Skip to main content

Advertisement

Log in

Environmental tobacco smoke: Association with cardiovascular function at rest and during stress

  • Published:
International Journal of Behavioral Medicine Aims and scope Submit manuscript

Abstract

Chronic exposure to environ mental tobacco smoke (ETS) contributes to cardiovascular disease morbidity and mortality, and ETS alters cardiovascular performance during exercise stress. However, no study has examined whether those with ETS exposure have altered cardiovascular functioning during psychological stress, relative to those with no substantial ETS exposure. Seventy-eight healthy, nonsmoking adult men with either high levels of current ETS exposure at home and work or no current or significant lifetime ETS exposure were tested in a stress reactivity protocol. Blood pressure and heart rate were monitored during rest and during two psychological stressors. Those with high ETS exposure had significantly elevated heart rate and blood pressure at baseline, relative to those with no exposure. The groups did not differ on their cardiovascular stress responses. These data suggest that chronic ETS exposure is associated with altered cardiovascular functioning at rest, but not during stress. Results are discussed with regard to the role of ETS on the development of heart disease among nonsmokers.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Aronow, W. (1978). The effect of passive smoking on angina pectoris.New England Journal of Medicine, 299, 21–24.

    Article  PubMed  Google Scholar 

  • Beaglehole, R. (1990). Does passive smoking cause heart disease?British Medical Journal, 301, 1343–1344.

    Article  PubMed  Google Scholar 

  • Burchfiel, C. M., Higgins, M. W., Keller, J. B., Howatt, W. F., Butter, W. J., & Higgins, I. T. T. (1986). Passive smoking in childhood: Respiratory conditions and pulmonary function in Tecumseh, Michigan.American Review of Respiratory Disease, 133, 966–973.

    PubMed  Google Scholar 

  • Celermajer, D. S., Adams, M. R., Clarkson, P., Robinson, J., McCredie, R., Donald, A., & Deanfield, J. E. (1996). Passive smoking and impaired endothelium-dependent arterial dilatation in healthy young adults.New England Journal of Medicine, 334, 150–154.

    Article  PubMed  Google Scholar 

  • Cummings, K. M., Markello, S. J., Mahoney, M., Bhargava, A. K., McElroy, P. D., & Marshall, J. R. (1990). Measurement of current exposure to environmental tobacco smoke.Archives of Environmental Health, 45, 74–79.

    PubMed  Google Scholar 

  • Davis, J. W., Shelton, L., Watanabe, I., & Arnold, J. (1989). Passive smoking affects endothelium and platelets.Archives of Internal Medicine, 149, 386–389.

    Article  PubMed  Google Scholar 

  • Davis, J. W., Shelton, L., & Zucket, M. L. (1990). A comparison of some acute effects of smoking and smokeless tobacco on platelets and endothelium.Journal of Vascular Medicine in Biology, 2, 289–293.

    Google Scholar 

  • Drummond, P. D.(1983). Cardiovascular reactivity in mild hypertension.Journal of Psychosomatic Research, 27, 291–297.

    Article  PubMed  Google Scholar 

  • Emmons, K. M., Abrams, D. B., Marshall, R. J., Etzel, R. A., Novotny, T.E., Marcus, B. H., & Kane, M. E. (1982). Exposure to environmental tobacco smoke in naturalistic settings.American Journal of Public Health, 82, 24–28.

    Article  Google Scholar 

  • Epstein, L. H., & Perkins, K. A. (1988). Smoking, stress, and coronary heart disease.Journal of Consulting and Clinical Psychology, 56, 342–349.

    Article  PubMed  Google Scholar 

  • Everson, S. A., Lynch, J. W., Chesney, M. A., Kaplan, G. A., Goldberg, D. E., Shade, S. B., Cohen, R. D., Salonen, R., & Salonen, J. T. (1997). Interaction of workplace demands and cardiovascular reactivity in progression of carotid atherosclerosis: Population based study,British Medical Journal, 314, 553–558.

    PubMed  Google Scholar 

  • Feldman, J., Sheneker, R., Etzel, R. A., Spierto, F. W., Lilienfield, D. E., Nussbaum, M., & Jacobson (1991). Passive smoking alters lipid profiles in adolescents.Pediatrics, 88, 259–264.

    PubMed  Google Scholar 

  • Gilbert, D. G., & Meliska, C. J. (1992), Individual differences in and reliability of electroencephalogram, Cortisol, beta-endorphin, heart rate, and subjective responses to smoking multiple cigarettes via a quantified smoke delivery system. In P. M. Lippiello, A. C. Collins, J. A. Gray, & J. H. Robinson (Eds.),The Biology of Nicotine Current Research Issue (pp. 141–155). New York: Raven.

    Google Scholar 

  • Glanz, S. A., & Parmley, W. W. (1991). Passive smoking and heart disease: Epidemiology, physiology, and biochemistry.Circulation, 83, 1–12.

    Google Scholar 

  • Hammond, S. K., Sorenson, G., Youngstrom, R., & Ockene, J. K. (1995). Occupational exposure to environmental tobacco smoke.Journal of the American Medical Association, 274, 956–960.

    Article  PubMed  Google Scholar 

  • Hirayama, T. (1985). Passive smoking: A new target of epidemiology.Journal of Experimental and Clinical Medicine, 10, 287–293.

