Abstract:
BACKGROUND:Smoking and chronic kidney disease are major public health problems with common features -high prevalence and mortality, high cardiovascular risk, gender differences and high prevalence in low income people-, but the link between them is poorly recognized. Our objectives were to investigate the exposure of dialysis patients to tobacco and to know their smoking behavior. METHODS:We performed a multicenter, cross-sectional study in nine dialysis units in the Argentinian Northern Patagonia. We investigated smoker status, lifetime tobacco consumption, current tobacco use, breath carbon monoxide and % carboxyhaemoglobin. Fagerström and Richmond tests were performed for active smokers. STATISTICAL ANALYSIS:one way ANOVA and Tukey's test for post hoc test. For exploratory analysis, frequency tables through chi-square distribution and single correspondence analysis were performed. RESULTS:Six hundred thirty six patients (60.9 % males, 39.1 % females) were interviewed. Almost 70 % of them had had tobacco exposure. Excluding light smokers, the lifetime consumption was significantly different (p = 0.0052) between sexes (33.1 ± 2.4 pack/years in males and 18.2 ± 2.1 pack/years in females) The distribution of etiologies changed significantly (χ (2) p < 0.0001) with smoker status and the dose of tobacco smoking, with an increase in the diagnosis of nephrosclerosis in patients with high and very high lifetime consumption (from 16.1 % in non-smokers to 28.2 and 27 % respectively), and in passive smokers (from 16.1 to 27.3 %). The male preponderance of end-stage renal disease disappeared when only non-smokers were considered and grew with the increase in the lifetime consumption. Active smokers have small consumption, both low CO level and % COHb, low dependence and a good motivation to quit, but a high lifetime consumption. CONCLUSIONS:Exposure of dialysis patients to tobacco is high and could be related to the progression to the final stage of the renal disease. It seems that tobacco renal damage is mostly hidden in the diagnosis of nephrosclerosis. The gender difference observed in these patients could also have a nexus with the men's higher tobacco exposure. Active smokers have a low current consumption but a high lifetime tobacco dose. INTRODUCCIÓN:Tabaquismo y enfermedad renal crónica son importantes problemas de salud pública que comparten: alta prevalencia, alta morbi-mortalidad, alto riesgo cardiovascular, diferencias de género y mayor prevalencia en personas de bajos ingresos. Sin embargo, el nexo entre ellas es poco reconocido. Objetivos: mensurar la carga tabáquica de los enfermos en diálisis y conocer su patrón de consumo. MATERIAL Y MÉTODOS:Participaron nueve unidades de diálisis de la Norpatagonia Argentina. Investigamos condición de fumador, carga tabáquica y, en fumadores activos, consumo actual, tests de Richmond y Fagerström, monóxido de carbono en aire espirado y % de carboxihemoglobina. Análisis estadístico: ANOVA de una vía y test de Tukey para análisis post hoc. En el análisis exploratorio, utilizamos tablas de frecuencias a través de la distribución Ji cuadrado y análisis de correspondencia simple. RESULTADOS:Seiscientos treinta y seis pacientes (60.9 % varones, 39.1 % mujeres) fueron encuestados. Casi un 70 % de ellos había estado expuesto al tabaco. Excluyendo los fumadores leves, la carga tabáquica (CT) fue 33 ± 2.4 paquetes/año en hombres y 18.2 ± 2.1 paquetes/año en mujeres (p = 0.0052). La distribución de las etiologías de ingreso a diálisis cambió significativamente (χ2p < 0.0001) según el estado de fumador y la CT, con aumento en el diagnóstico de nefroesclerosis en fumadores pasivos (de 16.1 % en no fumadores a 27.3 %) y en pacientes con elevadas CT (de 15.2 y 16 % en CT leve y media a 28.2 y 27 % en CT alta y muy alta). La preponderancia masculina de la población desapareció en no fumadores y creció con el incremento en la CT (χ2p < 0.0001). Los fumadores activos tienen bajo consumo, bajo nivel de CO y carboxihemoglobina, baja dependencia y están bien motivados para dejar, pero tienen una elevada CT. CONCLUSIONES:La alta CT de los enfermos en diálisis podría generar o contribuir a la progresión de la enfermedad renal crónica. El daño renal por tabaco se esconde principalmente en el diagnóstico de nefroesclerosis y se relaciona con la CT. La diferencia de género de estos pacientes podría relacionarse con su exposición al tabaco. Los fumadores activos tienen bajo consumo pero elevada CT.
journal_name
Tob Induc Disjournal_title
Tobacco induced diseasesauthors
Alba MM,Citarelli AN,Menni F,Agricola M,Braicovich A,De Horta E,De Rosa F,Filanino G,Gaggiotti R,Junqueras N,Martinelli S,Milan A,Morales ME,Setti S,Villalba DOdoi
10.1186/s12971-015-0051-xsubject
Has Abstractpub_date
2015-09-01 00:00:00pages
28issue
1eissn
2070-7266issn
1617-9625pii
51journal_volume
13pub_type
杂志文章abstract:INTRODUCTION:Smoking is a substantial cause of premature death in patients with tuberculosis (TB), particularly in low- and middle-income countries (LMICs) with high TB prevalence. The importance of incorporating smoking cessation and tobacco-dependence treatment (TDT) into TB care is highlighted in the most recent TB ...
