香港六合彩开奖结果

Vol. 20 No. 2 (2021)
Original Articles

Comparative analysis of methemoglobin, oxygen saturation and hematological parameters in smokers and non-smokers: An observational analytical cross-sectional study

DOI:

Published 2022-01-04

Keywords

  • Hematology,
  • Tobacco Use Disorder,
  • Blood Physiological Phenomena

How to Cite

1.
R. S. Remigio N, C. A. Cardoso L, C. L. Lins T. Comparative analysis of methemoglobin, oxygen saturation and hematological parameters in smokers and non-smokers: An observational analytical cross-sectional study. BJHBS [Internet]. 2022 Jan. 4 [cited 2024 Oct. 12];20(2):144-50. Available from: /bjhbs/article/view/37
Crossref
Scopus

Abstract

Introduction: The formation of methemoglobin (MetHb) occurs through the oxidation of iron in hemoglobin, impair-ing its capacity for oxygen association and deoxygenation. On exposure to oxidizing agents, such as those present in cigarettes, this process may be more frequent, causing an increase in serum MetHb. Objectives: To evaluate and com-pare methemoglobin, oxygen saturation and hematological parameters between smokers and non-smokers. Materials and methods: Observational case-control study with participants classified as smokers and non-smokers, in equal number and gender. Smokers classified as moderate to very high depen-dence degree by the Fagerstr枚m tolerance questionnaire were included. In all subjects, oxygen saturation was assessed using portable pulse oximetry, methemoglobin levels by spectrophotometric method and hematological parameters by an automated analyzer. Parametric (Student鈥檚 T-test) and non-parametric (Mann-Whitney U) tests were performed for comparison of mean values between groups. Results: There were no changes in methemoglobin rates and hematologi-cal parameters, both in relation to clinical reference values and in the statistical difference between groups. The oxygen saturation values were significantly higher in the smoking group, 96.4% versus 94.8% (p = 0.04). Conclusions: Despite the potential deleterious effects of cigarettes, in this study it was found that smoking was not a determinant of changes in methemoglobin rates and hematological parameters, when compared with non-smokers. Further studies are suggested with a robust sampling population, complementary analysis of hematological and physiological factors and verification of comorbidities, in order to elucidate a greater relationship between the presented parameters.

Metrics

Metrics Loading ...

