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Synergism between smoking and vital exhaustion in the risk of ischemic stroke: evidence from the ARIC study.

Abstract：

PURPOSE:To examine the synergism between vital exhaustion and cigarette smoking in producing ischemic stroke. Vital exhaustion (VE), a state characterized by unusual fatigue, irritability, and feelings of demoralization, is measured by the Maastricht questionnaire (MQ), a 21-item inventory of symptoms. METHODS:The Atherosclerosis Risk in Communities (ARIC) Study is an ongoing cohort study, initiated in 1987. The MQ was administered at the second follow-up visit (1990-1992), and participants were subsequently followed for an average of 6.27 years. Four US communities (Minneapolis, Minnesota; Washington County, Maryland; Forsyth County, North Carolina; and Jackson, Mississippi). 13,066 participants aged 48 to 67 years at baseline (Visit 2) with no history of stroke. Validated hospitalized ischemic stroke. RESULTS:During the follow-up period, there were 202 incident ischemic strokes. After multivariate adjustment, current smoking, and high VE were independent risk factors for incident stroke: (smoking vs. non-smoking HR=1.76, p < 0.01; high VE vs. low VE HR=1.94, p < 0.01). For persons with both VE and smoking vs. persons with neither, HR=2.71 (p < 0.001). The proportion of stroke disease burden due to VE and smoking that could be attributed to their interaction was 81 to 93 percent. CONCLUSIONS:The combination of cigarette smoking and VE is synergistic in the production of stroke.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Schwartz SW,Carlucci C,Chambless LE,Rosamond WD

doi

10.1016/j.annepidem.2003.10.010

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

416-24

issue

6

eissn

1047-2797

issn

1873-2585

pii

S1047279703003557

journal_volume

14

pub_type

杂志文章

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