Exposure to Cigarette Smoke and Daily Physical Activity Associated with Asthma

Siti Nur Hasina; P. H. Livana; Nur Ainiyah; Firdaus Firdaus; Erika Martining Wardani; Rahmadaniar Aditya Putri; Farida Umamah

doi:10.3889/oamjms.2022.9190

Authors

Siti Nur Hasina Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia https://orcid.org/0000-0001-5873-0602
P. H. Livana Sekolah Tinggi Ilmu Kesehatan Kendal, Kendal, Central Java, Indonesia
Nur Ainiyah Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia https://orcid.org/0000-0003-0390-186X
Firdaus Firdaus Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia https://orcid.org/0000-0003-4831-8942
Erika Martining Wardani Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia https://orcid.org/0000-0002-0178-0024
Rahmadaniar Aditya Putri Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia
Farida Umamah Department of Nursing, Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya, Surabaya, East Java, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9190

Keywords:

Exposure to cigarette smoke, Daily activities, Asthma

Abstract

Background: Asthmatic sufferers complain of sudden relapse when performing daily activities. exposure to cigarette smoke makes asthmatics where the longer the exposure is experienced by the patient, the more frequent asthma exacerbations are experienced. For people with asthma, avoiding excessive physical activity and exposure to cigarette smoke is very necessary to prevent recurrence of symptoms. So it is necessary to control the level of asthma, which is influenced by factors that trigger asthma recurrence.

Aim: The purpose of the study was to determine the relationship between daily physical activity and exposure to cigarette smoke on asthma recurrence in asthmatic patients

Methods: This type of research uses observational analytic using a cross sectional approach. Sampling in this study using purposive sampling obtained the number of respondents 358 with a vulnerable age of 18-45 years. This research was conducted for 6 months. The measuring instrument for exposure to cigarette smoke uses a questionnaire containing the categories of exposure to cigarette smoke less than 1 hour, exposure to cigarette smoke 1-4 hours and exposure to cigarette smoke more than 4 hours. Physical activity measurement tool using the International Physical Activity Questionnaire (IPAQ). Asthma recurrence was measured by using a questionnaire that refers to the Asthma Control Test (ACT). The research procedure was carried out by researchers by ensuring that respondents were in good health and signed the informed consent provided. Data analysis using Chi-Square test.

Result: The results of the Chi Square test with a significance value of = 0.05, p value = 0.000, which means p < then there is a relationship between daily physical activity and exposure to cigarette smoke on asthma recurrence in asthmatic patients.

Conclusions: There is a relationship between exposure to cigarette smoke and daily physical activity on asthma relapse in asthmatic patients. It is expected that asthmatics should avoid triggering factors for asthma relapse to achieve controlled asthma levels.

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References

Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Prevention. United States: Global Initiative for Asthma; 2018. Available from: https://www.ginasthma.org [Last accessed on 2020 Feb 10].

Zampogna E, Zappa M, Spanevello A, Visca D. Pulmonary rehabilitation and asthma. Front Pharmacol. 2020;11:542. https://doi.org/10.3389/fphar.2020.00542 PMid:32435190 DOI: https://doi.org/10.3389/fphar.2020.00542

Carson KV, Chandratilleke MG, Picot J, Brinn MP, Esterman AJ, Smith BJ, et al. Physical training for asthma. Cochrane Database Syst Rev. 2013;9:CD001116. https://doi.org/10.1002/14651858.CD001116.pub4 PMid:24085631 DOI: https://doi.org/10.1002/14651858.CD001116.pub4

Kementrian Kesehatan Republik Indonesia. Infodatin: Penderita Asma Di Indonesia. Jakarta: Kemenkes RI Pusat Dara Dan Informasi; 2019.

Kementrian Kesehatan Republik Indonesia. Infodatin: You can Control your Asthma. Jakarta: Kemenkes RI Pusat Data Dan Informasi; 2011.

The Global Asthma Report. Global Asthma Reposrt. Newzealand: The Global Asthma Report; 2019.

Global Initiative for Asthma. Pocket Guide for Asthma Management and Prevention. United States: Global Initiative for Asthma; 2016. p. 28.

Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan. Balitbangkes: Riset Kesehatan Dasa; 2013.

Sarasniawati Y. Hubungan Aktivitas Fisik Harian Dan Paparan Asap Rokok Terhadap Kekambuhan Asma Pada Pasien Asma Bronkial Di Poli Paru Rumah Sakit Islam Surabaya Ahmad Yani. [Undergraduate Thesis]; 2019. Available from: https://www.repository.unusa.ac.id/5817 [Last accessed 2021 Mar 20].

