The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study

Introduction Some elderly people in China prefer sun-cured tobacco to cigarettes, and the composition of sun-cured tobacco and cigarettes is inconsistent. The influence of cigarettes on the cognitive function of COPD patients has been widely reported, but the research on sun-cured tobacco is relativ...

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Main Authors: Xiaomei Chen, Jie Li, Jia Liu, Xiao Liu, Menghui Deng, Xunhu Dong, Yanni Yang
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:https://www.tobaccoinduceddiseases.org/The-association-of-sun-cured-tobacco-and-cigarette-use-with-nglobal-cognitive-function,175973,0,2.html
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author Xiaomei Chen
Jie Li
Jia Liu
Xiao Liu
Menghui Deng
Xunhu Dong
Yanni Yang
author_facet Xiaomei Chen
Jie Li
Jia Liu
Xiao Liu
Menghui Deng
Xunhu Dong
Yanni Yang
author_sort Xiaomei Chen
collection DOAJ
description Introduction Some elderly people in China prefer sun-cured tobacco to cigarettes, and the composition of sun-cured tobacco and cigarettes is inconsistent. The influence of cigarettes on the cognitive function of COPD patients has been widely reported, but the research on sun-cured tobacco is relatively rare. Our study explored the association of sun-cured tobacco and cigarette use with cognitive decline in COPD patients. Methods This was a cross-sectional study. A total of 401 COPD patients were included, and 190, 103, and 108 participants were included in non-smoking, cigarette-smoking, and sun-cured tobacco groups, respectively. We evaluated the global cognitive function using the Beijing version of the Montreal Cognitive Assessment, verbal fluency function using an animal fluency test, and memory function using ten unrelated words. Results The participants of both cigarette-smoking (AOR=11.18; 95% CI: 1.28– 97.5) and sun-cured tobacco (AOR=10.46; 95% CI: 1.14–96.4) groups were more likely to develop mild cognitive impairment compared to the non-smoking group. The mean z scores of global cognitive function, verbal fluency, and memory were lower in cigarette-smoking and sun-cured tobacco groups than those in a non-smoking group; Multivariable linear regression showed that global cognitive function (β= -0.61; 95% CI: -1.04 – -0.18; and β= -0.48; 95% CI: -0.91 – -0.05) and verbal fluency (β= -0.79; 95% CI: -1.33 – -0.26; and β= -0.69; 95% CI: -1.23 – -0.16) of the sun-cured tobacco group and the cigarette-smoking group were significantly lower than those of the non-smoking group when adjusting for demographic and disease-related characteristics. However, there was no significant difference between the cigarette-smoking and sun-cured tobacco groups in global cognitive function, verbal fluency, and memory. Conclusions Compared with non-smokers, the use of cigarettes and sun-cured tobacco may damage the cognitive function of COPD patients, especially in global cognitive function and verbal fluency.
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spelling doaj-art-9818ba18cab44005a270f53ed402ac6f2025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11010.18332/tid/175973175973The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional studyXiaomei Chen0https://orcid.org/0000-0001-9822-7067Jie Li1Jia Liu2Xiao Liu3Menghui Deng4Xunhu Dong5Yanni Yang6https://orcid.org/0000-0003-4383-5668School of Nursing, Army Medical University, Chongqing, ChinaDepartment of Medicine, Qionglai Medical Center Hospital, Chengdu, ChinaSchool of Nursing, Army Medical University, Chongqing, ChinaSchool of Nursing, Army Medical University, Chongqing, ChinaSchool of Nursing, Army Medical University, Chongqing, ChinaDepartment of Chemical Defense Medicine, School of Military Preventive Medicine, Army Medical University, Chongqing, ChinaSchool of Nursing, Army Medical University, Chongqing, ChinaIntroduction Some elderly people in China prefer sun-cured tobacco to cigarettes, and the composition of sun-cured tobacco and cigarettes is inconsistent. The influence of cigarettes on the cognitive function of COPD patients has been widely reported, but the research on sun-cured tobacco is relatively rare. Our study explored the association of sun-cured tobacco and cigarette use with cognitive decline in COPD patients. Methods This was a cross-sectional study. A total of 401 COPD patients were included, and 190, 103, and 108 participants were included in non-smoking, cigarette-smoking, and sun-cured tobacco groups, respectively. We evaluated the global cognitive function using the Beijing version of the Montreal Cognitive Assessment, verbal fluency function using an animal fluency test, and memory function using ten unrelated words. Results The participants of both cigarette-smoking (AOR=11.18; 95% CI: 1.28– 97.5) and sun-cured tobacco (AOR=10.46; 95% CI: 1.14–96.4) groups were more likely to develop mild cognitive impairment compared to the non-smoking group. The mean z scores of global cognitive function, verbal fluency, and memory were lower in cigarette-smoking and sun-cured tobacco groups than those in a non-smoking group; Multivariable linear regression showed that global cognitive function (β= -0.61; 95% CI: -1.04 – -0.18; and β= -0.48; 95% CI: -0.91 – -0.05) and verbal fluency (β= -0.79; 95% CI: -1.33 – -0.26; and β= -0.69; 95% CI: -1.23 – -0.16) of the sun-cured tobacco group and the cigarette-smoking group were significantly lower than those of the non-smoking group when adjusting for demographic and disease-related characteristics. However, there was no significant difference between the cigarette-smoking and sun-cured tobacco groups in global cognitive function, verbal fluency, and memory. Conclusions Compared with non-smokers, the use of cigarettes and sun-cured tobacco may damage the cognitive function of COPD patients, especially in global cognitive function and verbal fluency.https://www.tobaccoinduceddiseases.org/The-association-of-sun-cured-tobacco-and-cigarette-use-with-nglobal-cognitive-function,175973,0,2.htmlsun-cured tobaccocigarettecognitive declinecopd
spellingShingle Xiaomei Chen
Jie Li
Jia Liu
Xiao Liu
Menghui Deng
Xunhu Dong
Yanni Yang
The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
Tobacco Induced Diseases
sun-cured tobacco
cigarette
cognitive decline
copd
title The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
title_full The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
title_fullStr The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
title_full_unstemmed The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
title_short The association of sun-cured tobacco and cigarette use with global cognitive function, verbal fluency and memory in patients with chronic obstructive pulmonary disease: A cross-sectional study
title_sort association of sun cured tobacco and cigarette use with global cognitive function verbal fluency and memory in patients with chronic obstructive pulmonary disease a cross sectional study
topic sun-cured tobacco
cigarette
cognitive decline
copd
url https://www.tobaccoinduceddiseases.org/The-association-of-sun-cured-tobacco-and-cigarette-use-with-nglobal-cognitive-function,175973,0,2.html
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