Analysis of the prevalence of tobacco smoking in different age groups of patients with ischemic heart disease taking gender into account
DOI:
https://doi.org/10.14739/2310-1237.2024.3.311365Keywords:
smoking, electronic nicotine delivery systems, harmful and potentially harmful substances, stable coronary heart disease, WHO age classificationAbstract
The aim to analyze the prevalence of classic and electronic cigarette smoking among patients with coronary artery disease of different ages, taking into account gender.
Materials and methods. The study included patients with CAD (n = 3674), both male (n = 3061) and female (n = 613). The material for analysis was anamnestic data on smoking classic or electronic cigarettes. The research design is based on the patient’s age group according to the WHO classification and gender.
Results. It was found that men with coronary artery disease smoke classic cigarettes significantly more often than women (p = 0.0001, χ2 = 37.37). It was established that female patients smoke electronic cigarettes significantly more often than male patients (p = 0.008, χ2 = 7.12). It was determined that the frequency of women who have never smoked is significantly higher than the frequency of male patients (p = 0.005, χ2 = 8.03). It was found that in young male patients, the frequency of smoking classic cigarettes is significantly lower than the frequency in age groups: middle age (р = 0.0001, χ2 = 48.27), old age (р = 0.0001, χ2 = 64.80); oldest age (p = 0.0001, χ2 = 24.04). It was found that middle-aged female patients smoke classic cigarettes significantly less than men of the same age (p = 0.0001, χ2 = 56.02); respectively, in the old age group (p = 0.0001, χ2 = 40.47) and in the oldest age group (p = 0.0001, χ2 = 35.70). When analyzing smoking cessation, it was found that the frequency of individuals significantly increased with age in male patients. As for female patients who quit smoking, the reverse trend was established: with age, the proportion of people who quit smoking reliably decreased.
Conclusions. It was found that men with coronary heart disease smoke classic cigarettes significantly more often (р = 0.0001, χ2 = 37.37). It was established that among young men, the frequency of smoking classic cigarettes is significantly lower than the corresponding frequency among middle-aged men (р = 0.0001, χ2 = 48.27) and old men (р = 0.0001, χ2 = 64.80) and oldest age men (p = 0.0001, χ2 = 24.04). It was found that female patients smoke electronic cigarettes significantly more often than men (p = 0.008, χ2 = 7.12). It was found that female patients smoke classic cigarettes significantly less in: middle age (p = 0.0001, χ2 = 56.02), old age (p = 0.0001, χ2 = 40.47) and oldest age (p = 0.0001, χ2 = 35.70).
References
Sribna OV, Kvasha OO, Smyrnova IP. Vplyv elektronnykh system dostavky nikotynu na ryzyk rozvytku sertsevo-sudynnykh zakhvoriuvan: otsinka tolerantnosti do fizychnykh navantazhen [The impact of electronic nicotine delivery systems on the risk of cardiovascular disease: assessment of exercise tolerance]. Zdorovia Ukrainy 21 storichchia. 2017;(15-16). Ukrainian. Available from: https://health-ua.com/article/31059-vpliv-elektronnih-sistem-dostavki-nkotinu-na-rizik-rozvitku-sertcevo-sudinn
Zhang Q, Wen C. The risk profile of electronic nicotine delivery systems, compared to traditional cigarettes, on oral disease: a review. Front Public Health. 2023;11:1146949. doi: https://doi.org/10.3389/fpubh.2023.1146949
Centers for Disease Control and Prevention (US); National Center for Chronic Disease Prevention and Health Promotion (US); Office on Smoking and Health (US). How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. Atlanta (GA): Centers for Disease Control and Prevention (US); 2010.
