1991 Sep;126(9):1131-4.

Watanabe N, Fukushima M, Taniguchi A, Okumura T, Nomura Y, Nishimura F, et al. Smoking, white blood cell counts, and TNF system activity in Japanese male subjects with normal glucose tolerance. Tob Induc Dis . 2011 Nov 25;9(1):12. Available from: http://dx.doi.org/10.1186/1617-9625-9-12.

Taylor RG, Gross E, Joyce H, Holland F, Pride NB. Smoking, allergy, and the differential white blood cell count. Thorax. 1985 Jan;40(1):17-22.

Taha NM, Abdel Wahab MA, Amin AS. Acute effects of cigarette smoking in habitual smokers, a focus on endothelial function. The Egyptian Heart Journal .2014;65(4):275–9. Available from: http://dx.doi.org/10.1016/j.ehj.2012.09.003.

Madjid M, Fatemi O. Components of the complete blood count as risk predictors for coronary heart disease: in-depth review and update. Tex Heart Inst J. 2013;40(1):17-29.

Groppelli A, Giorgi DM, Omboni S, Parati G, Mancia G. Persistent blood pressure increase induced by heavy smoking. J Hypertens. 1992 May;10(5):495-9.

Kool MJ, Hoeks AP, Struijker Boudier HA, Reneman RS, Van Bortel LM. Short- and long-term effects of smoking on arterial wall properties in habitual smokers. J Am Coll Cardiol. 1993 Dec;22(7):1881-6.

Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, Coates A, van der Grinten CP, Gustafsson P, Hankinson J, Jensen R, Johnson DC, MacIntyre N, McKay R, Miller MR, Navajas D, Pedersen OF, Wanger J. Interpretative strategies for lung function tests. Eur Respir J. 2005 Nov;26(5):948-68.

Yanbaeva DG, Dentener MA, Creutzberg EC, Wesseling G, Wouters EFM. The Pathophysiology of Cigarette Smoking and Cardiovascular Disease. J Am Coll Cardiol 2007 May;131(10):1557–66. Available from: http://dx.doi.org/10.1378/chest.06-2179.

Kuperman AS, Riker JB. The variable effect of smoking on pulmonary function. Chest. 1973 May;63(5):655-60.

Waseem S, Hossain MM, Islam N, Ahmad Z. Comparative study of pulmonary functions and oxidative stress in smokers and non–smokers. Indian J Physiol Pharmacol. 2012 Oct-Dec;56(4):345-52.

Khan A, Shabbir K, Ansari JK, Zia N. Comparison of forced expiratory volume in one second (FEV1) among asymptomatic smokers and non-smokers. J Pak Med Assoc [Internet]. 2010 Mar;60(3):209–13.

Pulmonary function, white blood corpuscles & haemoglobin levels in asymptomatic light smokers and non-smokers
CITATION
DOI: 10.17511/ijmrr.2017.i01.06
Published: 2017-01-31
How to Cite
1.
Rao S, Pavithran P, Krishna Das S. Pulmonary function, white blood corpuscles & haemoglobin levels in asymptomatic light smokers and non-smokers. Int J Med Res Rev [Internet]. 2017Jan.31 [cited 2024Jul.3];5(1):42-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/801
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