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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

The association between smoking and blood pressure in men: a cross-sectional study

Authors: Guoju Li, Hailing Wang, Ke Wang, Wenrui Wang, Fen Dong, Yonggang Qian, Haiying Gong, Chunxia Hui, Guodong Xu, Yanlong Li, Li Pan, Biao Zhang, Guangliang Shan

Published in: BMC Public Health | Issue 1/2017

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Abstract

Background

Cigarette smoking is a known risk factor for cardiovascular disease (CVD), but the association between smoking and blood pressure is unclear. Thus, the current study examined the association between cigarette smoking and blood pressure in men.

Methods

Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) and pulse pressure (PP) were examined using digital blood pressure measuring device, and smoking status was determined with China National Health Survey.

Results

The ANCOVA showed that the adjusted DBP and MAP were lower in current smokers versus nonsmokers and the adjusted SBP was lower in current smokers versus former smokers (P < 0.05). Additionally, the adjusted PP tend to be decreased steadily as the pack·years increased in current smokers. In a fully adjusted logistic regression model, former smokers had increased ORs (95% CI) of 1.48 (1.01, 2.18) of hypertension and current smokers had not increased ORs (95% CI) of 0.83 (0.61, 1.12), compared with never smokers.

Conclusions

The findings revealed that the adjusted blood pressure were lower in current smokers versus nonsmokers and former smokers. No significant dose-dependent effect of current smoking on blood pressure indices except PP was observed. Smoking cessation was significantly associated with an increased risk of hypertension. However, current smoking was not a risk factor of hypertension.
Literature
1.
Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A, Bahonar A, Chifamba J, Dagenais G, Diaz R, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310(9):959–68.CrossRefPubMed
2.
Li W, Gu H, Teo KK, Bo J, Wang Y, Yang J, Wang X, Zhang H, Sun Y, Jia X, et al. Hypertension prevalence, awareness, treatment, and control in 115 rural and urban communities involving 47 000 people from China. J Hypertens. 2016;34(1):39–46.CrossRefPubMed
3.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.CrossRefPubMedPubMedCentral
4.
WHO. A Global Brief on Hypertension: Silent Killer, Global Public Health Crisis; World Health Day 2013. Geneva: WHO; 2013. p. 1–39.
5.
Vasily V: Smoking prevalence and attributable disease burden in 195 countries and territories, 1990–2015: a systematic analysis from the Global Burden of Disease Study 2015. 2017.
6.
Organization WH: WHO global report on trends in prevalence of tobacco smoking 2015. 2015.
7.
Hong S, Mok Y, Jeon C, Jee SH, Samet JM. Tuberculosis, smoking and risk for lung cancer incidence and mortality. Int J Cancer. 2016;139(11):2447–55.CrossRefPubMed
8.
Tolstrup JS, Hvidtfeldt UA, Flachs EM, Spiegelman D, Heitmann BL, Balter K, Goldbourt U, Hallmans G, Knekt P, Liu S, et al. Smoking and risk of coronary heart disease in younger, middle-aged, and older adults. Am J Public Health. 2014;104(1):96–102.CrossRefPubMedPubMedCentral
9.
Peters SA, Huxley RR, Woodward M. Smoking as a risk factor for stroke in women compared with men: a systematic review and meta-analysis of 81 cohorts, including 3,980,359 individuals and 42,401 strokes. Stroke. 2013;44(10):2821–8.CrossRefPubMed
10.
Halperin RO, Gaziano JM, Sesso HD. Smoking and the risk of incident hypertension in middle-aged and older men. Am J Hypertens. 2008;21(2):148–52.CrossRefPubMed
11.
Bowman TS, Gaziano JM, Buring JE, Sesso HD. A prospective study of cigarette smoking and risk of incident hypertension in women. J Am Coll Cardiol. 2007;50(21):2085–92.CrossRefPubMed
12.
Thuy AB, Blizzard L, Schmidt MD, Luc PH, Granger RH, Dwyer T. The association between smoking and hypertension in a population-based sample of Vietnamese men. J Hypertens. 2010;28(2):245–50.CrossRefPubMed
13.
Li H, Tong W, Wang A, Lin Z, Zhang Y. Effects of cigarette smoking on blood pressure stratified by BMI in Mongolian population, China. Blood Press. 2010;19(2):92–7.CrossRefPubMed
14.
Cavusoglu Y, Timuralp B, Us T, Akgun Y, Kudaiberdieva G, Gorenek B, Unalir A, Goktekin O, Ata N. Cigarette smoking increases plasma concentrations of vascular cell adhesion molecule-1 in patients with coronary artery disease. Angiology. 2004;55(4):397–402.CrossRefPubMed