journal_title:Tobacco induced diseases
pub_type: 杂志文章,评审
doi:10.18332/tid/125195
更新日期:2020-08-06 00:00:00
abstract:UNLABELLED: BACKGROUND:Tobacco control represents a key area in which doctors can make a significant positive impact on their patients' lives. Despite this fact, however, doctors in certain regions of China are known to smoke tobacco at rates similar to or even exceeding those seen within the general population. OBJE...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-10-14
更新日期:2012-09-24 00:00:00
abstract:: Many modalities of tobacco use prevention programming have been implemented including various policy regulations (tax increases, warning labels, limits on access, smoke-free policies, and restrictions on marketing), mass media programming, school-based classroom education, family involvement, and involvement of commu...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-11-2
更新日期:2013-01-22 00:00:00
abstract:: Periodontitis is a bacterial inflammatory disease leading to attachment loss with the consequence of tooth loss. There exists a multifactorial risk pattern including bacterial challenge, smoking, age, sex, diabetes, socio-economic and genetic factors. Smoking has the highest impact on the course of the disease modula...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-1-3-197
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abstract:INTRODUCTION:Electronic cigarettes (e-cigarettes) may reduce tobacco use and achieve tobacco abstinence in the perioperative period of cardiothoracic surgery for patients who smoke. However, research on patients' views on the role of e-cigarettes as a smoking cessation tool is lacking. This mixed-methods study explored...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/98957
更新日期:2018-11-12 00:00:00
abstract:INTRODUCTION:Tobacco smoking is the largest preventable cause of global mortality, with its prevalence increasing in Sub-Saharan Africa, particularly among adolescents. We sought to determine the factors associated with tobacco smoking among Nigerian school adolescents and investigate the interaction between school loc...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/117959
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abstract:BACKGROUND:The ankle-brachial index (ABI) is an indicator of peripheral arterial damage and a low (ABI ≤ 1.0) or borderline (ABI = 1.00-1.09) value is associated with risk of cardiovascular disease events. A low ratio of serum eicosapentaenoic acid to arachidonic acid (EPA/AA) is also a risk factor for cardiovascular d...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-016-0068-9
更新日期:2016-01-28 00:00:00
abstract:BACKGROUND:Initiating tobacco use in adolescence increases the risk of nicotine dependence and continued smoking. Physician screening for tobacco use increases the odds of physicians intervening with patients who smoke; However, without appropriate follow-through by the physician, screening for tobacco use is not enoug...
journal_title:Tobacco induced diseases
pub_type:
doi:10.1186/s12971-016-0107-6
更新日期:2017-01-10 00:00:00
abstract:BACKGROUND:Availability of tobacco may be associated with increased smoking. Little is known about how proximity to a retail outlet is associated with smoking behaviours among smokers seeking treatment. METHODS:A cross sectional study was conducted using chart data was extracted for 734 new clients of a nicotine depen...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-12-19
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abstract:BACKGROUND:With evolving evidence of association between tuberculosis (TB) and tobacco smoking, recommendations for the inclusion of tobacco cessation interventions in TB care are becoming increasingly important and more widely disseminated. Connecting TB and tobacco cessation interventions has been strongly advocated ...
