Associations of smoking with cardiometabolic profile and renal function in a Romanian population-based sample from the PREDATORR cross-sectional study

Background: The impact of smoking on morbidity is well known, but in Romania, limited data are available regarding the smoking prevalence and relationship with cardiometabolic profile and kidney function. Objectives: To assess the association of smoking with cardiometabolic traits and kidney functio...

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Veröffentlicht in:The European journal of general practice 2017-12, Vol.23 (1), p.165-171
Hauptverfasser: Popa, Simona Georgiana, Moţa, Maria, Mihălţan, Florin Dumitru, Popa, Adina, Munteanu, Ioana, Moţa, Eugen, Serafinceanu, Cristian, Guja, Cristian, Hâncu, Nicolae, Catrinoiu, Doina, Lichiardopol, Radu, Bala, Cornelia, Mihai, Bogdan, Radulian, Gabriela, Roman, Gabriela, Timar, Romulus
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container_end_page 171
container_issue 1
container_start_page 165
container_title The European journal of general practice
container_volume 23
creator Popa, Simona Georgiana
Moţa, Maria
Mihălţan, Florin Dumitru
Popa, Adina
Munteanu, Ioana
Moţa, Eugen
Serafinceanu, Cristian
Guja, Cristian
Hâncu, Nicolae
Catrinoiu, Doina
Lichiardopol, Radu
Bala, Cornelia
Mihai, Bogdan
Radulian, Gabriela
Roman, Gabriela
Timar, Romulus
description Background: The impact of smoking on morbidity is well known, but in Romania, limited data are available regarding the smoking prevalence and relationship with cardiometabolic profile and kidney function. Objectives: To assess the association of smoking with cardiometabolic traits and kidney function, in a Romanian population-based sample from the PREDATORR study. Methods: PREDATORR was an epidemiological cross-sectional study. Between 2012 and 2014, participants were randomly selected from the lists of general practitioners and enrolled if they were aged 20 to 79 years, born and living in the past 10 years in Romania. Sociodemographic and lifestyle characteristics were collected through interviewer-administered questionnaires. Results: Overall, 2704 participants were included in the analysis, 18% of them being current smokers and 30.8% former smokers. Current smokers compared to non-smokers had higher total cholesterol (220.6 ± 50.4 versus 213.9 ± 86.8 mg/dl, P = 0.017), LDL-cholesterol (137.8 ± 45.2 versus 130.7 ± 83.7 mg/dl, P = 0.004) and glomerular filtration rate (96.9 ± 16.8 versus 90.7 ± 19.1 ml/min/1.73 m 2 , P 
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Objectives: To assess the association of smoking with cardiometabolic traits and kidney function, in a Romanian population-based sample from the PREDATORR study. Methods: PREDATORR was an epidemiological cross-sectional study. Between 2012 and 2014, participants were randomly selected from the lists of general practitioners and enrolled if they were aged 20 to 79 years, born and living in the past 10 years in Romania. Sociodemographic and lifestyle characteristics were collected through interviewer-administered questionnaires. Results: Overall, 2704 participants were included in the analysis, 18% of them being current smokers and 30.8% former smokers. Current smokers compared to non-smokers had higher total cholesterol (220.6 ± 50.4 versus 213.9 ± 86.8 mg/dl, P = 0.017), LDL-cholesterol (137.8 ± 45.2 versus 130.7 ± 83.7 mg/dl, P = 0.004) and glomerular filtration rate (96.9 ± 16.8 versus 90.7 ± 19.1 ml/min/1.73 m 2 , P &lt;0.001) in women and higher triglycerides (170.7 ± 129.8 versus 144.3 ± 94.2 mg/dl, P = 0.007), glomerular filtration rate (97.6 ± 17 versus 90.3 ± 18 ml/min/1.73 m 2 , P &lt; 0.001) and lower HDL-cholesterol (48 ± 