Smoking and Subclinical ILD in RA versus the Multi-Ethnic Study of Atherosclerosis
A population-based cohort showed an association between cigarette smoking and subclinical parenchymal lung disease defined as regions of increased computed tomography (CT) lung densitometry. This technique has not been applied to the rheumatoid arthritis (RA) population where associated ILD is highl...
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description | A population-based cohort showed an association between cigarette smoking and subclinical parenchymal lung disease defined as regions of increased computed tomography (CT) lung densitometry. This technique has not been applied to the rheumatoid arthritis (RA) population where associated ILD is highly prevalent. The association between cumulative cigarette smoking and volume of areas of high attenuation (HAA: >-600 and |
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This technique has not been applied to the rheumatoid arthritis (RA) population where associated ILD is highly prevalent. The association between cumulative cigarette smoking and volume of areas of high attenuation (HAA: >-600 and <-250 Hounsfield Units) on full inspiratory CT was compared in 172 RA participants and 3,969 controls in a general population sample. Multivariable regression models were used to adjust for demography, anthropometrics, percent emphysema, and CT parameters. The mean cumulative cigarette smoking exposure was 25 (IQR 10-42) and 15(IQR 5-31) pack-years for the RA and non-RA cohorts, respectively. Mean HAA was 153(±57) cm3 and 129(±50) cm3 in the RA and non-RA cohorts, respectively. Each 10 cigarette pack-year increment was associated with a higher HAA by 0.03% (95% CI, 0.007-0.05%) in RA patients and by 0.008% (95% CI, 0.003-0.01%) in those without RA (interaction p = 0.001). Cigarette smoking was associated with higher lung attenuation; with a magnitude of association more pronounced in those with RA than in the general population. These data suggest that cigarette smoking may be a more potent ILD risk factor for RA patients than in the general population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0153024</identifier><identifier>PMID: 27050433</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Aged ; Arteriosclerosis ; Arthritis ; Atherosclerosis ; Atherosclerosis - complications ; Atherosclerosis - ethnology ; Attenuation ; Biology and Life Sciences ; Body measurements ; Cardiovascular disease ; Chronic obstructive pulmonary disease ; Cigarette smoking ; Computed tomography ; Coronary vessels ; Critical care ; Demography ; Densitometers ; Densitometry ; Diseases ; Emphysema ; Female ; Health risk assessment ; Humans ; Inflammation ; Lung diseases ; Lung Diseases, Interstitial - complications ; Lung Diseases, Interstitial - diagnostic imaging ; Lung Diseases, Interstitial - etiology ; Male ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Multivariable control ; Patients ; Physiology ; Population studies ; Regression analysis ; Regression models ; Research and Analysis Methods ; Respiration ; Rheumatism ; Rheumatoid arthritis ; Rheumatology ; Risk factors ; Smoking ; Smoking - adverse effects ; Social Sciences ; Surgeons ; Tomography ; Tomography, X-Ray Computed</subject><ispartof>PloS one, 2016-04, Vol.11 (4), p.e0153024-e0153024</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Johnson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Johnson et al 2016 Johnson et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-5081ed00eb81004f43a2b4fd2004e4168557db225ab60a820141fbf8d8569f173</citedby><cites>FETCH-LOGICAL-c692t-5081ed00eb81004f43a2b4fd2004e4168557db225ab60a820141fbf8d8569f173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822776/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4822776/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27050433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Johnson, Cheilonda</creatorcontrib><creatorcontrib>Giles, Jon T</creatorcontrib><creatorcontrib>Bathon, Joan</creatorcontrib><creatorcontrib>Lederer, David</creatorcontrib><creatorcontrib>Hoffman, Eric A</creatorcontrib><creatorcontrib>Barr, R Graham</creatorcontrib><creatorcontrib>Danoff, Sonye K</creatorcontrib><title>Smoking and Subclinical ILD in RA versus the Multi-Ethnic Study of Atherosclerosis</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>A population-based cohort showed an association between cigarette smoking and subclinical parenchymal lung disease defined as regions of increased computed tomography (CT) lung densitometry. This technique has not been applied to the rheumatoid arthritis (RA) population where associated ILD is highly prevalent. The association between cumulative cigarette smoking and volume of areas of high attenuation (HAA: >-600 and <-250 Hounsfield Units) on full inspiratory CT was compared in 172 RA participants and 3,969 controls in a general population sample. Multivariable regression models were used to adjust for demography, anthropometrics, percent emphysema, and CT parameters. The mean cumulative cigarette smoking exposure was 25 (IQR 10-42) and 15(IQR 5-31) pack-years for the RA and non-RA cohorts, respectively. Mean HAA was 153(±57) cm3 and 129(±50) cm3 in the RA and non-RA cohorts, respectively. Each 10 cigarette pack-year increment was associated with a higher HAA by 0.03% (95% CI, 0.007-0.05%) in RA patients and by 0.008% (95% CI, 0.003-0.01%) in those without RA (interaction p = 0.001). Cigarette smoking was associated with higher lung attenuation; with a magnitude of association more pronounced in those with RA than in the general population. These data suggest that cigarette smoking may be a more potent ILD risk factor for RA patients than in the general population.</description><subject>Aged</subject><subject>Arteriosclerosis</subject><subject>Arthritis</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - complications</subject><subject>Atherosclerosis - ethnology</subject><subject>Attenuation</subject><subject>Biology and Life Sciences</subject><subject>Body measurements</subject><subject>Cardiovascular disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cigarette smoking</subject><subject>Computed tomography</subject><subject>Coronary vessels</subject><subject>Critical care</subject><subject>Demography</subject><subject>Densitometers</subject><subject>Densitometry</subject><subject>Diseases</subject><subject>Emphysema</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Lung diseases</subject><subject>Lung Diseases, Interstitial - complications</subject><subject>Lung Diseases, Interstitial - diagnostic imaging</subject><subject>Lung Diseases, Interstitial - etiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Multivariable control</subject><subject>Patients</subject><subject>Physiology</subject><subject>Population studies</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Research and Analysis Methods</subject><subject>Respiration</subject><subject>Rheumatism</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Risk factors</subject><subject>Smoking</subject><subject>Smoking - adverse effects</subject><subject>Social Sciences</subject><subject>Surgeons</subject><subject>Tomography</subject><subject>Tomography, X-Ray Computed</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2LEzEUhgdR3HX1H4gGBNGL1nzOpDdC2V21UFlo1duQmSRtapp0J5ll99-b2tmlI3shgXw-5z3JyVsUrxEcI1KhT5vQtV668S54PYaIEYjpk-IUTQgelRiSp0fzk-JFjBsIGeFl-bw4wRVkkBJyWiyW2_Db-hWQXoFlVzfOettIB2bzC2A9WEzBjW5jF0Faa_C9c8mOLtM6M2CZOnUHggHTfNSG2Lh9b-PL4pmRLupX_XhW_Pxy-eP822h-9XV2Pp2PmnKC04hBjrSCUNccQUgNJRLX1CicF5qikjNWqRpjJusSSo4hosjUhivOyolBFTkr3h50dy5E0ZcjClRVE0hyhWAmZgdCBbkRu9ZuZXsngrTi70ZoV0K2yeaLC44VQhOKalqWFFHKK8m4gUpr2Ggtedb63Gfr6q1WjfaplW4gOjzxdi1W4UZQjnFVlVngQy_QhutOxyS2NjbaOel16A735hwTjDP67h_08df11ErmB1hvQs7b7EXFlDJCGYaYZWr8CJWb0lvbZO8Ym_cHAR8HAZlJ-jatZBejmC0X_89e_Rqy74_YtZYurWNwXbLBxyFID2CT7RRbbR6KjKDYW_--GmJvfdFbP4e9Of6gh6B7r5M_G2T7UQ</recordid><startdate>20160406</startdate><enddate>20160406</enddate><creator>Johnson, Cheilonda</creator><creator>Giles, Jon T</creator><creator>Bathon, Joan</creator><creator>Lederer, David</creator><creator>Hoffman, Eric A</creator><creator>Barr, R Graham</creator><creator>Danoff, Sonye K</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20160406</creationdate><title>Smoking and Subclinical ILD in RA versus the Multi-Ethnic Study of Atherosclerosis</title><author>Johnson, Cheilonda ; Giles, Jon T ; Bathon, Joan ; Lederer, David ; Hoffman, Eric A ; Barr, R Graham ; Danoff, Sonye K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-5081ed00eb81004f43a2b4fd2004e4168557db225ab60a820141fbf8d8569f173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Arteriosclerosis</topic><topic>Arthritis</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Johnson, Cheilonda</au><au>Giles, Jon T</au><au>Bathon, Joan</au><au>Lederer, David</au><au>Hoffman, Eric A</au><au>Barr, R Graham</au><au>Danoff, Sonye K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Smoking and Subclinical ILD in RA versus the Multi-Ethnic Study of Atherosclerosis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-04-06</date><risdate>2016</risdate><volume>11</volume><issue>4</issue><spage>e0153024</spage><epage>e0153024</epage><pages>e0153024-e0153024</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>A population-based cohort showed an association between cigarette smoking and subclinical parenchymal lung disease defined as regions of increased computed tomography (CT) lung densitometry. This technique has not been applied to the rheumatoid arthritis (RA) population where associated ILD is highly prevalent. The association between cumulative cigarette smoking and volume of areas of high attenuation (HAA: >-600 and <-250 Hounsfield Units) on full inspiratory CT was compared in 172 RA participants and 3,969 controls in a general population sample. Multivariable regression models were used to adjust for demography, anthropometrics, percent emphysema, and CT parameters. The mean cumulative cigarette smoking exposure was 25 (IQR 10-42) and 15(IQR 5-31) pack-years for the RA and non-RA cohorts, respectively. Mean HAA was 153(±57) cm3 and 129(±50) cm3 in the RA and non-RA cohorts, respectively. Each 10 cigarette pack-year increment was associated with a higher HAA by 0.03% (95% CI, 0.007-0.05%) in RA patients and by 0.008% (95% CI, 0.003-0.01%) in those without RA (interaction p = 0.001). Cigarette smoking was associated with higher lung attenuation; with a magnitude of association more pronounced in those with RA than in the general population. These data suggest that cigarette smoking may be a more potent ILD risk factor for RA patients than in the general population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27050433</pmid><doi>10.1371/journal.pone.0153024</doi><oa>free_for_read</oa></addata></record> |
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subjects | Aged Arteriosclerosis Arthritis Atherosclerosis Atherosclerosis - complications Atherosclerosis - ethnology Attenuation Biology and Life Sciences Body measurements Cardiovascular disease Chronic obstructive pulmonary disease Cigarette smoking Computed tomography Coronary vessels Critical care Demography Densitometers Densitometry Diseases Emphysema Female Health risk assessment Humans Inflammation Lung diseases Lung Diseases, Interstitial - complications Lung Diseases, Interstitial - diagnostic imaging Lung Diseases, Interstitial - etiology Male Medicine Medicine and Health Sciences Middle Aged Multivariable control Patients Physiology Population studies Regression analysis Regression models Research and Analysis Methods Respiration Rheumatism Rheumatoid arthritis Rheumatology Risk factors Smoking Smoking - adverse effects Social Sciences Surgeons Tomography Tomography, X-Ray Computed |
title | Smoking and Subclinical ILD in RA versus the Multi-Ethnic Study of Atherosclerosis |
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