• Anne Perisse, Marie-Cécile Dao, Damien Butty, Clement Derkenne, France Charton, Nathalie Fabre, Anais Grosset-Janin, Manon Lutringer, Aurore Chanet, Elie Diop, Claire Attia, Anne Coudert, Audrey Courson, Gaelle Maillot, Anne-Sophie Augen, Pierre Bagary, Emilie Sahuguet, Odile Remond, Nicolas Paleiron, and Olivier Bylicki.
• 9th Military Medical Center, Service de Santé des Armées, Toulon Cedex 9 83800, France.
• Mil Med. 2024 Aug 30; 189 (9-10): 201620222016-2022.

BackgroundSmoking kills 8 million people a year worldwide. It is the most prevalent cause of death in France by cancer, cardiovascular, or respiratory diseases. Minimal advice consists in asking patients who smoke if they are interested in quitting. It is effective in reducing smoking. The French High Health Authority recommends its systematic use with patients, whatever their reason for seeking treatment. The beneficial effect of spirometry on smoking cessation is controversial. The objective of our study was to measure the consequences of spirometry associated with minimal advice, compared with only minimal advice in soldiers seen during a routine medical examination.MethodsOur prospective, longitudinal, open, multicenter, controlled, randomized study was conducted among French military smokers presenting for an occupational medicine visit. Each participant received, depending on their group (intervention or control), either minimal advice associated with an evaluation of lung function by mini-spirometer, or only minimal advice. Follow-up visits were performed at 6 and 12 months. The primary objective was self-reported tobacco use cessation at 6 months.ResultsA total of 267 participants (126 in the intervention group and 141 for the control arm) were included in 10 centers between June 2019 and June 2020. The response rate was 75.6% at 6 months. The cessation rates were 17% and 18% in the intervention and control groups, respectively, with no significant difference between the two groups (P = 0.9). The cessation rate in the general population was 13% at 6 months.ConclusionsSpirometry does not seem to influence smoke cessation on a military population at 6 months. The overall cessation rate in our study was well in excess of the 3-6% expected from only providing minimal which is underused in general practice and should be encouraged.© The Association of Military Surgeons of the United States 2024. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.

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