15.5 versus 50.4 ± 14.1 mg/dl, P = 0.002) in men. Active smoking was associated with hypercholesterolaemia [OR: 1.40 (95% CI: 1.01-1.96), P = 0.04] and low HDL-cholesterolaemia [OR: 1.39 (95% CI: 1.01-1.91), P = 0.04] and negatively associated with overweight/obesity [OR: 0.67 (95% CI: 0.48-0.94), P = 0.02]. Male former smokers had higher prevalence of abdominal obesity (82.4% versus 76.4%, P = 0.02), hypertriglyceridaemia (43.6% versus 35.6%, P = 0.01), hypertension (64% versus 56.4%, P = 0.01) and ischaemic vascular disease (40.5% versus 30.9%, P = 0.003) than male non-smokers. Conclusion: The PREDATORR study showed a high prevalence of smoking in the adult Romanian population providing data on the association of smoking with cardiometabolic traits.</description><identifier>ISSN: 1381-4788</identifier><identifier>EISSN: 1751-1402</identifier><identifier>DOI: 10.1080/13814788.2017.1324844</identifier><identifier>PMID: 28595498</identifier><language>eng</language><publisher>England: Taylor &amp; Francis</publisher><subject>Adult ; Aged ; Blood Glucose - metabolism ; cardiometabolic risk factors ; Cholesterol ; Cholesterol - blood ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; Cross-Sectional Studies ; Epidemiology ; Female ; Glomerular Filtration Rate ; Glycated Hemoglobin - metabolism ; Humans ; Hypercholesterolemia - blood ; Hypercholesterolemia - epidemiology ; Hypertriglyceridemia - blood ; Hypertriglyceridemia - epidemiology ; Male ; Middle Aged ; Obesity - blood ; Obesity - epidemiology ; Original ; Population-based studies ; PREDATORR study ; Prevalence ; Romania - epidemiology ; Sex Factors ; smoking ; Smoking - epidemiology ; Smoking Cessation ; Triglycerides - blood ; Vascular Diseases - epidemiology</subject><ispartof>The European journal of general practice, 2017-12, Vol.23 (1), p.165-171</ispartof><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2017</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2017 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2017 The Author(s).</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c562t-5210edac749764d34553bec21c3e3afa596a6c5fa8dc3295aa622265653f5333</citedby><cites>FETCH-LOGICAL-c562t-5210edac749764d34553bec21c3e3afa596a6c5fa8dc3295aa622265653f5333</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/PMC5774259/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774259/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27479,27901,27902,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28595498$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Popa, Simona Georgiana</creatorcontrib><creatorcontrib>Moţa, Maria</creatorcontrib><creatorcontrib>Mihălţan, Florin Dumitru</creatorcontrib><creatorcontrib>Popa, Adina</creatorcontrib><creatorcontrib>Munteanu, Ioana</creatorcontrib><creatorcontrib>Moţa, Eugen</creatorcontrib><creatorcontrib>Serafinceanu, Cristian</creatorcontrib><creatorcontrib>Guja, Cristian</creatorcontrib><creatorcontrib>Hâncu, Nicolae</creatorcontrib><creatorcontrib>Catrinoiu, Doina</creatorcontrib><creatorcontrib>Lichiardopol, Radu</creatorcontrib><creatorcontrib>Bala, Cornelia</creatorcontrib><creatorcontrib>Mihai, Bogdan</creatorcontrib><creatorcontrib>Radulian, Gabriela</creatorcontrib><creatorcontrib>Roman, Gabriela</creatorcontrib><creatorcontrib>Timar, Romulus</creatorcontrib><title>Associations of smoking with cardiometabolic profile and renal function in a Romanian population-based sample from the PREDATORR cross-sectional study</title><title>The European journal of general practice</title><addtitle>Eur J Gen Pract</addtitle><description>Background: The impact of smoking on morbidity is well known, but in Romania, limited data are available regarding