当前位置： SCI文献检索 > JOURNAL OF EPIDEMIOLOGY期刊下所有文献 > Active smoking, passive smoking, and risk of nonalcoholic fatty liver disease (NAFLD): a population-based study in China.

Active smoking, passive smoking, and risk of nonalcoholic fatty liver disease (NAFLD): a population-based study in China.

Abstract：

BACKGROUND:The effect of active smoking on development of nonalcoholic fatty liver disease (NAFLD) is controversial, and there are limited clinical data on the relationship between passive smoking and NAFLD. We investigated whether active and passive smoking are associated with NAFLD. METHODS:A total of 8580 subjects (2691 men) aged 40 years or older participated in a community-based survey in Shanghai, China. Information on active and passive smoking was collected using a validated questionnaire. NAFLD was diagnosed by abdominal B-mode ultrasound testing and serum liver enzymes. RESULTS:NAFLD prevalence was 29.4% in never smokers, 34.2% in former smokers, 27.8% in light smokers (<20 cigarettes/day), 30.8% in moderate smokers (20-39 cigarettes/day), and 43.5% in heavy smokers (≥40 cigarettes/day). Fully adjusted logistic regression analyses revealed that, as compared with never smoking, former and heavy smoking were associated with increased risk of prevalent NAFLD, with odds ratios of 1.45 (95% CI 1.05-2.00) and 2.29 (95% CI 1.30-4.03), respectively. Active smoking and body mass index (BMI) had a synergistic effect on the risk of prevalent NAFLD; the combination of these risk factors was associated with the highest observed odds ratio for NAFLD: 8.58. In never-smoking women, passive smoking during both childhood and adulthood was associated with a 25% increase in the risk of prevalent NAFLD (OR = 1.25, 95% CI 1.05-1.50) as compared with no passive smoking. CONCLUSIONS:Passive smoking and heavy active smoking are associated with prevalent NAFLD in middle-aged and elderly Chinese. Active smoking and BMI have a synergistic effect on prevalent NAFLD.

journal_name

J Epidemiol

journal_title

Journal of epidemiology

authors

Liu Y,Dai M,Bi Y,Xu M,Xu Y,Li M,Wang T,Huang F,Xu B,Zhang J,Li X,Wang W,Ning G

doi

10.2188/jea.je20120067

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

115-21

issue

2

eissn

0917-5040

issn

1349-9092

pii

DN/JST.JSTAGE/jea/JE20120067

journal_volume

23

pub_type

杂志文章

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