Nursalam, Hidayati L, Sari NP. Asthma risk factors and behavior prevention is related to the level of disease control asthma. J Ners. 2009;4(1):9-18. DOI: https://doi.org/10.20473/jn.v4i1.5005

Thomson NC, Chaudhuri R, Livingston E. Asthma and cigarette smoking. Eur Respir J. 2004;24(5):822-33. https://doi.org/10.1183/09031936.04.00039004 PMid:15516679 DOI: https://doi.org/10.1183/09031936.04.00039004

Prayogi A. Hubungan Antara Paparan Asap Rokok Dan Frekuensi Terjadinya Eksaserbasi Asma Pada Pasien ASMA Yang Berobat Ke RSU DR Soedarso. Fakultas Kedokteran: Universitas Tanjung Pura; 2012.

Hoh E, Hunt RN, Quintana PJ, Zakarian JM, Chatfield DA, Wittry BC, et al. Environmental tobacco smoke as a source of polycyclic aromatic hydrocarbons in settled household dust. Environ Sci Technol. 2012;46(7):4174-83. https://doi.org/10.1021/es300267g PMid:22397504 DOI: https://doi.org/10.1021/es300267g

Sutaryono S, Probandari A, Setyono P, Hartono H. Impact of environmental tobacco smoke exposure on adults with asthma exacerbation. Asian J Pharm Clin Res. 2019;12(3):125-9. https://doi.org/10.22159/ajpcr.2019.v12i3.28498 DOI: https://doi.org/10.22159/ajpcr.2019.v12i3.28498

Cooke M. The chemical components of tobacco and tobacco smoke. Chromatographia. 2010;71:977. https://doi.org/10.1365/s10337-010-1556-3 DOI: https://doi.org/10.1365/s10337-010-1556-3

Comhair AA, Gaston BM, Ricci KS, Hammel J, Dweik RA, Teague WG, et al. Detrimental effects of environmental tobacco smoke in relation to asthma severity. PLoS One. 2011;6(5):e18574. https://doi.org/10.1371/journal.pone.0018574 PMid:21572527 DOI: https://doi.org/10.1371/journal.pone.0018574

Jaakkola MS, Jaakkola JJ. Effects of environmental tobacco smoke on the respiratory Health of adults. Scand J Work Environ Health. 2002;28(Suppl 2):52-70. PMid:12058803

Larsson ML, Loit HM, Meren M, Polluste J, Magnusson A, Larsson K, et al. Passive smoking and respiratory symptoms in the FinEsS study. Eur Respir J. 2003;21(4):672-6. https://doI.org/10.1183/09031936.03.00033702 PMid:12762355 DOI: https://doi.org/10.1183/09031936.03.00033702

Jaakkola JJ, Piipari R, Jaakkola MS. Occupation and asthma: A population-based incident case-control study. Am J Epidemiol. 2003;158(10):981-7. https://doi.org/10.1093/aje/kwg238 PMid:14607806 DOI: https://doi.org/10.1093/aje/kwg238

Jaakkola MS, Jaakkola JJ. Impact of smoke-free workplace legislation on exposures and health: Possibilities for prevention. Eur Respir J. 2006;28(2):887-8. https://doi.org/10.1183/09031936.06.50001306 PMid:16880370 DOI: https://doi.org/10.1183/09031936.06.00001306

Menzies D, Nair A, Williamson PA, Schembri S, Al-Khairalla MZ, Barnes M, et al. Respiratory symptoms, pulmonary function, and markers of inflammation among bar workers before and after a legislative ban on smoking in public places. JAMA. 2006;296(14):1742-8. https://doi.org/10.1001/jama.296.14.1742 PMid:17032987 DOI: https://doi.org/10.1001/jama.296.14.1742

Eisner MD, Klein J, Hammond SK, Koren G, Lactao G, Iribarren C. Directly measured second hand smoke exposure and asthma health outcomes. Thorax. 2005;60(10):814-21. https://doi.org/10.1136/thx.2004.037283 PMid:16192366 DOI: https://doi.org/10.1136/thx.2004.037283

Shearston J, Lee L, Eazor J, Meherally S, Park SH, Gordon T, et al. Effects of exposure to direct and secondhand hookah and e-cigarette aerosols on ambient air quality and cardiopulmonary health in adults and children: protocol for a panel study. BMJ Open. 2019;9(6):e029490. https://doi.org/10.1136/bmjopen-2019-029490 DOI: https://doi.org/10.1136/bmjopen-2019-029490