the smoking prevalence and relationship with cardiometabolic profile and kidney function. Objectives: To assess the association of smoking with cardiometabolic traits and kidney function, in a Romanian population-based sample from the PREDATORR study. Methods: PREDATORR was an epidemiological cross-sectional study. Between 2012 and 2014, participants were randomly selected from the lists of general practitioners and enrolled if they were aged 20 to 79 years, born and living in the past 10 years in Romania. Sociodemographic and lifestyle characteristics were collected through interviewer-administered questionnaires. Results: Overall, 2704 participants were included in the analysis, 18% of them being current smokers and 30.8% former smokers. Current smokers compared to non-smokers had higher total cholesterol (220.6 ± 50.4 versus 213.9 ± 86.8 mg/dl, P = 0.017), LDL-cholesterol (137.8 ± 45.2 versus 130.7 ± 83.7 mg/dl, P = 0.004) and glomerular filtration rate (96.9 ± 16.8 versus 90.7 ± 19.1 ml/min/1.73 m 2 , P &lt;0.001) in women and higher triglycerides (170.7 ± 129.8 versus 144.3 ± 94.2 mg/dl, P = 0.007), glomerular filtration rate (97.6 ± 17 versus 90.3 ± 18 ml/min/1.73 m 2 , P &lt; 0.001) and lower HDL-cholesterol (48 ± 15.5 versus 50.4 ± 14.1 mg/dl, P = 0.002) in men. Active smoking was associated with hypercholesterolaemia [OR: 1.40 (95% CI: 1.01-1.96), P = 0.04] and low HDL-cholesterolaemia [OR: 1.39 (95% CI: 1.01-1.91), P = 0.04] and negatively associated with overweight/obesity [OR: 0.67 (95% CI: 0.48-0.94), P = 0.02]. Male former smokers had higher prevalence of abdominal obesity (82.4% versus 76.4%, P = 0.02), hypertriglyceridaemia (43.6% versus 35.6%, P = 0.01), hypertension (64% versus 56.4%, P = 0.01) and ischaemic vascular disease (40.5% versus 30.9%, P = 0.003) than male non-smokers. Conclusion: The PREDATORR study showed a high prevalence of smoking in the adult Romanian population providing data on the association of smoking with cardiometabolic traits.</description><subject>Adult</subject><subject>Aged</subject><subject>Blood Glucose - metabolism</subject><subject>cardiometabolic risk factors</subject><subject>Cholesterol</subject><subject>Cholesterol - blood</subject><subject>Cholesterol, HDL - blood</subject><subject>Cholesterol, LDL - blood</subject><subject>Cross-Sectional Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Glycated Hemoglobin - metabolism</subject><subject>Humans</subject><subject>Hypercholesterolemia - blood</subject><subject>Hypercholesterolemia - epidemiology</subject><subject>Hypertriglyceridemia - blood</subject><subject>Hypertriglyceridemia - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - blood</subject><subject>Obesity - epidemiology</subject><subject>Original</subject><subject>Population-based studies</subject><subject>PREDATORR study</subject><subject>Prevalence</subject><subject>Romania - epidemiology</subject><subject>Sex Factors</subject><subject>smoking</subject><subject>Smoking - epidemiology</subject><subject>Smoking Cessation</subject><subject>Triglycerides - blood</subject><subject>Vascular Diseases - epidemiology</subject><issn>1381-4788</issn><issn>1751-1402</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNp9kstu1DAUhiMEomXgEUCW2LDJ4GvsbBCjUqBSpaLR7K0Tx57xkNiDnbTqi_C8ZC6tKAtWtuzvfPY5-oviLcFzghX-SJgiXCo1p5jIOWGUK86fFedEClISjunzaT8x5R46K17lvMWYV5Lgl8UZVaIWvFbnxe9FztF4GHwMGUWHch9_-rBGd37YIAOp9bG3AzSx8wbtUnS-swhCi5IN0CE3BrOvRT4gQMvYQ_AQ0C7uxu4gLRvItkUZ-t1U6FLs0bCx6Mfy8stidbNcIpNizmW2B81kzMPY3r8uXjjosn1zWmfF6uvl6uJ7eX3z7epicV0aUdGhFJRg24KRvJYVbxkXgjXWUGKYZeBA1BVURjhQrWG0FgAVpbQSlWBOMMZmxdVR20bY6l3yPaR7HcHrw0FMaw1p8KazWireqEpKqQjjMHlrSh1uFDHQcDLpZ8Wno2s3Nr1tjQ1Dgu6J9OlN8Bu9jrdaSMmpqCfBh5MgxV-jzYPufTa26yDYOGZNaqw4o4zgCX3_D7qNY5qmlzUltaC0xnzfnThShxEn6x4_Q7Deh0g_hEjvQ6RPIZrq3v3dyWPVQ2om4PMR8MHF1MNdTF2rB7jvYnIJgvFZs_-_8QeCDdhs</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Popa, Simona