The association between smoking and hypertension in a population-based sample of Vietnamese men
The association between smoking and hypertension in a population-based sample of Vietnamese men
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DOI：
10.1097/hjh.0b013e32833310e0
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发表时间：
2010-02-01
影响因子：
4.9
通讯作者：
Dwyer, Terence
中科院分区：
文献类型：
--
作者：
Au Bich Thuy;Blizzard, Leigh;Dwyer, Terence
目的吸烟与血压之间的关系在流行病学研究中尚不清楚，尽管有实验证据表明吸烟会升高血压。本研究探讨了吸烟和高血压之间的关联，在人口为基础的样本的越南mesians.Methods研究利用人口为基础的样本的男性（n = 910）在越南的非传染性疾病的危险因素的调查。根据国际标准化方案进行测量，包括行为风险因素、身体成分和血压。Poisson回归用于获得患病率和95%置信区间（CI）。结果在调整年龄、体重指数和饮酒量后，高血压患病率随吸烟年限（P = 0.05）和吸烟包年数（P = 0.03）的增加而增加。相对于从不吸烟者，吸烟30年或以上者和吸烟20包年或以上者患高血压的风险分别为1.52（95%CI 0.95-2.44）和1.34（95%CI 0.94-1.91）。然而，总体而言，目前吸烟者患高血压的风险并不比从不吸烟者高（患病率= 1.08，95%CI 0.70-1.68），戒烟者比从不吸烟者更容易患高血压。（患病率= 1.81，95% CI 1.07-3.06）或目前吸烟者（患病率比= 1.67，95%CI 1.25-2.23），同样调整。结论在这个基于人群的样本中，当以吸烟年数和终生吸烟量为特征时，高血压与吸烟呈剂量反应关系，但与当前吸烟状态无关。J Hypertens 28：245-250（C）2010 Wolters Kluwer Health|利平科特威廉姆斯&威尔金斯。
Objective The association between tobacco smoking and blood pressure in epidemiological studies remains unclear despite experimental evidence that smoking elevates blood pressure. This study examined the association between smoking and hypertension in a population-based sample of Vietnamese men.Methods The study utilized a population-based sample of men (n = 910) from a survey of risk factors of noncommunicable diseases in Vietnam. Measurements including behavioural risk factors, body composition, and blood pressure were performed according to internationally standardized protocols. Poisson regression was used to obtain prevalence ratios and 95% confidence intervals (CIs). All analyses were performed using complex survey methods.Results There were significant trends of increasing prevalence of hypertension with increasing years (P = 0.05) and pack-years (P = 0.03) of smoking after adjusting for age, BMI, and alcohol intake. Relative to never-smokers, the risk of hypertension for those who had smoked for 30 years or more and those who had smoked 20 pack- years or more were 1.52 (95% CI 0.95-2.44) and 1.34 (95% CI 0.94-1.91), respectively. Overall, however, current smokers were not at higher risk of hypertension than never-smokers (prevalence ratio = 1.08, 95% CI 0.70-1.68), and ex-smokers were more likely to be hypertensive than either never-smokers (prevalence ratio = 1.81, 95% CI 1.07-3.06) or current smokers (prevalence ratio = 1.67, 95% CI 1.25-2.23), similarly adjusted.Conclusion In this population-based sample, hypertension was associated with smoking in a dose-response manner when characterized as number of years of smoking and lifetime cigarette consumption, but was not associated with current smoking status. J Hypertens 28: 245-250 (C) 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins.