Relationships among smoking habits, airflow limitations, and metabolic abnormalities in school workers

Chronic obstructive pulmonary disease is caused mainly by habitual smoking and is common among elderly individuals. It involves not only airflow limitation but also metabolic disorders, leading to increased cardiovascular morbidity and mortality. We evaluated relationships among smoking habits, airf...

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Veröffentlicht in:PloS one 2013-11, Vol.8 (11), p.e81145
Hauptverfasser: Horie, Masafumi, Noguchi, Satoshi, Tanaka, Wakae, Goto, Yasushi, Yoshihara, Hisanao, Kawakami, Masaki, Suzuki, Masaru, Sakamoto, Yoshio
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container_title PloS one
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creator Horie, Masafumi
Noguchi, Satoshi
Tanaka, Wakae
Goto, Yasushi
Yoshihara, Hisanao
Kawakami, Masaki
Suzuki, Masaru
Sakamoto, Yoshio
description Chronic obstructive pulmonary disease is caused mainly by habitual smoking and is common among elderly individuals. It involves not only airflow limitation but also metabolic disorders, leading to increased cardiovascular morbidity and mortality. We evaluated relationships among smoking habits, airflow limitation, and metabolic abnormalities. Between 2001 and 2008, 15,324 school workers (9700 males, 5624 females; age: ≥ 30 years) underwent medical checkups, including blood tests and spirometry. They also responded to a questionnaire on smoking habits and medical history. Airflow limitation was more prevalent in current smokers than in ex-smokers and never-smokers in men and women. The frequency of hypertriglyceridemia was higher in current smokers in all age groups, and those of low high-density-lipoprotein cholesterolemia and diabetes mellitus were higher in current smokers in age groups ≥ 40 s in men, but not in women. There were significant differences in the frequencies of metabolic abnormalities between subjects with airflow limitations and those without in women, but not in men. Smoking index was an independent factor associated with increased frequencies of hypertriglyceridemia (OR 1.015; 95% CI: 1.012-1.018; p
doi_str_mv 10.1371/journal.pone.0081145
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It involves not only airflow limitation but also metabolic disorders, leading to increased cardiovascular morbidity and mortality. We evaluated relationships among smoking habits, airflow limitation, and metabolic abnormalities. Between 2001 and 2008, 15,324 school workers (9700 males, 5624 females; age: ≥ 30 years) underwent medical checkups, including blood tests and spirometry. They also responded to a questionnaire on smoking habits and medical history. Airflow limitation was more prevalent in current smokers than in ex-smokers and never-smokers in men and women. The frequency of hypertriglyceridemia was higher in current smokers in all age groups, and those of low high-density-lipoprotein cholesterolemia and diabetes mellitus were higher in current smokers in age groups ≥ 40 s in men, but not in women. There were significant differences in the frequencies of metabolic abnormalities between subjects with airflow limitations and those without in women, but not in men. Smoking index was an independent factor associated with increased frequencies of hypertriglyceridemia (OR 1.015; 95% CI: 1.012-1.018; p&lt;0.0001) and low high-density-lipoprotein cholesterolemia (1.013; 1.010-1.016; p&lt;0.0001) in men. Length of smoking cessation was an independent factor associated with a decreased frequency of hypertriglyceridemia (0.984; 0.975-0.994; p = 0.007). Habitual smoking causes high incidences of airflow limitation and metabolic abnormalities. 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It involves not only airflow limitation but also metabolic disorders, leading to increased cardiovascular morbidity and mortality. We evaluated relationships among smoking habits, airflow limitation, and metabolic abnormalities. Between 2001 and 2008, 15,324 school workers (9700 males, 5624 females; age: ≥ 30 years) underwent medical checkups, including blood tests and spirometry. They also responded to a questionnaire on smoking habits and medical history. Airflow limitation was more prevalent in current smokers than in ex-smokers and never-smokers in men and women. The frequency of hypertriglyceridemia was higher in current smokers in all age groups, and those of low high-density-lipoprotein cholesterolemia and diabetes mellitus were higher in current smokers in age groups ≥ 40 s in men, but not in women. There were significant differences in the frequencies of metabolic abnormalities between subjects with airflow limitations and those without in women, but not in men. Smoking index was an independent factor associated with increased frequencies of hypertriglyceridemia (OR 1.015; 95% CI: 1.012-1.018; p&lt;0.0001) and low high-density-lipoprotein cholesterolemia (1.013; 1.010-1.016; p&lt;0.0001) in men. Length of smoking cessation was an independent factor associated with a decreased frequency of hypertriglyceridemia (0.984; 0.975-0.994; p = 0.007). Habitual smoking causes high incidences of airflow limitation and metabolic abnormalities. Women, but not men, with airflow limitation had higher frequencies of metabolic abnormalities.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24312268</pmid><doi>10.1371/journal.pone.0081145</doi><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Adult
Age
Air
Air flow
Air pollution
Airflow
Asthma
Atherosclerosis
Cardiovascular disease
Cardiovascular diseases
Cholesterol
Chronic obstructive pulmonary disease
Cigarettes
Diabetes
Diabetes mellitus
Drug addiction
Drug therapy
Faculty - statistics & numerical data
Female
Females
Gender differences
Geriatrics
Habits
Hospitals
Humans
Hypertriglyceridemia
Inflammation
Lipids
Lipoproteins
Lung diseases
Male
Males
Medical personnel
Medicine
Men
Metabolic Diseases - chemically induced
Metabolic disorders
Metabolic syndrome
Middle age
Morbidity
Mortality
Obstructive lung disease
Older people
Outdoor air quality
Pulmonary Disease, Chronic Obstructive - chemically induced
Pulmonary Disease, Chronic Obstructive - physiopathology
Respiratory Function Tests
Schools
Smoking
Smoking - adverse effects
Smoking Cessation
Triglycerides
Uric acid
title Relationships among smoking habits, airflow limitations, and metabolic abnormalities in school workers
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