15.
Berlin I, Cournot A, Renout P, Duchier J, Safar M. Peripheral haemodynamic effects of smoking in habitual smokers. A methodological study. Eur J Clin Pharmacol. 1990;38(1):57–60.CrossRefPubMed
16.
Ambrose JA, Barua RS. The pathophysiology of cigarette smoking and cardiovascular disease: an update. J Am Coll Cardiol. 2004;43(10):1731–7.CrossRefPubMed
17.
Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, Jones DW, Kurtz T, Sheps SG, Roccella EJ. Recommendations for blood pressure measurement in humans and experimental animals: part 1: blood pressure measurement in humans: a statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation. 2005;111(5):697–716.CrossRefPubMed
18.
Li G, Wang H, Wang K, Wang W, Dong F, Qian Y, Gong H, Xu G, Li Y, Pan L, et al. Prevalence, awareness, treatment, control and risk factors related to hypertension among urban adults in Inner Mongolia 2014: differences between Mongolian and Han populations. BMC Public Health. 2016;16:294.CrossRefPubMedPubMedCentral
19.
Alomari MA, Khabour OF, Alzoubi KH, Shqair DM, Eissenberg T. Central and peripheral cardiovascular changes immediately after waterpipe smoking. Inhal Toxicol. 2014;26(10):579–87.CrossRefPubMed
20.
Cryer PE, Haymond MW, Santiago JV, Shah SD. Norepinephrine and epinephrine release and adrenergic mediation of smoking-associated hemodynamic and metabolic events. N Engl J Med. 1976;295(11):573–7.CrossRefPubMed
21.
Narkiewicz K, van de Borne PJ, Hausberg M, Cooley RL, Winniford MD, Davison DE, Somers VK. Cigarette smoking increases sympathetic outflow in humans. Circulation. 1998;98(6):528–34.CrossRefPubMed
22.
Waeber B, Schaller MD, Nussberger J, Bussien JP, Hofbauer KG, Brunner HR. Skin blood flow and cigarette smoking: the role of vasopressin. Clinical and experimental hypertension Part A, Theory and practice. 1984;6(10–11):2003–6.CrossRefPubMed
23.
Okubo Y, Suwazono Y, Kobayashi E, Nogawa K. An association between smoking habits and blood pressure in normotensive Japanese men: a 5-year follow-up study. Drug Alcohol Depend. 2004;73(2):167–74.CrossRefPubMed
24.
Janzon E, Hedblad B, Berglund G, Engstrom G. Changes in blood pressure and body weight following smoking cessation in women. J Intern Med. 2004;255(2):266–72.CrossRefPubMed
25.
Okubo Y, Miyamoto T, Suwazono Y, Kobayashi E, Nogawa K. An association between smoking habits and blood pressure in normotensive Japanese men. J Hum Hypertens. 2002;16(2):91–6.CrossRefPubMed
26.
Linneberg A, Jacobsen RK, Skaaby T, Taylor AE, Fluharty ME, Jeppesen JL, Bjorngaard JH, Asvold BO, Gabrielsen ME, Campbell A, et al. Effect of Smoking on Blood Pressure and Resting Heart Rate: A Mendelian Randomization Meta-Analysis in the CARTA Consortium. Circ Cardiovasc Genet. 2015;8(6):832–41.CrossRefPubMedPubMedCentral
27.
Taylor JY, Schwander K, Kardia SL, Arnett D, Liang J, Hunt SC, Rao DC, Sun YV. A Genome-wide study of blood pressure in African Americans accounting for gene-smoking interaction. Sci Rep. 2016;6:18812.CrossRefPubMedPubMedCentral
28.
Alomari MA, Al-Sheyab NA. Cigarette smoking lowers blood pressure in adolescents: the Irbid-TRY. Inhal Toxicol. 2016;28(3):140–4.CrossRefPubMed
29.
Najem B, Houssiere A, Pathak A, Janssen C, Lemogoum D, Xhaet O, Cuylits N, van de Borne P. Acute cardiovascular and sympathetic effects of nicotine replacement therapy. Hypertension. 2006;47(6):1162–7.CrossRefPubMed
30.
Minami J, Ishimitsu T, Matsuoka H. Effects of smoking cessation on blood pressure and heart rate variability in habitual smokers. Hypertension. 1999;33(1 Pt 2):586–90.CrossRefPubMed
31.
D'Elia L, De Palma D, Rossi G, Strazzullo V, Russo O, Iacone R, Fazio V, Strazzullo P, Galletti F. Not smoking is associated with lower risk of hypertension: results of the Olivetti Heart Study. Eur J Pub Health. 2014;24(2):226–30.CrossRef
32.
33.
John U, Meyer C, Hanke M, Volzke H, Schumann A. Smoking status, obesity and hypertension in a general population sample: a cross-sectional study. QJM. 2006;99(6):407–15.CrossRefPubMed
34.
Metadata
Title
The association between smoking and blood pressure in men: a cross-sectional study
Authors
Guoju Li
Hailing Wang
Ke Wang
Wenrui Wang
Fen Dong
Yonggang Qian
Haiying Gong
Chunxia Hui
Guodong Xu
Yanlong Li
Li Pan
Biao Zhang
Guangliang Shan
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4802-x

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