Relationship between cigarette smoking and blood pressure in adults in Nepal: A population-based cross-sectional study.

Autor:	Lan R; School of Medicine, The University of Notre Dame Australia, Fremantle, Western Australia, Australia., Bulsara MK; Institute for Health Research, The University of Notre Dame Australia, Fremantle, Western Australia, Australia., Pant PD; Monitoring and Evaluation Consultant, Kathmandu, Nepal., Wallace HJ; School of Medicine, The University of Notre Dame Australia, Fremantle, Western Australia, Australia.; School of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2021 Nov 09; Vol. 1 (11), pp. e0000045. Date of Electronic Publication: 2021 Nov 09 (Print Publication: 2021).
DOI:	10.1371/journal.pgph.0000045
Abstrakt:	Smoking and hypertension are two major risk factors for cardiovascular disease, the leading cause of death in Nepal. The relationship between cigarette smoking and blood pressure (BP) in Nepal is unclear. This study analysed the data from the 2016 Nepal Demographic and Health Survey to explore the differences in systolic BP (SBP) and diastolic BP (DBP) between current daily cigarette smokers and non-smokers in Nepali adults aged 18 to 49 years. A total of 5518 women and 3420 men with valid BP measurements were included. Age, body mass index, wealth quintile (socio-economic status) and agricultural occupation (proxy for physical activity) were included as potential confounders in multivariable linear regression analysis. Women smokers were found to have significantly lower SBP (mean difference 2.8 mm, 95% CI 0.7-4.8 mm) and DBP (mean difference 2.2 mm, 95% CI 0.9-3.6 mm) than non-smokers after adjustment. There were no significant differences in BP between smokers and non-smokers in males, either before or after adjustment. The lower BP in female cigarette smokers in Nepal may be explained by the physiological effect of daily cigarette smoking per se in women, or unmeasured confounders associated with a traditional lifestyle that may lower BP (for example, diet and physical activity). In this nationally representative survey, daily cigarette smoking was not associated with increased BP in males or females in Nepal. Competing Interests: The authors declare that there are no competing interests regarding the publication of this article. (Copyright: © 2021 Lan et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu