A Collaboration to Stop Smoking

Atrial Fibrillation/physiopathology; Arrhythmias Cardiac/physiopathology; Risk Factors; Obesity; Sedentarism; Combined Modality Therapy

The association between smoking and physical inactivity is an essential expression of morbidity and mortality in wide age groups.¹

The present study² enhances the recognized risks of smoking, correlating it to the quality of sleep, and autonomic dysfunctions with levels of physical activity. Parameters considered as risk factors for cardiovascular pathologies.³ It is worth mentioning the accurate methodology contributing to the legitimacy of this study. In the most active group (p> 50), higher values of skeletal muscle mass were observed, related to better performance and influencing the reflex metabolite.⁴ Statistical treatment demonstrated significant correlations between smoking, sleep quality, and autonomic dysfunction. We believe that a higher number of candidates for the study can obtain stronger associations. We suggest, as a continuation of this study, to evaluate the recovery of heart rate in the first minute of post-exercise recovery, an indicator of parasympathetic autonomic adaptation of prognostic value in cardiovascular diseases.⁵ Also, a better quantification of physical activity that characterizes active or non-active behavior is also valid.⁶ The current bibliography deserves mention, with about 16% of authors from our country.

We reiterate the originality, design, and conclusions of this study,² with broad practical applicability, when it demonstrates that the active smoker exhibits favorable parameters related to the quality of sleep and dysautonomia, being able to collaborate with the interruption of the smoking habit.

Referências

• ¹
  Myers J, Prakash M, Froelicher V, Do D, Partington S, Atwod JE. Exercise capacity and mortality among men refered for exercise testing. N Engl J Med. 2002;346(11):793-801.
• ²
  Trevisan IB, Vanderlei LCM, Proença M, Barreira TV, Santos CP, Gouveia TS, et al. Qualidade do Sono Associada ao Nível Habitual de Atividade Física e Sistema Nervoso Autônomo de Fumantes. Arq Bras Cardiol. 2021; 116(1):26-35.
• ³
  Bueno N, Vivacqua RCC. Importância do exercício físico na prevenção primária e secundária das doenças cardiovasculares. In: Castro I, Batlouni M, Cantarelli M, Ramires JAF, Luna RL, Feitosa GS, et al. Cardiologia:pricipios e prática. Porto Alegre:Artmed;1999.
• ⁴
  Gerber DC, CL,Blessmer B,Deschenes MR,Fraklin BA,Lamonte Mj,Lee IM, et al. American College of Sports Medicine:Quantity and quality of exercise for developing and neuromotor fitness in approntly healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334-59.
• ⁵
  Cole CR, Blackstone EH, Pashkow FS, Snader CE, Lauer MS. Heart-rate recovery immediately after exercise as a predictor of mortality. N Engl J Med 1999;341(18):1351-7.
• ⁶
  Carvalho T, Milani M, Ferraz AM, Silveira AD, Herdy AH, Hossri CAC et al. Diretrizes Brasileiras de Reabilitação Cardiovascular-2020. Arq Bras Cardiol 2020;114(5):943-87.

• Short Editorial related to the article: Sleep Quality Associated with Habitual Physical Activity Level and Autonomic Nervous System of Smokers

Publication Dates

• Publication in this collection
  03 Feb 2021
• Date of issue
  Jan 2021