By means of a 12-minute field test, the effect of cigarette smoking on endurance performance was measured in 419 airmen before and after six weeks of basic training. In 47 airmen, cardiopulmonary indexes also were obtained during maximal treadmill performance. Field testing showed that endurance performance was inversely related to the number of cigarettes smoked daily and the duration of smoking. The training response also was impaired significantly in the smokers. During treadmill studies, smokers had a decrease in respiratory minute volume and a lower oxygen consumption at equivalent heart rates than nonsmokers. Further statistical studies demonstrated not only the independent effect of smoking, but also the effect of prior athletic history and physical characteristics on endurance performance. The latter effects become less significant as physical training progressed.The chronic effect of cigarette smoking on en¬ durance performance has been postulated for many years, but little available information has documented this effect. Several investigators'2 have reported no differences in maximum oxygen con¬ sumption between smokers and nonsmokers of similar age groups when measured during maxi¬ mum effort on a bicycle ergometer. A submaximum treadmill study of 159 young, healthy, male uni¬ versity students also demonstrated no statistically significant differences in the various cardiovascu¬ lar measurements between "never smokers" and "all smokers."3 Another study evaluating work and recovery pulse data for 859 businessmen, students, and railroad workers revealed no evidence of re¬ duced circulatory fitness in smokers. However, when middle-aged subjects with cardiovascular abnor¬ malities are included in the smoking group, the ac¬ tual work-pulse is slightly, but significantly, higher in the smokers.4The acute effects of cigarette smoking on cardiopulmonary function have been investigated more extensively.1,2,56 Briefly, these effects include in¬ creased pulse rate at rest, increased systolic and diastolic blood pressure, vasoconstriction in the cu¬ taneous vascular bed, and probable reduction in See also pages 193 and 201. the coronary artery blood flow. Changes in the pulmonary function include increased oxygen con¬ sumption at rest, decreased diffusing capacity at rest and with exercise, decreased vital and total lung capacity, and a larger oxygen debt during exercise. Still other investigators have shown that a mild bronchoconstriction, which is insufficient to cause symptoms, occurs in most individuals im¬ mediately after inhalation of cigarette smoke. This persists for 10 to 80 minutes and recurs after the smoking of a second cigarette.7 All of these cardiopulmonary effects, whether they are acute or chron¬ ic, have the potential of affecting both endurance performance and the physiological response to training. Inasmuch as these phenomena have not been tested previously, the purpose of this study has been to determine whether cigarette smoking has any effect, and if so how much, on the endur¬ ance performa...