References

  1. Pinto M, Bardach A, Palacios A, et al. Burden of smoking in Brazil and potential benefit of increasing taxes on cigarettes for the economy and for reducing morbidity and mortality. Cadernos de Sa煤de P煤blica. 2019;35:e00129118. DOI: 10.1590/0102-311X00129118
  2. Bernhard D, Moser C, Backovic A, et al. Cigarette smoke鈥揳n aging accelerator? Experimental Gerontology. 2007;42(3): 160- 5. DOI: 10.1016/j.exger.2006.09.016
  3. Nunes E. Consumo de tabaco. Efeitos na sa煤de. Revista Portuguesa de Medicina Geral e Familiar. 2006;22(2):225-44. DOI: 10.32385/rpmgf.v22i2.10231
  4. Zag脿 V, Martucci P. Danni respiratori da fumo di tabacco. Tabaccologia. 2019;3:24-34.
  5. DiGiacomo SI, Jazayeri MA, Barua RS, et al. Environmental tobacco smoke and cardiovascular disease. International journal of environmental research and public health. 2019;16(1):96. DOI: 10.3390/ijerph16010096
  6. Pe帽uela AO. Hemoglobina: una mol茅cula modelo para el investigador. Colombia M茅dica. 2005;36(3):215-25.
  7. Ahmed MH, Ghatge MS, Safo MK. Hemoglobin: structure, function and allostery. Vertebrate and Invertebrate Respiratory Proteins, Lipoproteins and other Body Fluid Proteins. 2020:345-82. DOI: 10.1007%2F978-3-030-41769-7_14
  8. Marengo-Rowe AJ. Structure-function relations of human hemoglobins. In: Baylor University Medical Center Proceedings 2006;19(3):239-45. DOI: 10.1080/08998280.2006.11928171
  9. Nascimento TS, Pereira RO, Mello HL, et al. Metemoglobinemia: do diagn贸stico ao tratamento. Revista Brasileira de Anestesiologia. 2008;58(6):651-64. DOI: 10.1590/S0034-70942008000600011
  10. Faivre B, Menu P, Labrude P, et al. Hemoglobin Autooxidation/Oxidation Mechanisms and Methemoglobin Prevention or Reduction Processes in the Bloodstream Literature review and outline of autooxidation reaction. Artificial Cells, Blood Substitutes, and Biotechnology. 1998;26(1):17-26. DOI: 10.3109/10731199809118943.
  11. Carmo JT, Pueyo AA. A adapta莽茫o ao portugu锚s do Fagerstr枚m test for nicotine dependence (FTND) para avaliar a depend锚ncia e toler芒ncia 脿 nicotina em fumantes brasileiros. Rev Bras Med. 2002;59(1/2):73-80.
  12. Sun WY, Zhang C, Synn AJ, et al. Change in Inhaler Use, Lung Function, and Oxygenation in Association with Symptoms in COPD. Chronic Obstructive Pulmonary Diseases: Journal of the COPD Foundation, 2020;7(4):404. DOI: 10.15326/jcopdf.7.4.2020.0138
  13. Feitosa ACN, Zanqueta EB, Morais JF, et al. Altera莽玫es hematol贸gicas correlacionadas ao tabagismo. Revista Brasileira de An谩lises Cl铆nicas. 2018;50(2 supl.2):S14-20
  14. Malenica M, Prnjavorac B, Bego T, et al. Effect of cigarette smoking on haematological parameters in healthy population. Medical Archives. 2017;71(2):132. DOI: 10.5455/medarh.2017.71.132-136
  15. Borland C, Harmes K, Cracknell N, et al. Methemoglobin levels in smokers and non-smokers. Archives of Environmental Health: An International Journal. 1985;40(6):330-3. DOI: 10.1080/00039896.1985.10545943
  16. Ribeiro JA, Cust贸io BAG, Xavier KS, et al. Influ锚ncia do tabaco em par芒metros hematol贸gicos. Rev Acad锚mica Conecta FASF. 2017;2(1):367-77.
  17. Jensen LA, Onyskiw JE, Prasad NG. Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart & Lung: The Journal of Acute and Critical Care. 1998;27(6):387- 408. DOI: 10.1016/S0147-9563(98)90086-3
  18. Imbriani M, Melotti A, Ghittori S. Methemoglobin and carboxyhemoglobin levels in smokers and non smokers. Giornale italiano di medicina del lavoro. 1987;9(1):11-4.
  19. da Silva JV, Moriguchi P, Bidoia BG, et al. Determina莽茫o de metemoglobina em volunt谩rios fumantes e n茫o fumantes. J Health Sci Inst. 2016;34(1):38-43.
  20. Kurto臒lu E, Akt眉rk E, Korkmaz H, et al. Elevated red blood cell distribution width in healthy smokers. Arch Turk Soc Cardiol. 2013;43:199-206. DOI: 10.5543/tkda.2013.42375
  21. Camargo TM, Rocha-Junior DS, Ferreira SR, et al. Influ锚ncia do tabagismo sobre as an谩lises laboratoriais de rotina: um estudo piloto em adultos jovens. Revista de Ci锚ncias Farmac锚uticas B谩sica e Aplicada. 2009;27(3):247-51.
  22. Faria CS, Botelho C, Silva, RMVGD, et al. Tabagismo e obesidade abdominal em doadores de sangue. Jornal Brasileiro de Pneumologia. 2012;38(3):356-363. DOI: 10.1590/S1806-37132012000300011
  23. Stojakovic A, Espinosa EP, Farhad OT, et al. Effects of nicotine on homeostatic and hedonic components of food intake. Journal of Endocrinology. 2017;235(1),R13-R31. DOI: 10.1530/JOE-17-0166
  24. Skold A, Cosco DL, Klein R. Methemoglobinemia: pathogenesis, diagnosis, and management. South Med J. 2011;104(11):757-61. DOI: 10.1097/SMJ.0b013e318232139f
  25. Shah AA, Khand F, Khand TU. Effect of smoking on serum xanthine oxidase, malondialdehyde, ascorbic acid and alpha tocopherol levels in healthy male subject. Pak J Med Sci 2015;31(1):146-9. DOI: 10.12669/pjms.311.6148