National Heart and Lung Institute, Imperial College London, London, UK
The Department of Twin Research & Genetic Epidemiology, King's College London, London, UK.
Thorax. 2021 Jul;76(7):714-722. doi: 10.1136/thoraxjnl-2020-216422. Epub 2021 Jan 5.
BACKGROUND: The association between current tobacco smoking, the risk of developing symptomatic COVID-19 and the severity of illness is an important information gap. METHODS: UK users of the Zoe COVID-19 Symptom Study app provided baseline data including demographics, anthropometrics, smoking status and medical conditions, and were asked to log their condition daily. Participants who reported that they did not feel physically normal were then asked by the app to complete a series of questions, including 14 potential COVID-19 symptoms and about hospital attendance. The main study outcome was the development of 'classic' symptoms of COVID-19 during the pandemic defined as fever, new persistent cough and breathlessness and their association with current smoking. The number of concurrent COVID-19 symptoms was used as a proxy for severity and the pattern of association between symptoms was also compared between smokers and non-smokers. RESULTS: Between 24 March 2020 and 23 April 2020, data were available on 2 401 982 participants, mean (SD) age 43.6 (15.1) years, 63.3% female, overall smoking prevalence 11.0%. 834 437 (35%) participants reported being unwell and entered one or more symptoms. Current smokers were more likely to report symptoms suggesting a diagnosis of COVID-19; classic symptoms adjusted OR (95% CI) 1.14 (1.10 to 1.18); >5 symptoms 1.29 (1.26 to 1.31); >10 symptoms 1.50 (1.42 to 1.58). The pattern of association between reported symptoms did not vary between smokers and non-smokers. INTERPRETATION: These data are consistent with people who smoke being at an increased risk of developing symptomatic COVID-19.
背景:当前吸烟与出现有症状的 COVID-19 以及疾病严重程度之间的关联是一个重要的信息缺口。
方法:英国 Zoe COVID-19 症状研究应用程序的用户提供了包括人口统计学、人体测量学、吸烟状况和医疗状况在内的基线数据,并被要求每天记录自己的身体状况。那些报告自己身体感觉不正常的参与者随后会被应用程序询问一系列问题,包括 14 种潜在的 COVID-19 症状以及是否去医院就诊。主要的研究结果是在大流行期间出现“典型”的 COVID-19 症状,定义为发烧、新的持续性咳嗽和呼吸急促,以及它们与当前吸烟的关联。同时出现 COVID-19 症状的数量被用作严重程度的替代指标,并且还比较了吸烟者和不吸烟者之间症状之间的关联模式。
结果:在 2020 年 3 月 24 日至 2020 年 4 月 23 日期间,有 2401982 名参与者的数据可用,平均(SD)年龄为 43.6(15.1)岁,63.3%为女性,总体吸烟率为 11.0%。834437(35%)名参与者报告身体不适并输入了一个或多个症状。当前吸烟者更有可能报告提示 COVID-19 诊断的症状;典型症状调整后的比值比(95%CI)为 1.14(1.10 至 1.18);>5 种症状为 1.29(1.26 至 1.31);>10 种症状为 1.50(1.42 至 1.58)。报告症状之间的关联模式在吸烟者和不吸烟者之间没有差异。
解释:这些数据表明,吸烟的人患有症状的 COVID-19 的风险增加。
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