journal_title:Tobacco induced diseases
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doi:10.1186/1617-9625-10-2
更新日期:2012-02-28 00:00:00
abstract:INTRODUCTION:Non-smoking policies are strictly enforced in neonatal intensive care units (NICUs), which may still become contaminated by thirdhand smoke (THS), posing potential health risks to medically fragile infants. Study aims were to explore contamination routes by characterizing nicotine levels (THS proxy) found ...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/106116
更新日期:2019-04-24 00:00:00
abstract:BACKGROUND:Numerous researchers studied risk factors associated with smoking uptake, however, few examined protective factors associated with smoking resilience. This study therefore aims to explore determinants of smoking resilience among young people from lower socioeconomic backgrounds who are at risk of smoking. M...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-8-7
更新日期:2010-07-08 00:00:00
abstract:UNLABELLED: BACKGROUND:The question of whether mentholation of cigarettes enhances tobacco dependence has generated conflicting findings. Potential mediating factors in a putative relationship between menthol use and tobacco dependence may include race and gender. While an association between menthol use and dependenc...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-10-19
更新日期:2012-11-27 00:00:00
abstract:INTRODUCTION:Tobacco tax policies have been proven to be effective in reducing tobacco consumption, but their impact can be mitigated through price-minimizing behaviours among smokers. This study explored the purchase sources of tobacco products and the price paid for tobacco products in six EU member states. METHODS:...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/100413
更新日期:2019-03-26 00:00:00
abstract:BACKGROUND:Health communication theories indicate that messages depicting efficacy and threat might promote behavior change by enhancing individuals' efficacy beliefs and risk perceptions, but this has received little attention in graphic warning label research. We explored low socioeconomic status (SES) smokers' perce...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-016-0088-5
更新日期:2016-07-27 00:00:00
abstract:INTRODUCTION:Males have a higher prevalence of waterpipe tobacco smoking (WTS) than females in most Eastern Mediterranean Region (EMR) countries, with a smaller gender gap than that of cigarette smoking. The objective of this study was to determine gender differences among university students with respect to WTS initia...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/129266
更新日期:2020-12-02 00:00:00
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journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-015-0050-y
更新日期:2015-08-11 00:00:00
abstract:BACKGROUND:The rising popularity of electronic cigarettes (e-cigarettes) has been accompanied by the proliferation of vape shops in the United States. Vape shops are devoted to the sale of e-cigarettes and e-juices. This study aimed to describe the age, gender, and ethnicity of customers who frequent these shops, deter...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-016-0082-y
更新日期:2016-05-26 00:00:00
abstract:BACKGROUND:Tobacco use is projected to cause nearly 450 million deaths worldwide during the next 50 years. Health professionals can have a critical role in reducing tobacco use. Therefore, one of the strategies to reduce the number of smoking-related deaths is to encourage the involvement of health professionals in tob...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-5-13
更新日期:2009-08-22 00:00:00
abstract:BACKGROUND:The impact of secondhand smoke (SHS) on Southeast Asian children's health has been assessed by a limited number of studies. The purpose of this study was to determine whether in Thailand, pre- and postnatal exposure to SHS is associated with acute lower respiratory conditions in young children. METHODS:We c...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-11-7
更新日期:2013-03-18 00:00:00
abstract:BACKGROUND:The aim of this study was to examine the relationship between stress and smoking among Korean adolescents, as well as the influence of gender on this relationship. METHODS:A cross-sectional study was conducted using data from 3930 adolescents aged 12-18 years, collected in the 2007-2012 Korea National Healt...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-016-0084-9
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abstract:BACKGROUND:The determination of smoking prevalence and its associated factors among the elderly could provide evidence-based findings to guide the planning and implementation of policy in order to will help in reducing the morbidity and mortality of smoking-related diseases, thus increase their quality of life. This pa...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-016-0073-z
更新日期:2016-03-21 00:00:00
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journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-10-4
更新日期:2012-04-03 00:00:00
abstract:: The aim of the current study was to investigate the oxidative effects of nicotine by examining the mitogenic and functional responses in AR42J cells. As a control and for comparison, hydrogen peroxide (H2O2) was used as a source of known oxidative biomarker. Responses were examined by determining cell proliferation t...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-4-5
更新日期:2008-07-31 00:00:00
abstract::Smoking is relevant to infectious diseases resulting in increased prevalence and mortality. In this article, we aim to provide an overview of the effects of smoking in various infections and to explain the potential mechanisms. We searched PubMed and other relevant databases for scientific studies that explored the re...
journal_title:Tobacco induced diseases
pub_type: 杂志文章,评审
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更新日期:2020-07-14 00:00:00
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journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/110697
更新日期:2019-08-28 00:00:00
abstract:INTRODUCTION:Symptoms of nicotine dependence among adolescents occur at an early stage in smoking onset and can be present even with low exposure to cigarettes. We aim to examine the early occurrence of symptoms of nicotine dependence and how they predict later smoking behavior. METHODS:Participants were ninety-four c...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.18332/tid/100556
更新日期:2019-02-04 00:00:00
abstract:BACKGROUND:It has been known that smoking is negatively related to weight-related outcomes. However, it has been difficult to determine whether the relationship is causal, and if so, how strong it is. We attempted to estimate the approximately causal effects of smoking on weight, body mass index (BMI), and obesity. ME...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-015-0064-5
更新日期:2015-11-26 00:00:00
abstract:BACKGROUND:Awareness and use of electronic cigarettes has rapidly increased among U.S. adults. The aim of this study was to examine awareness and likeability of e-cigarette print advertisements in a national sample of young adults and to examine ad likeability as a correlate of intended e-cigarette use among never e-ci...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/s12971-017-0125-z
更新日期:2017-04-04 00:00:00
abstract::An evaluation of the cellular alterations in the smoker's oral mucosal cells was performed. Exfoliative Citology technique were applied and the cytologic smears stained with silver for quantitative analyses of Argyrophilic nucleolar organizer regions. (AgNORs). Cytologic smears were collected from two anatomic sites, ...
journal_title:Tobacco induced diseases
pub_type: 杂志文章
doi:10.1186/1617-9625-2-1-43
更新日期:2004-03-15 00:00:00