Georgiana</creator><creator>Moţa, Maria</creator><creator>Mihălţan, Florin Dumitru</creator><creator>Popa, Adina</creator><creator>Munteanu, Ioana</creator><creator>Moţa, Eugen</creator><creator>Serafinceanu, Cristian</creator><creator>Guja, Cristian</creator><creator>Hâncu, Nicolae</creator><creator>Catrinoiu, Doina</creator><creator>Lichiardopol, Radu</creator><creator>Bala, Cornelia</creator><creator>Mihai, Bogdan</creator><creator>Radulian, Gabriela</creator><creator>Roman, Gabriela</creator><creator>Timar, Romulus</creator><general>Taylor &amp; 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Moţa, Maria ; Mihălţan, Florin Dumitru ; Popa, Adina ; Munteanu, Ioana ; Moţa, Eugen ; Serafinceanu, Cristian ; Guja, Cristian ; Hâncu, Nicolae ; Catrinoiu, Doina ; Lichiardopol, Radu ; Bala, Cornelia ; Mihai, Bogdan ; Radulian, Gabriela ; Roman, Gabriela ; Timar, Romulus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-5210edac749764d34553bec21c3e3afa596a6c5fa8dc3295aa622265653f5333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Blood Glucose - metabolism</topic><topic>cardiometabolic risk factors</topic><topic>Cholesterol</topic><topic>Cholesterol - blood</topic><topic>Cholesterol, HDL - blood</topic><topic>Cholesterol, LDL - blood</topic><topic>Cross-Sectional Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Glomerular Filtration Rate</topic><topic>Glycated Hemoglobin - metabolism</topic><topic>Humans</topic><topic>Hypercholesterolemia - blood</topic><topic>Hypercholesterolemia - epidemiology</topic><topic>Hypertriglyceridemia - blood</topic><topic>Hypertriglyceridemia - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - blood</topic><topic>Obesity - epidemiology</topic><topic>Original</topic><topic>Population-based studies</topic><topic>PREDATORR study</topic><topic>Prevalence</topic><topic>Romania - epidemiology</topic><topic>Sex Factors</topic><topic>smoking</topic><topic>Smoking - epidemiology</topic><topic>Smoking Cessation</topic><topic>Triglycerides - blood</topic><topic>Vascular Diseases - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Popa, Simona Georgiana</creatorcontrib><creatorcontrib>Moţa, Maria</creatorcontrib><creatorcontrib>Mihălţan, Florin Dumitru</creatorcontrib><creatorcontrib>Popa, Adina</creatorcontrib><creatorcontrib>Munteanu, Ioana</creatorcontrib><creatorcontrib>Moţa, Eugen</creatorcontrib><creatorcontrib>Serafinceanu, Cristian</creatorcontrib><creatorcontrib>Guja, Cristian</creatorcontrib><creatorcontrib>Hâncu, Nicolae</creatorcontrib><creatorcontrib>Catrinoiu, Doina</creatorcontrib><creatorcontrib>Lichiardopol, Radu</creatorcontrib><creatorcontrib>Bala, Cornelia</creatorcontrib><creatorcontrib>Mihai, Bogdan</creatorcontrib><creatorcontrib>Radulian, Gabriela</creatorcontrib><creatorcontrib>Roman, Gabriela</creatorcontrib><creatorcontrib>Timar, Romulus</creatorcontrib><collection>Taylor &amp; Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>The European journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Popa, Simona Georgiana</au><au>Moţa, Maria</au><au>Mihălţan, Florin Dumitru</au><au>Popa, Adina</au><au>Munteanu, Ioana</au><au>Moţa, Eugen</au><au>Serafinceanu, Cristian</au><au>Guja, Cristian</au><au>Hâncu, Nicolae</au><au>Catrinoiu, Doina</au><au>Lichiardopol, Radu</au><au>Bala, Cornelia</au><au>Mihai, Bogdan</au><au>Radulian, Gabriela</au><au>Roman, Gabriela</au><au>Timar, Romulus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of smoking with cardiometabolic profile and renal function in a Romanian