Fu Shihui, Wu Qixian, Luo Leiming, Ye Ping
Department of Geriatric Cardiology, Chinese People's Liberation Army General Hospital, Beijing, 100853 China.
Department of Cardiology and Hainan Branch, Chinese People's Liberation Army General Hospital, Beijing, China.
Tob Induc Dis. 2017 Oct 25;15:39. doi: 10.1186/s12971-017-0144-9. eCollection 2017.
Peripheral arterial stiffness gives rise to the high prevalence of peripheral arterial disease (PAD). It is necessary to conduct a large-scale study in Chinese community-dwelling population to clarify the relationships of alcohol and tobacco consumption with peripheral arterial stiffness. Most studies had a small sample size, and were not performed in Chinese community-dwelling population without symptomatic PAD. This analysis was designed to examine the relationships of alcohol and tobacco consumption with peripheral arterial stiffness in Chinese community-dwelling population without symptomatic PAD.
In a large health check-up program in Beijing (2007-2009), 2624 participants were involved in this analysis, and carotid-radial pulse wave velocity (crPWV) was measured following standard procedure. Physical examinations were performed by well-trained physicians. Blood samples were analyzed by qualified technicians in central laboratory. Initially, either alcohol drinking or cigarette smoking, and then both alcohol drinking and cigarette smoking, were put in one model of multivariate Logistic regression analyses.
Median age was 54 years, and median value of crPWV was 9.4 m/s; 51.8% were males, 27.6% were smokers and 30.6% were drinkers. In Logistic regression analyses with either alcohol drinking or cigarette smoking, and both alcohol drinking and cigarette smoking, in one model, cigarette smoking was independently associated with crPWV ( < 0.05 for all), and alcohol drinking was not independently associated with crPWV ( > 0.05 for all).
Cigarette smoking had an independent relationship with peripheral artery stiffness, and there was no independent relationship between alcohol drinking and peripheral arterial stiffness in Chinese community-dwelling population without symptomatic PAD.
外周动脉僵硬度导致外周动脉疾病(PAD)的高患病率。有必要在中国社区居住人群中开展大规模研究,以阐明饮酒和吸烟与外周动脉僵硬度之间的关系。大多数研究样本量较小,且未在无症状性PAD的中国社区居住人群中进行。本分析旨在研究无症状性PAD的中国社区居住人群中饮酒和吸烟与外周动脉僵硬度之间的关系。
在北京一项大型健康体检项目(2007 - 2009年)中,2624名参与者纳入本分析,按照标准程序测量颈 - 桡脉搏波速度(crPWV)。由训练有素的医生进行体格检查。血液样本由中心实验室的合格技术人员进行分析。最初,将饮酒或吸烟,然后将饮酒和吸烟都纳入一个多变量逻辑回归分析模型。
年龄中位数为54岁,crPWV中位数为9.4米/秒;51.8%为男性,27.6%为吸烟者,30.6%为饮酒者。在将饮酒或吸烟以及饮酒和吸烟都纳入一个模型的逻辑回归分析中,吸烟与crPWV独立相关(所有P < 0.05),饮酒与crPWV无独立相关性(所有P > 0.05)。
在无症状性PAD的中国社区居住人群中,吸烟与外周动脉僵硬度存在独立关系,饮酒与外周动脉僵硬度无独立关系。