Park Myung-Bae, Kang Cheon-Kook, Choi Jung-Kyu
Department of Gerontology Health and Welfare, Pai Chai University, Daejeon, Republic of Korea.
Department of Health Administration, Baekseok Culture University, Cheonan, Republic of Korea.
Tob Induc Dis. 2020 Mar 6;18:14. doi: 10.18332/tid/118232. eCollection 2020.
Relatively few, mainly cross-sectional, studies have examined the relationship between smoking cessation and metabolic syndrome (MetS). In particular, information on smoking cessation after MetS is limited. This study aimed to investigate the probability of smoking cessation after the onset of MetS.
In this study we used cohort data from a rural area of Korea and extracted the data of 1054 smokers who were identifiable at baseline and were followed up. Of these, 1041 individuals were selected. Descriptive statistical analyses were performed to identify the basic characteristics of smokers. Multiple logistic regression was performed to determine the association between changes in MetS and smoking cessation.
The probability of smoking cessation was 1.84 times higher in the newly developed MetS cohort than in the reference group (without MetS at any time point), and it was 1.61 times higher in the persistent MetS cohort than in the reference group, with both probabilities being significant.
We found that patients with MetS were more likely to quit smoking than those without MetS. However, intervention is still needed, as numerous patients with MetS continued to smoke. Interventions that actively involve medical institutions or organizations are among the most effective approaches to promote smoking cessation in patients with MetS. In particular, women, farmers and current drinkers should be prioritized.
相对较少的研究（主要是横断面研究）探讨了戒烟与代谢综合征（MetS）之间的关系。特别是，关于MetS发病后戒烟的信息有限。本研究旨在调查MetS发病后戒烟的可能性。
在本研究中，我们使用了来自韩国农村地区的队列数据，并提取了1054名在基线时可识别且接受随访的吸烟者的数据。其中，1041人被选中。进行描述性统计分析以确定吸烟者的基本特征。进行多因素逻辑回归以确定MetS变化与戒烟之间的关联。
新发生MetS的队列中戒烟的可能性比参照组（在任何时间点均无MetS）高1.84倍，持续性MetS队列中戒烟的可能性比参照组高1.61倍，两者均具有统计学意义。
我们发现，患有MetS的患者比未患有MetS的患者更有可能戒烟。然而，由于众多MetS患者仍继续吸烟，仍需要进行干预。积极涉及医疗机构或组织的干预措施是促进MetS患者戒烟的最有效方法之一。特别是，应优先考虑女性、农民和当前饮酒者。