    Google Scholar 

  • Humble, C., Croft, J., Gerber, A., Casper, M., Hames, C. G., & Tyroler, H. A. (1990). Passive smoking and 20-year cardiovascular disease mortality among nonsmoking wives, Evans County.Georgia American Journal of Public Health, 80, 599–601.

    Article  Google Scholar 

  • Kawachi, I., Colditz, G. A., Spetzer, F. E., Manson, J. E., Stampfer, M. J., Willett, W. C., & Hennekens, C. H. (1997). A prospective study of passive smoking and coronary heart disease.Circulation, 95, 2374–2379.

    PubMed  Google Scholar 

  • Kawachi, I., Pearce, N. E., & Jackson, R. T. (1989). Deaths from lung cancerand ischemic heart disease due to passive smoking in New Zealand.New Zealand Medical Journal, 102, 337–340.

    PubMed  Google Scholar 

  • Keys, A., Taylor, H. L., Blackburn, H., Brozek, J., Anderson, J. T., & Simonson, E. (1971). Mortality and coronary heart disease among men studied for 23 years.Archives of Internal Medicine, 128, 201–214.

    Article  PubMed  Google Scholar 

  • Leone, A., Mori, L., Bertanelli, F., Fabiano, P., & Flippelli, M. (1991), indoor passive smoking: Its effects on cardiac performance.International Journal of Cardiology, 33, 247–252.

    Article  PubMed  Google Scholar 

  • Light, K. C., Dolan, C. A., Davis, M. R., & Sherwood, A. (1992). Cardiovascular responses to an active coping challenge as predictors of blood pressure patterns 10 to 15 years later.Psychosomatic Medicine, 54, 217–230.

    PubMed  Google Scholar 

  • McMurray, R., Hicks, L., & Thompson, D. (1985). The effects of passive inhalation of cigarette smoke on exercise performance.European Journal of Applied Physiology, 54, 196–200.

    Article  Google Scholar 

  • National Institute for Occupational Safety and Health. (1991). Environmental tobacco smoke in the workplace: Lung cancer and other health effects.Current Intelligence Bulletin, 54, DHHS Publication Number (CDC), 91–108.

    Google Scholar 

  • Owens, J. F., Stoney, C. M., & Matthews, K. A. (1993). Menopausal status influences ambulatory blood pressure levels and blood pressure changes during mental stress.Circulation, 88, 2794–2802.

    PubMed  Google Scholar 

  • Perkins, K. A., Epstein, L. H., Jennings, R., & Stiller, R. (1986). The cardiovascular effects of nicotine during stress.Psychopharmacology, 90, 373–378.

    Article  PubMed  Google Scholar 

  • Pickering, T. (1996). Why study blood pressure reactivity to stress?American Journal of Hypertension, 9, 941–942.

    Article  PubMed  Google Scholar 

  • Pirkle, J. L., Flegel, K. M., Bemert, J. T., Brody, D. J., Etzel, R. A., & Maurer, K. R. (1996). Exposure of the US population to environmental tobacco smoke.Journal of the American Medicat Association, 275, 1233–1240.

    Article  Google Scholar 

  • Pomerleau, C. S., & Pomerleau, O. F. (1987). The effects of a psychological stressor on cigarette stroking and subsequent behavioral and physiological responses.Psychophysiology, 24, 278–285.

    Article  PubMed  Google Scholar 

  • Pomerleau, O. F., & Pomerleau, C. S. (1989). Stress, smoking, and the cardiovascular system.Journal of Substance Abuse, 1, 331–343.

    Google Scholar 

  • Ross, R. (1986). The pathology of atherosclerosis: An update.New England Journal of Medicine, 314, 488–500.

    PubMed  Google Scholar 

  • Steptoe, A., Melville, D., & Ross, A. (1984). Behavioral response demands, cardiovascular reactivity and essential hypertension.Psychosomatic Medicine, 46, 33–48.

    PubMed  Google Scholar 

  • Stoney, C. M., Owens, J. F., Guzick, D. S., & Matthews, K. A. (1997). A natural experiment on the effects of ovarian hormones on cardiovascular risk factors and stress reactivity: Bilateral salpingo oophorectomy versus hysterectomy only.Health Psychology, 16, 349–358.

    Article  PubMed  Google Scholar 

  • Svendsen, K., Kuller, L., Martin, M., & Ockene, J. (1987). Effects of passive smoking in the Multiple Risk Factor Intervention Trial.American Journal of Epidemiology, 126, 783–795.

    PubMed  Google Scholar 

  • Taylor, E., Johnson, D. C., & Kazemi, H. (1992). Environmental tobacco smoke and cardiovascular disease: A position paper from the council on cardiopulmonary and critical care, A merican Heart Association.Circulation, 86, 699–702.

    PubMed  Google Scholar 

  • U.S. Environmental Protection Agency (1992). Respiratory heallh effects of passive smoking: Lung cancer and other diseases. Washington, D. C., U.S. Environmental Protection Agency (EPA/600/6-90/006F).

  • Wells, A. J. (1988). An estimate of adult mortality in the US from passive smoking.Environment International, 14, 249–265.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine M. Stoney.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stoney, C.M., Lentino, L.M. & Emmons, K.M. Environmental tobacco smoke: Association with cardiovascular function at rest and during stress. Int. J. Behav. Med. 5, 230–244 (1998). https://doi.org/10.1207/s15327558ijbm0503_4

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1207/s15327558ijbm0503_4

Key words

Navigation