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Smoking water-pipe, chewing nass and prevalence of heart disease: A cross-sectional analysis of baseline data from the Golestan Cohort Study, Iran

Islami, F. and Pourshams, A. and Vedanthan, R. and Poustchi, H. and Kamangar, F. and Golozar, A. and Etemadi, A. and Khademi, H. and Freedman, N.D. and Merat, S. and Garg, V.P. and Fuster, V. and Wakefield, J. and Dawsey, S.M. and Pharoah, P.D. and Brennan, P. and Abnet, C.C. and Malekzadeh, R. and Boffetta, P. (2013) Smoking water-pipe, chewing nass and prevalence of heart disease: A cross-sectional analysis of baseline data from the Golestan Cohort Study, Iran. Heart, 99 (4). pp. 272-278.

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Abstract

Objective Water-pipe and smokeless tobacco use have been associated with several adverse health outcomes. However, little information is available on the association between water-pipe use and heart disease (HD). Therefore, we investigated the association of smoking water-pipe and chewing nass (a mixture of tobacco, lime and ash) with prevalent HD. Design Cross-sectional study. Setting Baseline data (collected in 2004-2008) from a prospective population-based study in Golestan Province, Iran. Participants 50 045 residents of Golestan (40-75 years old; 42.4 men). Main outcome measures ORs and 95 CIs from multivariate logistic regression models for the association of water-pipe and nass use with HD prevalence. Results A total of 3051 (6.1) participants reported a history of HD, and 525 (1.1) and 3726 (7.5) reported ever water-pipe or nass use, respectively. Heavy water-pipe smoking was significantly associated with HD prevalence (highest level of cumulative use vs never use, OR=3.75; 95 CI 1.52 to 9.22; p for trend=0.04). This association persisted when using different cut-off points, when restricting HD to those taking nitrate compound medications, and among never cigarette smokers. There was no significant association between nass use and HD prevalence (highest category of use vs never use, OR=0.91; 95 CI 0.69 to 1.20). Conclusions Our study suggests a significant association between HD and heavy water-pipe smoking. Although the existing evidence suggesting similar biological consequences of water-pipe and cigarette smoking make this association plausible, results of our study were based on a modest number of water-pipe users and need to be replicated in further studies.

Item Type: Article
Additional Information: cited By 5
Uncontrolled Keywords: adult; aged; article; chewing nass; cross-sectional study; disease association; epidemiological data; female; heart disease; human; Iran; major clinical study; male; medical history; outcome assessment; priority journal; smoking; smoking and smoking related phenomena; smoking habit; smoking water pipe, Adult; Aged; Cross-Sectional Studies; Female; Heart Diseases; Humans; Iran; Male; Mastication; Middle Aged; Plant Extracts; Prevalence; Prospective Studies; Risk Factors; Smoking; Tobacco; Tobacco, Smokeless
Subjects: کهورت
مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
موارد کلی
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 21 Apr 2015 04:19
Last Modified: 23 May 2015 06:16
URI: http://eprints.goums.ac.ir/id/eprint/2583

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