Alzahrani T, Pena I, Temesgen N, Glantz SA. Association Between Electronic Cigarette Use and Myocardial Infarction. Am J Prev Med. 2019;57(4):579-84. doi: https://doi.org/10.1016/j.amepre.2019.08.003
Bhatta DN, Glantz SA. Electronic Cigarette Use and Myocardial Infarction Among Adults in the US Population Assessment of Tobacco and Health. J Am Heart Assoc. 2019;8(12):e012317. doi: https://doi.org/10.1161/JAHA.119.012317
Cooper LL, Palmisano JN, Benjamin EJ, Larson MG, Vasan RS, Mitchell GF, et al. Microvascular Function Contributes to the Relation Between Aortic Stiffness and Cardiovascular Events: The Framingham Heart Study. Circ Cardiovasc Imaging. 2016;9(12):e004979. doi: https://doi.org/10.1161/CIRCIMAGING.116.004979
Ikonomidis I, Vlastos D, Kourea K, Kostelli G, Varoudi M, Pavlidis G, et al. Electronic Cigarette Smoking Increases Arterial Stiffness and Oxidative Stress to a Lesser Extent Than a Single Conventional Cigarette: An Acute and Chronic Study. Circulation. 2018;137(3):303-6. doi: https://doi.org/10.1161/CIRCULATIONAHA.117.029153
Vlachopoulos C, Ioakeimidis N, Abdelrasoul M, Terentes-Printzios D, Georgakopoulos C, Pietri P, et al. Electronic Cigarette Smoking Increases Aortic Stiffness and Blood Pressure in Young Smokers. J Am Coll Cardiol. 2016;67(23):2802-3. doi: https://doi.org/10.1016/j.jacc.2016.03.569
Chaumont M, de Becker B, Zaher W, Culié A, Deprez G, Mélot C, et al. Differential Effects of E-Cigarette on Microvascular Endothelial Function, Arterial Stiffness and Oxidative Stress: A Randomized Crossover Trial. Sci Rep. 2018;8(1):10378. doi: https://doi.org/10.1038/s41598-018-28723-0
Olfert IM, DeVallance E, Hoskinson H, Branyan KW, Clayton S, Pitzer CR, et al. Chronic exposure to electronic cigarettes results in impaired cardiovascular function in mice. J Appl Physiol (1985). 2018;124(3):573-82. doi: https://doi.org/10.1152/japplphysiol.00713.2017
Antoniewicz L, Bosson JA, Kuhl J, Abdel-Halim SM, Kiessling A, Mobarrez F, et al. Electronic cigarettes increase endothelial progenitor cells in the blood of healthy volunteers. Atherosclerosis. 2016;255:179-85. doi: https://doi.org/10.1016/j.atherosclerosis.2016.09.064
El-Mahdy MA, Mahgoup EM, Ewees MG, Eid MS, Abdelghany TM, Zweier JL. Long-term electronic cigarette exposure induces cardiovascular dysfunction similar to tobacco cigarettes: role of nicotine and exposure duration. Am J Physiol Heart Circ Physiol. 2021;320(5):H2112-H2129. doi: https://doi.org/10.1152/ajpheart.00997.2020
El-Mahdy MA, Ewees MG, Eid MS, Mahgoup EM, Khaleel SA, Zweier JL. Electronic cigarette exposure causes vascular endothelial dysfunction due to NADPH oxidase activation and eNOS uncoupling. Am J Physiol Heart Circ Physiol. 2022;322(4):H549-H567. doi: https://doi.org/10.1152/ajpheart.00460.2021
Giovino GA, Schooley MW, Zhu BP, Chrismon JH, Tomar SL, Peddicord JP, et al. Surveillance for selected tobacco-use behaviors-United States, 1900-1994. MMWR CDC Surveill Summ. 1994;43:1-43.
CDC. Current Cigarette Smoking Among Adults in the United States [Internet]. Smoking and Tobacco Use. CDC; 2023. Available from: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/index.htm
Bold KW, Kong G, Camenga DR, Simon P, Cavallo DA, Morean ME, et al. Trajectories of E-cigarette and conventional cigarette use among youth. Pediatrics. 2018;141:e20171832. doi: https://doi.org/10.1542/peds.2017-1832
Vogel EA, Cho J, McConnell RS, Barrington-Trimis JL, Leventhal AM. Prevalence of electronic cigarette dependence among youth and its association with future use. JAMA Netw Open. 2020;3:e1921513. doi: https://doi.org/10.1001/jamanetworkopen.2019.21513
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