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ID 115592
著者
Tamura, Takashi Nagoya University
Kadomatsu, Yuka Nagoya University
Tsukamoto, Mineko Nagoya University
Okada, Rieko Nagoya University
Sasakabe, Tae Nagoya University|Aichi Medical University
Kawai, Sayo Nagoya University|Aichi Medical University
Hishida, Asahi Nagoya University
Hara, Megumi Saga University
Tanaka, Keitaro Saga University
Shimoshikiryo, Ippei Kagoshima University
Takezaki, Toshiro Kagoshima University
Watanabe, Isao Kyoto Prefectural University of Medicine
Matsui, Daisuke Kyoto Prefectural University of Medicine
Nishiyama, Takeshi Nagoya City University
Suzuki, Sadao Nagoya City University
Endoh, Kaori University of Shizuoka
Kuriki, Kiyonori University of Shizuoka
Kita, Yoshikuni Tsuruga Nursing University
Ikezaki, Hiroaki Kyushu University
Furusyo, Norihiro Kyushu University
Koyanagi, Yuriko N. Aichi Cancer Center Research Institute
Oze, Isao Aichi Cancer Center Research Institute
Nakamura, Yohko Chiba Cancer Center Research Institute
Mikami, Haruo Chiba Cancer Center Research Institute
Naito, Mariko Nagoya University|Hiroshima University
Wakai, Kenji Nagoya University
キーワード
blood pressure
exposure to passive smoking
hypertension
Japan
nonsmokers
資料タイプ
学術雑誌論文
抄録
Brief exposure to passive smoking immediately elevates blood pressure. However, little is known about the association between exposure to passive smoking and chronic hypertension. We aimed to examine this association in a cross-sectional study, after controlling multiple potential confounders.
Participants included 32,098 lifetime nonsmokers (7,216 men and 24,882 women) enrolled in the Japan Multi-Institutional Collaborative Cohort Study. Passive smoking was assessed using a self-administered questionnaire. The single question about exposure to passive smoking had five response options: “sometimes or almost never,” “almost every day, 2 hours/day or less,” “almost every day, 2 to 4 hours/day,” “almost every day, 4 to 6 hours/day,” and “almost every day, 6 hours/day or longer.” Hypertension was defined as any of the following: systolic blood pressure ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of antihypertensive medication. Multivariate-adjusted odds ratio (OR) and 95% confidence interval (CI) for hypertension were estimated by exposure level to passive smoking using unconditional logistic regression models.
The multivariate-adjusted OR for hypertension in those exposed almost every day was 1.11 (95% CI: 1.03–1.20) compared with those exposed sometimes or almost never. The OR for a 1-hour per day increase in exposure was 1.03 (95% CI: 1.01–1.06, P for trend = .006). This association was stronger in men than in women; the ORs were 1.08 (95% CI: 1.01–1.15, P for trend = .036) and 1.03 (95% CI: 1.00–1.05, P for trend = .055), respectively.
Our findings suggest importance of tobacco smoke control for preventing hypertension.
掲載誌名
Medicine
ISSN
00257974
15365964
cat書誌ID
AA00728867
出版者
Wolters Kluwer Health
97
48
開始ページ
e13241
発行日
2018-11
権利情報
This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY)(https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
EDB ID
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系