Neophytou AM, Oh SS, White MJ, Mak AC, Hu D, Huntsman S, et al. Secondhand smoke exposure and asthma outcomes among African-American and Latino children with asthma. Thorax. 2018;73(11):1041-8. https://doi.org/10.1136/thoraxjnl-2017-211383 PMid:29899038 DOI: https://doi.org/10.1136/thoraxjnl-2017-211383

Lucas SR, Platts-Mills TA. Physical activity and exercise inasthma: Relevance to etiology and treatment. J Allergy Clin Immunol. 2005;115(5):928-34. https://doi.org/10.1016/j.jaci.2005.01.033 PMid:15867847 DOI: https://doi.org/10.1016/j.jaci.2005.01.033

Heikkinen SA, Quansah R, Jaakkola JJ, Jaakkola MS. Effects of regular exercise on adult asthma. Eur J Epidemiol. 2012;27(6):397-407. https://doi.org/10.1007/s10654-012-9684-8 PMid:22531972 DOI: https://doi.org/10.1007/s10654-012-9684-8

Santos AP, Strassburger MJ, Roncada C, Stein RT, Pitrez PM, Strassburger SZ. Effect of physical activity on asthma control in schoolchildren. Einstein (Sao Paulo). 2020;18:eAO4936. https://doi.org/10.31744/einstein_journal/2020AO4936 PMid:31721896 DOI: https://doi.org/10.31744/einstein_journal/2020AO4936

Garcia-Aymerich J, Varraso R, Antó JM, Camargo CA Jr. Prospective study of physical activity and risk of asthma exacerbations in older women. Am J Respir Crit Care Med. 2009;179(11):999-1003. https://doi.org/10.1164/rccm.200812-1929OC PMid:19246716 DOI: https://doi.org/10.1164/rccm.200812-1929OC

Verlaet A, Moreira A, Sá-Sousa A, Barros R, Santos R, Moreira P, et al. Physical activity in adults with controlled and uncontrolled asthma as compared to healthy adults: A cross sectional study. Clin Transl Allergy. 2013;3(1):1. https://doi.org/10.1186/2045-7022-3-1 PMid:23320405 DOI: https://doi.org/10.1186/2045-7022-3-1

Del Giacco SR, Firinu D, Bjermer L, Carlsen KH. Exercise and asthma: An overview. Eur Clin Respir J. 2015;2:27984. https://doi.org/10.3402/ecrj.v2.27984 PMid:26672959 DOI: https://doi.org/10.3402/ecrj.v2.27984

Lima LL, Cruz CM, Fernandes AG, Pinheiro GP, Souza- Machado C, Lima VB, et al. Exposure to secondhand smoke among patients with asthma: A cross-sectional study. Einstein (São Paulo). 2020;18:eAO4781. http://doi.org/10.31744/einstein_journal/2020AO4781 PMid:31994604 DOI: https://doi.org/10.31744/einstein_journal/2020AO4781

Asta P, Artana B. Effect of smoking status on the status of asthma control in asthmatic patients at the pulmonary polyclinic of Sanglah Hospital Denpasar in August-September 2015. J Medika Undayana. 2020;9(2):21-7. https://doi.org/10.24843.MU.2020.V9.i1.P04

Daud I, Mauriefle A, Yanti ED. Anxiety level relationship with the incidence of asthma in bronchial asthma patients in the Kuin Raya Banjarmasin Public Health Center work. J Health Dynamics. 2017;8(1):219-29.

Dharmayanti I, Hapsari D, Azhar K. Asthma in children Indonesia: Causes and triggers. J Public Health National. 2013;9(4):320-6. https://doi.org/10.21109/kesmas.v9i4.738 DOI: https://doi.org/10.21109/kesmas.v9i4.738

Isnaeni DT, Septyasih R. Exposure to smokers in the family and risk of developing asthma. J Applied Nursing. 2017;3(2):93-9.

Dwimaswasti O. Perbedaan Aktivitas Fisik Pada Pasien Asma Terkontrol Sebagian Dengan Tidak Terkontrol Di RSUD Dr. Moewardi. Naskah Publikasi Fakultas Kedokteran. Indonesia: Sebelas Maret University; 2013. Available from: https://www.digilib.uns.ac.id/dokumen/detail/30201 [Last accessed on 2021 Mar 22].