population-based sample from the PREDATORR cross-sectional study</atitle><jtitle>The European journal of general practice</jtitle><addtitle>Eur J Gen Pract</addtitle><date>2017-12</date><risdate>2017</risdate><volume>23</volume><issue>1</issue><spage>165</spage><epage>171</epage><pages>165-171</pages><issn>1381-4788</issn><eissn>1751-1402</eissn><abstract>Background: The impact of smoking on morbidity is well known, but in Romania, limited data are available regarding the smoking prevalence and relationship with cardiometabolic profile and kidney function. Objectives: To assess the association of smoking with cardiometabolic traits and kidney function, in a Romanian population-based sample from the PREDATORR study. Methods: PREDATORR was an epidemiological cross-sectional study. Between 2012 and 2014, participants were randomly selected from the lists of general practitioners and enrolled if they were aged 20 to 79 years, born and living in the past 10 years in Romania. Sociodemographic and lifestyle characteristics were collected through interviewer-administered questionnaires. Results: Overall, 2704 participants were included in the analysis, 18% of them being current smokers and 30.8% former smokers. Current smokers compared to non-smokers had higher total cholesterol (220.6 ± 50.4 versus 213.9 ± 86.8 mg/dl, P = 0.017), LDL-cholesterol (137.8 ± 45.2 versus 130.7 ± 83.7 mg/dl, P = 0.004) and glomerular filtration rate (96.9 ± 16.8 versus 90.7 ± 19.1 ml/min/1.73 m 2 , P &lt;0.001) in women and higher triglycerides (170.7 ± 129.8 versus 144.3 ± 94.2 mg/dl, P = 0.007), glomerular filtration rate (97.6 ± 17 versus 90.3 ± 18 ml/min/1.73 m 2 , P &lt; 0.001) and lower HDL-cholesterol (48 ± 15.5 versus 50.4 ± 14.1 mg/dl, P = 0.002) in men. Active smoking was associated with hypercholesterolaemia [OR: 1.40 (95% CI: 1.01-1.96), P = 0.04] and low HDL-cholesterolaemia [OR: 1.39 (95% CI: 1.01-1.91), P = 0.04] and negatively associated with overweight/obesity [OR: 0.67 (95% CI: 0.48-0.94), P = 0.02]. Male former smokers had higher prevalence of abdominal obesity (82.4% versus 76.4%, P = 0.02), hypertriglyceridaemia (43.6% versus 35.6%, P = 0.01), hypertension (64% versus 56.4%, P = 0.01) and ischaemic vascular disease (40.5% versus 30.9%, P = 0.003) than male non-smokers. Conclusion: The PREDATORR study showed a high prevalence of smoking in the adult Romanian population providing data on the association of smoking with cardiometabolic traits.</abstract><cop>England</cop><pub>Taylor &amp; Francis</pub><pmid>28595498</pmid><doi>10.1080/13814788.2017.1324844</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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language eng
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source Taylor & Francis Open Access; MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access
subjects Adult
Aged
Blood Glucose - metabolism
cardiometabolic risk factors
Cholesterol
Cholesterol - blood
Cholesterol, HDL - blood
Cholesterol, LDL - blood
Cross-Sectional Studies
Epidemiology
Female
Glomerular Filtration Rate
Glycated Hemoglobin - metabolism
Humans
Hypercholesterolemia - blood
Hypercholesterolemia - epidemiology
Hypertriglyceridemia - blood
Hypertriglyceridemia - epidemiology
Male
Middle Aged
Obesity - blood
Obesity - epidemiology
Original
Population-based studies
PREDATORR study
Prevalence
Romania - epidemiology
Sex Factors
smoking
Smoking - epidemiology
Smoking Cessation
Triglycerides - blood
Vascular Diseases - epidemiology
title Associations of smoking with cardiometabolic profile and renal function in a Romanian population-based sample from the PREDATORR cross-sectional study
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