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Published in: Environmental Health and Preventive Medicine 1/2021

Open Access 01-12-2021 | Smoking and Nicotine Detoxification | Research article

Associations of exposure to secondhand smoke with hypertension risk and blood pressure values in adults

Authors: Qi Zhang, Guowei Zeng, Xiaowei Wang, Kai-Hong Wu

Published in: Environmental Health and Preventive Medicine | Issue 1/2021

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Abstract

Background

The effects of environmental chemical exposure on blood pressure (BP) have been confirmed, but the association between exposure to secondhand smoke (SHS) and hypertension risk and BP in the general population remains unknown.

Methods

Cross-sectional associations between SHS exposure and hypertension risk and BP values were evaluated using data for subjects who participated in the National Health and Nutrition Examination Survey (NHANES), 1999–2016. Logistic regression and linear regression were performed after adjusting for age, sex, race, alcohol consumption, poverty-to-income ratio (PIR), body mass index (BMI), estimated glomerular filtration rate, physical activity, diabetes, cardiovascular disease, and NHANES cycle. Restricted cubic spline models were created to display the potential nonlinear association between SHS and BP levels.

Results

Higher risk of hypertension was found at the highest SHS concentrations (OR = 1.13, 95% CI 1.04, 1.24, P for trend = 0.007). Additionally, SHS exposure had a strong positive association with systolic blood pressure (SBP) but was negatively associated with diastolic blood pressure (DBP). Furthermore, the nonlinear model result showed a significant association between SHS and SBP (P = 0.017); however, the nonlinear model result was not significant for SHS or DBP.

Conclusions

Our results suggest a potential association between high SHS exposure and the risk of hypertension. Further research is needed to elucidate the underlying mechanisms.
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Literature
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go back to reference Li SJ, Cai L, Shu ZK, Ye YH, Feng R, Cui WL, et al. Analysis of association of economic burden of hypertension with tobacco exposure in Luoping county of Yunnan province. Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]. 2013;47(10):958–62. Li SJ, Cai L, Shu ZK, Ye YH, Feng R, Cui WL, et al. Analysis of association of economic burden of hypertension with tobacco exposure in Luoping county of Yunnan province. Zhonghua yu fang yi xue za zhi [Chinese journal of preventive medicine]. 2013;47(10):958–62.
Metadata
Title
Associations of exposure to secondhand smoke with hypertension risk and blood pressure values in adults
Authors
Qi Zhang
Guowei Zeng
Xiaowei Wang
Kai-Hong Wu
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2021
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-021-01009-0

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