Embuai S. Riwayat genetik, asap rokok, keberadaan debu dan stres berhubungan Dengan kejadian asma bronkhial. Moluccas Health J. 2020;2(1):11-8. Available from: https://www.ojs.ukim.ac.id/index.php/mhj [Last accessed on 2021 Mar 22].

Hari AE, Roni N, Agung WT. Indoor smoke exposure, animals pets, living environment and socioeconomic with the incidence of bronchial asthma in children. Medical News Public. 2010;26(3):125-31.

Husniyya G, Safri M, Bakhtiar B. Hubungan paparan asap rokok dengan kejadian asma pada anak di sekolah menengah pertama negeri 3 banda aceh. J Kedokteran Nanggroe Medika. 2018;1(4):14-21. Available from: http://jknamed.com/jknamed/article/view/35 [Last accessed on 2021 Mar 22].

Melgert B, Timothy B, Zengbiao Q, Barbara D, Marie G, Matchteld N. Macrophages regulators of sex differences in asthma. Am J Respir Cell Mol. 2010;42(5):595-603. https://doi.org/10.1165/rcmb.2009-0016OC PMid:19574533 DOI: https://doi.org/10.1165/rcmb.2009-0016OC

Naja AH, Kasim J, Suhartatik. Hubungan paparan asap rokok dengan kejadian ISPA di pukesmas pembantu desa takkalasi sidenreng rappang. J Ilmiah Mahasiswa Penelitian Keperawatan. 2021;1(1):67-9. Available from: http://jurnal.stikesnh.ac.id/index.php/jimpk/article/view/496. [Last accessed on 2021 Mar 22].

Putra SP, Khairsyaf O, Julizar. The relationship between smoking degrees with the degree of asthma exacerbation in asthmatic smokers active in the pulmonary ward of RSUD DR. Djamil Padang 2007-2010. J Andalas Health. 2012;2(3):170-4. https://doi.org/10.25077/jka.v2i3.163 DOI: https://doi.org/10.25077/jka.v2i3.163

Putri NL, Sulisnadewi N, Ribek N. Status of asthma control with quality of life in children with bronchial asthma. J echo Nursing. 2019;12(1):43-49. https://doi.org/10.33992/jgk.v12i1.783

Qoyimah DL, Lutfian BA. Hubungan antara kebiasaan merokok, aktifitas fisik dan kejadian asma. Soc Health Prot J. 2021;1(2):4-7. Available from: http://publication.rre-center.com/index.php/shpj/article/view/37 [Last accessed on 2021 Mar 22].

Sari NP. Asma: Hubungan antara faktor risiko, perilaku, pencegahan dan tingkat pengendalian penyakit. J Ners Lentera. 2013;1(2):30-41. Available from: http://jurnal.wima.ac.id/index.php/NERS/article/view/839# [Last accessed on 2021 Mar 22].

Sihombing M, Alwi Q, Nainggolan O. Factors that associated with asthma at age > 10 years in Indonesia (2007 Riskesdas data analysis). J Respirol Indones. 2010;30(2):85-91.

Suharmiati, Handajani L, Handajani A. Relationship patterns Cigarette use and the incidence of asthma. bull Health Systems Research. 2010;13(4):394-403. https://doi.org/10.22435/bpsk.v13i4Okt.2784

Sutaryono S, Hartono H, Probandari P, Setyono S, Budiastuti B, Masykuri M. Paparan Asap Rokok Lingkungan Rumah Tangga Dan Lama Waktu Serangan Asma Pada Anak. Naskah Publikasi Fakultas Ilmu Kesehatan. Surakarta: Universitas Muhammadiyah Surakarta; 2017. Available from: http://hdl.handle.net/11617/8974 [Last accessed on 2021 Mar 22].

Aswedi W. Hubungan Kebiasaan Merokok Dengan Tingkat Keparahan Asma Bronkial Di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Makassar. Skripsi: Universitas Islam Negeri Alauddin Makassar; 2013.

Aryanto AF, Anam M, Anam M. Hubungan paparan asap rokok dengan kejadian asma pada anak usia 13-14 tahun di Kota Semarang. J Kedokteran Diponegoro. 2014.

Asriningsih S. Hubungan Paparan Asap Rokok Dengan Tingkat Kontrol Asma Pada Penderita Asma di Balai Besar Kesehatan Paru Masyarakat (BBKPM) Surakarta. Surakarta: Universitas Muhammadiyah Surakarta; 2014.