BLOOD-PRESSURE IN SMOKERS AND NONSMOKERS - EPIDEMIOLOGIC FINDINGS
BLOOD-PRESSURE IN SMOKERS AND NONSMOKERS - EPIDEMIOLOGIC FINDINGS
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DOI：
10.1016/0002-8703(86)90645-9
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发表时间：
1986-05-01
影响因子：
4.8
通讯作者：
LUZ, Y
中科院分区：
文献类型：
--
作者：
GREEN, MS;JUCHA, E;LUZ, Y
虽然吸烟会导致血压（BP）急剧上升，但流行病学研究的结果通常表明吸烟者的血压低于非吸烟者。这种现象经常被归因于未能解释吸烟者和非吸烟者之间与BP相关的其他差异。因此，吸烟作为高血压危险因素的作用仍不清楚。在这篇文章中，一个大的流行病学研究吸烟和BP在工作人群中的结果。结果显示，非吸烟者和戒烟者的血压高于吸烟者。这些差异不能用各种潜在的混杂因素来解释，如相对体重、种族出身、酒精和咖啡摄入量以及休闲体育活动的参与。虽然吸烟对健康有相当大的不利影响是公认的，但吸烟作为高血压危险因素的作用并没有得到流行病学证据的支持。此外，这些数据高度提示吸烟者的血压低于非吸烟者，而戒烟者的血压与非吸烟者相似。
Although cigarette smoking produces an acute rise in blood pressure (BP), results from epidemiologic studies have generally shown smokers to have lower BP than nonsmokers. This phenomenon has frequently been ascribed to a failure to account fo rother BP-associated differences between smokers and nonsmokers. Consequently, the role of cigarette smoking as a risk factor for hypertension remains unclear. In this article the results of a large epidemiologic study of smoking and BP in a working population are presented. The results show a pattern of higher BP among nonsmokers and ex-smokers than among smokers. These differences could not be explained by various potentially confounding factors, such as relative weight, ethnic origin, alcoholic and coffee intake, and participation in leisure time sports. While the considerable adverse effects of smoking on health are well established, the role of smoking as a risk factor for hypertension is not supported by the epidemiologic evidence. Furthermore, the data are highly suggestive of lower BP among smokers compared with nonsmokers, whereas ex-smokers have BPs similar to those of nonsmokers.