Early airway obstruction in young asymptomatic smokers after cold-air challenge

Respiration. 1990;57(5):299-303. doi: 10.1159/000195860.

Abstract

In 10 asymptomatic young smokers and 15 non-smokers, total respiratory impedance was determined by means of the forced oscillation technique in a frequency range between 4 and 52 Hz under basal conditions, and after isocapnic hyperventilation with cold air. In non-smokers, cold-air inhalation caused a statistically significant increase in respiratory resistance between 8 and 28 Hz, and post-challenge reactance values decreased at almost all frequencies. In smokers, respiratory resistance increased at almost all frequencies, but most markedly at lower frequencies in the range from 8 to 28 Hz; respiratory resistance decreased with increasing frequency. Respiratory reactance decreased significantly between 8 and 36 Hz. Comparing the smokers and non-smokers, respiratory resistance and reactance were not significantly different under basal conditions. However, after cold-air challenge, respiratory resistance was significantly higher between 8 and 16 Hz, and respiratory reactance significantly lower between 8 and 40 Hz. It is concluded that after cold-air challenge, a broncho-constricting effect extending largely into the small peripheral airways can be demonstrated by impedance measurement in a group of asymptomatic young smokers which is not observed in normal subjects. Therefore, this method is very useful for the early detection of mechanical abnormalities induced by smoke inhalation.

MeSH terms

  • Adult
  • Airway Resistance*
  • Cold Temperature*
  • Female
  • Forced Expiratory Volume
  • Humans
  • Hyperventilation / physiopathology
  • Male
  • Smoking / adverse effects
  • Smoking / physiopathology*
  • Spirometry
  • Vital Capacity