Lal Dhruvendra, Virk Amrit Kaur, Bhardwaj Anu, Lal Kavisha Kapoor, Bora Jayanta, Nadda Anuradha, Goel Sonu
Department of Community Medicine, Dr B R Ambedkar State Institute of Medical Sciences (AIMS), Mohali, Punjab, India.
Department of Periodontics, Himachal Dental College, Sundernagar, Himachal Pradesh, India.
PLoS One. 2024 May 3;19(5):e0294898. doi: 10.1371/journal.pone.0294898. eCollection 2024.
The Global Adult Tobacco Survey conducted in India has divulged that 28.6% of the populace aged 15 years and above partakes in tobacco consumption in various modalities. Despite the availability of numerous studies on the correlation between smoking and hypertension, the nexus between tobacco smoking and hypertension remains enigmatic. Smoking has predominantly been linked to blood pressure, with scant investigations exploring the plausible association that may subsist between smoking and pulse pressure.
This study is based on secondary data analysis from the fifth National Family Health Survey (NFHS-5). 17 Field Agencies gathered information from 636,699 households, 724,115 women, and 101,839 men. The data related to only men was included and analysed in this present study.
Male participants had a mean age of 32.2+1.2 years, an average waist circumference of 80.4+12.2 cm, and mean systolic and diastolic blood pressure of 123.4+13.8 mmHg and 80.5+10.2 mmHg. Daily smokers had a slightly higher likelihood of hypertension compared to non-smokers (OR = 1.2, p <0.001). Male quitters had significantly lower odds of hypertension (OR = 0.9, p <0.001). Quitters had reduced odds of narrow pulse pressure but increased odds of wide pulse pressure (OR = 0.81 and 1.14, respectively).
The study found that regular smoking was associated with hypertension, while factors such as age, obesity, urban dwelling, wealth, and tribal residence were linked to increased blood pressure. Male quitters had a lower likelihood of hypertension, and middle-aged men and those with central obesity showed distinct associations with deranged pulse pressure.
在印度进行的全球成人烟草调查显示，15岁及以上的人群中有28.6%以各种方式参与烟草消费。尽管有大量关于吸烟与高血压之间相关性的研究，但吸烟与高血压之间的联系仍然不明朗。吸烟主要与血压有关，而很少有研究探讨吸烟与脉压之间可能存在的关联。
本研究基于第五次全国家庭健康调查（NFHS-5）的二次数据分析。17个实地机构从636,699户家庭、724,115名女性和101,839名男性中收集了信息。本研究仅纳入并分析了与男性相关的数据。
男性参与者的平均年龄为32.2±1.2岁，平均腰围为80.4±12.2厘米，平均收缩压和舒张压分别为123.4±13.8毫米汞柱和80.5±10.2毫米汞柱。与不吸烟者相比，每日吸烟者患高血压的可能性略高（OR = 1.2，p <0.001）。男性戒烟者患高血压的几率显著较低（OR = 0.9，p <0.001）。戒烟者脉压变窄的几率降低，但脉压变宽的几率增加（分别为OR = 0.81和1.14）。
研究发现，经常吸烟与高血压有关，而年龄、肥胖、城市居住、财富和部落居住等因素与血压升高有关。男性戒烟者患高血压的可能性较低，中年男性和中心性肥胖者与脉压紊乱有明显关联。
