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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European Publishing
2024-01-01
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Series: | Tobacco Induced Diseases |
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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. |
format | Article |
id | doaj-art-9818ba18cab44005a270f53ed402ac6f |
institution | Kabale University |
issn | 1617-9625 |
language | English |
publishDate | 2024-01-01 |
publisher | European Publishing |
record_format | Article |
series | Tobacco Induced Diseases |
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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