UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000063599
Receipt number R000072785
Scientific Title Comparison of Cardiovascular Recovery, Cognitive Performance, and Quality of Life Among Never-Smokers, Exclusive Electronic Cigarette Users, Exclusive Conventional Cigarette Smokers, and Dual Users: A Comparative Cross-Sectional Observational Study
Date of disclosure of the study information 2026/11/11
Last modified on 2026/11/11 22:55:31

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Basic information

Public title

GENC YETISKINLERDE ELEKTRONIK SIGARA, GELENEKSEL SIGARA VE IKILI KULLANIMA GORE KARDIYOVASKULER TOPARLANMA, BILISSEL PERFORMANS VE YASAM KALITESININ KARSILASTIRILMASI

Acronym

EC-CVQoL

Scientific Title

Comparison of Cardiovascular Recovery, Cognitive Performance, and Quality of Life Among Never-Smokers, Exclusive Electronic Cigarette Users, Exclusive Conventional Cigarette Smokers, and Dual Users: A Comparative Cross-Sectional Observational Study

Scientific Title:Acronym

SMOKE-OBS

Region

Asia(except Japan)


Condition

Condition

Electronic cigarette use, conventional cigarette smoking, and dual use among young adults.

Classification by specialty

Cardiology Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this cross-sectional observational study is to compare post-exercise heart rate recovery, cardiorespiratory fitness, cognitive performance, health-related quality of life, sleep quality, respiratory symptoms, and physical activity levels among young adults aged 18-35 years who have never smoked, exclusively smoke conventional cigarettes, exclusively use electronic cigarettes, or use both products dual users. Heart rate recovery at the first and third minutes following exercise, estimated maximal oxygen consumption (VO2max), and cognitive performance parameters related to selective attention and interference control will be assessed. Additionally, the study aims to investigate associations between smoking and vaping characteristics and these health-related outcomes, taking into account physical activity levels and relevant individual factors.

Basic objectives2

Others

Basic objectives -Others

Comparison of cardiovascular recovery, cardiorespiratory fitness, cognitive performance, quality of life, sleep quality, respiratory symptoms, and physical activity across different smoking and vaping exposure groups.

Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Post-exercise heart rate recovery (HRR) at the first and third minutes following exercise (HRR1 and HRR3), calculated as the difference between peak exercise heart rate and heart rate measured at 1 and 3 minutes during recovery, respectively. Measurements will be performed during a single assessment session in this cross-sectional observational study.

Key secondary outcomes

Cardiorespiratory fitness, assessed by estimated maximal oxygen consumption (VO2max, mL/kg/min).
Cognitive performance, assessed through selective attention and interference control using cognitive test performance scores.
Health-related quality of life, assessed using standardized questionnaire scores.
Sleep quality, assessed using standardized sleep quality questionnaire scores.
Respiratory symptoms, assessed using a standardized respiratory symptom questionnaire.
Physical activity level, assessed using a standardized physical activity questionnaire.
Associations between conventional cigarette smoking and electronic cigarette use characteristics and the assessed health-related outcomes, considering physical activity levels and relevant individual factors.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

35 years-old >=

Gender

Male and Female

Key inclusion criteria

1. Adults aged 18-35 years.
2. Ability to understand and complete the study assessments.
3. Physical ability to safely perform the three-minute step test.
4. Voluntary participation and provision of written informed consent.
5. Eligibility for one of the following groups:
Group 1: Individuals with no history of regular conventional or electronic cigarette use and no current use of tobacco or nicotine products.Group 2: Individuals who have regularly smoked conventional cigarettes for at least six months, currently continue smoking, and do not currently use electronic cigarettes or other tobacco or nicotine products.Group 3: Individuals who have regularly used electronic cigarettes for at least six months, currently continue vaping, and do not currently use conventional cigarettes or other tobacco or nicotine products.Group 4: Individuals who have used both conventional and electronic cigarettes for at least six months, currently continue using both products, and do not currently use other tobacco or nicotine products.

Key exclusion criteria

1. Diagnosed cardiovascular or pulmonary diseases that may affect exercise responses.
2. Regular use of medications affecting heart rate or autonomic cardiovascular responses, such as beta-blockers or certain antiarrhythmic drugs.
3. Neurological or psychiatric disorders that may substantially affect cognitive performance.
4. Acute respiratory infection, febrile illness, or other acute health conditions at the time of assessment.
5. Musculoskeletal disorders, balance impairments, or movement limitations preventing safe performance of the three-minute step test.
6. Being under the influence of alcohol or other psychoactive substances, or having a substance-related condition that may compromise assessment safety or test performance.
7. Any clinical contraindication to exercise testing.
8. Pregnancy.

Target sample size

92


Research contact person

Name of lead principal investigator

1st name Manolya
Middle name
Last name acar

Organization

Baskent University

Division name

Department of Physiotherapy and Rehabilitation

Zip code

06790

Address

Baskent university Department of Physiotherapy and Rehabilitation

TEL

+905392699266

Email

acarmanolya@hotmail.com


Public contact

Name of contact person

1st name Manolya
Middle name
Last name acar

Organization

Baskent University

Division name

Department of Physiotherapy and Rehabilitation

Zip code

06790

Address

Baskent University, Health Sicence Faculty, Department of Physiotherapy and Rehabilitation

TEL

+905392699266

Homepage URL


Email

acarmanolya@hotmail.com


Sponsor or person

Institute

Baskent Univeristy

Institute

Department

Personal name



Funding Source

Organization

Baskent University

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

turkey


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Baskent University

Address

Baskent University, Baglica Campus, Faculty of Health Sciences.

Tel

+905392699266

Email

ardenmanolya@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 11 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 09 Month 20 Day

Date of IRB


Anticipated trial start date

2026 Year 10 Month 01 Day

Last follow-up date

2028 Year 07 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

his study is designed as a cross-sectional, observational, comparative study involving young adults aged 18-35 years. Participants will be classified into four groups according to their existing smoking and vaping habits: never-smokers, exclusive conventional cigarette smokers, exclusive electronic cigarette users, and dual users of conventional and electronic cigarettes. No smoking or vaping exposure will be assigned or administered by the researchers, and no therapeutic intervention or randomization will be performed.

All participants will undergo a single assessment session. Post-exercise heart rate recovery at 1 and 3 minutes and cardiorespiratory fitness will be evaluated using a three-minute step test. Cognitive performance, including selective attention and interference control, will be assessed using the Eriksen Flanker Test. Health-related quality of life, sleep quality, respiratory symptoms, and physical activity levels will be assessed using standardized questionnaires.

Between-group comparisons and associations between smoking and vaping characteristics and health-related outcomes will be examined, considering relevant individual factors and physical activity levels. The study aims to investigate associations rather than establish causal relationships.


Management information

Registered date

2026 Year 11 Month 11 Day

Last modified on

2026 Year 11 Month 11 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072785