Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan

Introduction Epidemiological evidence regarding the relationship between smoking and secondhand smoke (SHS) exposure and carotid intima-media thickness (CIMT) has been limited in Asian populations. Employing baseline data from the Aidai Cohort Study, Japan, we evaluated the evidence in this cross-se...

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Main Authors: Makoto Saito, Yoshihiro Miyake, Keiko Tanaka, Chisato Nagata, Hidenori Senba, Yasuko Hasebe, Toyohisa Miyata, Takashi Higaki, Eizen Kimura, Bunzo Matsuura, Osamu Yamaguchi, Ryuichi Kawamoto
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Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Smoking-and-secondhand-smoke-exposure-and-carotid-nintima-media-thickness-Baseline,175632,0,2.html
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author Makoto Saito
Yoshihiro Miyake
Keiko Tanaka
Chisato Nagata
Hidenori Senba
Yasuko Hasebe
Toyohisa Miyata
Takashi Higaki
Eizen Kimura
Bunzo Matsuura
Osamu Yamaguchi
Ryuichi Kawamoto
author_facet Makoto Saito
Yoshihiro Miyake
Keiko Tanaka
Chisato Nagata
Hidenori Senba
Yasuko Hasebe
Toyohisa Miyata
Takashi Higaki
Eizen Kimura
Bunzo Matsuura
Osamu Yamaguchi
Ryuichi Kawamoto
author_sort Makoto Saito
collection DOAJ
description Introduction Epidemiological evidence regarding the relationship between smoking and secondhand smoke (SHS) exposure and carotid intima-media thickness (CIMT) has been limited in Asian populations. Employing baseline data from the Aidai Cohort Study, Japan, we evaluated the evidence in this cross-sectional study. Methods Study subjects were 727 men aged 35–88 years and 1297 women aged 34–85 years. Information on smoking, SHS exposure, and confounders was obtained through a self-administered questionnaire. An automated carotid ultrasonography device was used to measure the right and left CIMT. The greatest CIMT measurement in the left or right common carotid artery was considered the maximum CIMT, and a maximum CIMT >1.0 mm was indicative of carotid wall thickening. Age, alcohol consumption, leisure time physical activity, hypertension, dyslipidemia, diabetes mellitus, body mass index, waist circumference, employment, and education level were adjusted at one time. Results The prevalence of carotid wall thickening was 13.0%. The prevalence of never smoking was 30.5% in men and 90.1% in women. Among those who had never smoked, the prevalence of never SHS exposure at home and work was 74.3% and 48.2% in men and 38.3% and 56.3% in women, respectively. Active smoking and pack-years of smoking were independently positively related to carotid wall thickening regardless of sex, although the association with current smoking in women was not significant. Independent positive relationships were shown between former smoking and pack-years of smoking and maximum CIMT in men but not in women. No significant relationships were found between SHS exposure at home and work and carotid wall thickening or maximum CIMT in either men or women. Conclusions Active smoking, especially pack-years of smoking, was positively associated with carotid wall thickening in both sexes. Such positive associations with maximum CIMT were found only in men; however, interactions between smoking and sex were not significant.
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spelling doaj-art-8609abe8182344d69aeefd7fd1dfaf5a2025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11110.18332/tid/175632175632Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in JapanMakoto Saito0Yoshihiro Miyake1https://orcid.org/0000-0003-1244-4488Keiko Tanaka2Chisato Nagata3Hidenori Senba4Yasuko Hasebe5Toyohisa Miyata6Takashi Higaki7Eizen Kimura8Bunzo Matsuura9Osamu Yamaguchi10Ryuichi Kawamoto11Integrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanIntegrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanIntegrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanDepartment of Epidemiology and Preventive Medicine, Gifu University Graduate School of Medicine, Gifu, JapanDepartment of Epidemiology and Public Health, Ehime University Graduate School of Medicine, Toon, JapanJunpu Health Care Center, Matsuyama, JapanDepartment of Epidemiology and Public Health, Ehime University Graduate School of Medicine, Toon, JapanDepartment of Regional Pediatrics and Perinatology, Ehime University Graduate School of Medicine, Toon, JapanIntegrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanDepartment of Lifestyle- Related Medicine and Endocrinology, Ehime University Graduate School of Medicine, Toon, JapanIntegrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanIntegrated Medical and Agricultural School of Public Health, Ehime University, Toon, JapanIntroduction Epidemiological evidence regarding the relationship between smoking and secondhand smoke (SHS) exposure and carotid intima-media thickness (CIMT) has been limited in Asian populations. Employing baseline data from the Aidai Cohort Study, Japan, we evaluated the evidence in this cross-sectional study. Methods Study subjects were 727 men aged 35–88 years and 1297 women aged 34–85 years. Information on smoking, SHS exposure, and confounders was obtained through a self-administered questionnaire. An automated carotid ultrasonography device was used to measure the right and left CIMT. The greatest CIMT measurement in the left or right common carotid artery was considered the maximum CIMT, and a maximum CIMT >1.0 mm was indicative of carotid wall thickening. Age, alcohol consumption, leisure time physical activity, hypertension, dyslipidemia, diabetes mellitus, body mass index, waist circumference, employment, and education level were adjusted at one time. Results The prevalence of carotid wall thickening was 13.0%. The prevalence of never smoking was 30.5% in men and 90.1% in women. Among those who had never smoked, the prevalence of never SHS exposure at home and work was 74.3% and 48.2% in men and 38.3% and 56.3% in women, respectively. Active smoking and pack-years of smoking were independently positively related to carotid wall thickening regardless of sex, although the association with current smoking in women was not significant. Independent positive relationships were shown between former smoking and pack-years of smoking and maximum CIMT in men but not in women. No significant relationships were found between SHS exposure at home and work and carotid wall thickening or maximum CIMT in either men or women. Conclusions Active smoking, especially pack-years of smoking, was positively associated with carotid wall thickening in both sexes. Such positive associations with maximum CIMT were found only in men; however, interactions between smoking and sex were not significant.https://www.tobaccoinduceddiseases.org/Smoking-and-secondhand-smoke-exposure-and-carotid-nintima-media-thickness-Baseline,175632,0,2.htmlcarotid intima-media thicknesscross-sectional studyjapanesesmokingsecondhand smoke exposure
spellingShingle Makoto Saito
Yoshihiro Miyake
Keiko Tanaka
Chisato Nagata
Hidenori Senba
Yasuko Hasebe
Toyohisa Miyata
Takashi Higaki
Eizen Kimura
Bunzo Matsuura
Osamu Yamaguchi
Ryuichi Kawamoto
Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
Tobacco Induced Diseases
carotid intima-media thickness
cross-sectional study
japanese
smoking
secondhand smoke exposure
title Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
title_full Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
title_fullStr Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
title_full_unstemmed Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
title_short Smoking and secondhand smoke exposure and carotid intima-media thickness: Baseline data from the Aidai Cohort Study in Japan
title_sort smoking and secondhand smoke exposure and carotid intima media thickness baseline data from the aidai cohort study in japan
topic carotid intima-media thickness
cross-sectional study
japanese
smoking
secondhand smoke exposure
url https://www.tobaccoinduceddiseases.org/Smoking-and-secondhand-smoke-exposure-and-carotid-nintima-media-thickness-Baseline,175632,0,2.html
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