Association between Lung Function and Vocal Affections Arising from Tobacco Consumption

Abstract

Introduction Smoking is a major risk factor for numerous diseases; it is necessary to analyze the impact that the habit can have on vocal health.

Objectives To determine the influence of smoking on changes in vocal production and lung vital capacity compared with nonsmokers.

Methods This cross-sectional study compared smokers and nonsmokers (24 subjects each). Each participant underwent a vocal and spirometric evaluation to measure vital lung capacity.

Results The results showed a worsening in lung vital capacity and other parameters of voice in smokers compared with nonsmokers. Furthermore, the decreased pulmonary vital capacity affected the evaluated voice parameters, and decreased carrying capacity was closely related to smoking. The time and amount of consumption had a direct relationship with the vocal and maximum phonation time.

Conclusions This study showed that smoking causes voice disorders due to lung weakness. Thus, voice changes are affected both directly by interference of smoking on vocal structures and indirectly by increased weakness, which impairs lung vocal production.

Keywords

smoking - vital capacity - dysphonia - voice quality - voice disorders

• References

• 1 Tabaco e Tabaquistas. ArqMed 2007; 21 (5–6) 183-193
• 2 Duarte JL, Faria FC, Ceolin DS, Cestari TM, Assis GF. Efeitos da inalação passiva da fumaça de cigarro sobre as pregas vocais de ratos. Rev Bras Otorrinolaringol 2006; 72 (2) 210-216
• 3 Cielo CA et al. Hábitos de tabagismo e etilismo em disfonias. Rev Cien Med Bio 2010; 9 (2) 119-125
• 4 de Oliveira Semenzati G, de Souza Salgado B, Rocha NS, Michelin Matheus SM, de Carvalho LR, Garcia Martins RH. Histological and immunohistochemical study of the expression of p53 and ki-67 proteins in the mucosa of the tongue, pharynx and larynx of rats exposed to cigarette smoke. Inhal Toxicol 2012; 24 (11) 723-731
• 5 Wan P, Huang Z. [The effect of smoke and alcohol abuse to voice]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2008; 22 (15) 686-687
• 6 Miglioranzi SL. Capacidade vital e tempos máximos de fonação de /e/ áfono e /s/ em mulheres adultas [thesis]. Santa Maria: Universidade Federal de Santa Maria; 2010
• 7 Hirano M. Clinical Examination of Voice. New York, NY: Springer Verlag; 1981: 81-84
• 8 Callegari-Jacques SM, Testes não-paramétricos. In: Callegari-Jacques SM. , ed. Bioestatística: Princípios e Aplicações. 1st Ed. São Paulo, Brasil: Artmed; 2003: 165-184
• 9 Cielo CA, Finger LS, Rosa JC, Brancalioni AN. Lesões organofuncionais do tipo nódulos, pólipos e edema de reinke. Rev CEFAC 2011; 13 (4) 735-748
• 10 Behlau MS, Gama ACC. Estudo da constância de medidas acústicas de vogais prolongadas e consecutivas em mulheres sem queixa de voz e em mulheres com disfonia. Rev Soc Bras Fonoaudiol 2009; 14 (1) 8-14
• 11 Vasconcelos SV, Mello RJV, Silva HJS. Efeitos do envelhecimento e do fumo nas pregas vocais: uma revisão sistemática. ACTA ORL Técnicas em Otorrinolaringologia 2009; 27 (1) 9-14
• 12 Cielo CA, Gonçalves BFT, Lima JP, Christmann MK. Afecções laríngeas, tempos máximos de fonação e capacidade vital em mulheres com disfonia organofuncional. Rev CEFAC 2012; 14 (3) 481-488
• 13 Nunes E. Consumo de tabaco. . Efeitos na saúde. Rev Port ClinGeral 2006; 22: 225-244
• 14 Arabaci U, Akdur H, Yiğit Z. Effects of smoking on pulmonary functions and arterial blood gases following coronary artery surgery in Turkish patients. Jpn Heart J 2003; 44 (1) 61-72
• 15 Rufino R, Lapa e Silva JR. Cellular and biochemical bases of chronic obstructive pulmonary disease. J Bras Pneumol 2006; 32 (3) 241-248
• 16 Costa JS, Silveira MF, Gazalle FK , et al. Consumo abusivo de álcool e fatores associados: estudo de base populacional. Rev Saude Publica 2004; 38 (2) 284-291
• 17 Fiqueiredo DC, Souza PRF, Gonçalves MI, Biase NG. Análise perceptivo-auditiva, acústica computadorizada e laringológica da voz de adultos jovens fumantes e não-fumantes. Rev Bras Otorrinolaringol (Engl Ed) 2003; 69 (6) 791-799