The association between smoking and blood pressure in men: a cross-sectional study.

The association between smoking and blood pressure in men: a cross-sectional study.
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DOI:
10.1186/s12889-017-4802-x
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发表时间:
2017-10-10
期刊:
影响因子:
4.5
通讯作者:
Shan G
Shan G
中科院分区:
医学2区
文献类型:
--
作者:
Li G;Wang H;Wang K;Wang W;Dong F;Qian Y;Gong H;Hui C;Xu G;Li Y;Pan L;Zhang B;Shan G

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吸烟是已知的心血管疾病(CVD)的危险因素,但吸烟和血压之间的关系尚不清楚。因此,目前的研究调查了男性吸烟和血压之间的关系。采用数字血压测量仪检测收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)和脉压(PP),并采用中国国民健康调查法测定吸烟状况。ANCOVA结果显示,当前吸烟者调整舒张压和MAP低于非吸烟者,当前吸烟者调整收缩压低于前吸烟者(P < 0.05)。此外,在当前吸烟者中,调整后的PP随烟龄的增加而稳步下降。在一个完全调整的logistic回归模型中,与从不吸烟者相比,戒烟者高血压的or增加(95% CI)为1.48(1.01,2.18),而目前吸烟者的or没有增加(95% CI)为0.83(0.61,1.12)。研究结果显示,与不吸烟和曾经吸烟的人相比,现在吸烟的人调整后的血压更低。除PP外,当前吸烟对血压指标无明显剂量依赖性影响。戒烟与高血压风险增加显著相关。然而,目前吸烟并不是高血压的危险因素。
Cigarette smoking is a known risk factor for cardiovascular disease (CVD), but the association between smoking and blood pressure is unclear. Thus, the current study examined the association between cigarette smoking and blood pressure in men. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP) were examined using digital blood pressure measuring device, and smoking status was determined with China National Health Survey. The ANCOVA showed that the adjusted DBP and MAP were lower in current smokers versus nonsmokers and the adjusted SBP was lower in current smokers versus former smokers (P < 0.05). Additionally, the adjusted PP tend to be decreased steadily as the pack·years increased in current smokers. In a fully adjusted logistic regression model, former smokers had increased ORs (95% CI) of 1.48 (1.01, 2.18) of hypertension and current smokers had not increased ORs (95% CI) of 0.83 (0.61, 1.12), compared with never smokers. The findings revealed that the adjusted blood pressure were lower in current smokers versus nonsmokers and former smokers. No significant dose-dependent effect of current smoking on blood pressure indices except PP was observed. Smoking cessation was significantly associated with an increased risk of hypertension. However, current smoking was not a risk factor of hypertension.
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