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Vaping, Smoking, and the Physical Fitness of Active Young Men

  • Eero Dinkeloo
    Correspondence
    Address correspondence to: Eero Dinkeloo, MPH, U.S. Army Public Health Center, Clinical Public Health and Epidemiology Directorate, 8977 Sibert Road, Aberdeen Proving Ground MD 21010.
    Affiliations
    Injury Prevention Division, Clinical Public Health and Epidemiology Directorate, U.S. Army Public Health Center, Aberdeen Proving Ground, Maryland

    Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee
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  • Tyson L. Grier
    Affiliations
    Injury Prevention Division, Clinical Public Health and Epidemiology Directorate, U.S. Army Public Health Center, Aberdeen Proving Ground, Maryland
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  • Raina D. Brooks
    Affiliations
    Injury Prevention Division, Clinical Public Health and Epidemiology Directorate, U.S. Army Public Health Center, Aberdeen Proving Ground, Maryland
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  • Bruce H. Jones
    Affiliations
    Injury Prevention Division, Clinical Public Health and Epidemiology Directorate, U.S. Army Public Health Center, Aberdeen Proving Ground, Maryland
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Published:November 21, 2019DOI:https://doi.org/10.1016/j.amepre.2019.08.015

      Introduction

      Adverse effects of cigarette smoking on physical performance are well studied. Because of the recent rise in popularity of vaping, it is important to evaluate its effect on fitness both independently and in conjunction with traditional cigarette use.

      Methods

      This was a secondary analysis performed in 2018 on data collected from U.S. Army Soldiers during 2016. All metrics were self-reported via an electronic questionnaire. Personal characteristics of current ENDS users, smokers, and dual users were compared with a reference group that reported no history of use. Adjusting for age and physical training habits, an ANCOVA was used to compare Army physical fitness test results. A Fisher's exact test determined specific mean differences between groups.

      Results

      This study population consisted of 2,854 men aged 24.6 years on average. Differences in physical training and fitness were shown between the groups. Never users averaged the most total physical training, followed by ENDS users, smokers, and then dual users. Compared with never users on the fitness tests, ENDS users had an adjusted mean difference of +27 seconds on the 2-mile run, −4.56 push-ups, and −2.01 sit-ups; smokers averaged +8 seconds, −2.15 push-ups, and −1.44 sit-ups; and dual users averaged +32 seconds, −5.17 push-ups, and −3.88 sit-ups. Dual users had significantly (p<0.05) lower scores than current smokers and never users on all 3 fitness events.

      Conclusions

      This study suggests that individuals who use e-cigarettes and tobacco cigarettes average a lower level of fitness than individuals who abstain.
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