Nishino Y, Fukao A, Tsubono Y, Tsuji I, Kuwahara A, Hisamichi S
Department of Social Medicine, Tohoku University Graduate School of Medicine.
Nihon Koshu Eisei Zasshi. 1998 Jul;45(7):619-24.
To investigate confounding factors in the relation of passive smoking to diseases, we compared the dietary intake of passive smokers, non-smokers without passive smoke exposure, and smokers. The subjects were female respondents to a baseline survey, which was conducted as part of a collaborative cohort study in a rural area. Of the subjects, 101 females were smokers. A total of 1978 female non-smokers answered the question about passive smoking exposure at home, including 1,392 (70.4%) passive smokers and 586 (29.6%) non-passive smokers. Among these three groups, the dietary intake of 36 foods (frequency and amount) was compared by odds ratios calculated with a logistic regression model. The percentages of subjects reporting frequent intake of milk or milk products, carrot or pumpkin, tomatoes, oranges, and fruits except oranges, were significantly lower in passive smokers than in non-passive smokers (OR = 0.80, 0.74, 0.80, 0.77, 0.79). On the other hand, more subjects in passive smokers reported frequent or large intake of pork, salt pickled vegetables, soy sauce pickled foods, soft drinks, coffee, and moso soup (OR = 1.38, 1.53, 1.32, 1.73, 1.30, 1.33). The dietary pattern of passive smokers was similar to that of smokers. In conclusion, in this study, passive smokers had different dietary patterns from non-passive smokers'. In future research regarding disease with passive smoking exposure, dietary factors should be considered as a confounder.
为了研究被动吸烟与疾病关系中的混杂因素,我们比较了被动吸烟者、无被动吸烟暴露的非吸烟者和吸烟者的饮食摄入情况。研究对象为农村地区一项合作队列研究基线调查中的女性受访者。在这些对象中,101名女性为吸烟者。共有1978名女性非吸烟者回答了关于家中被动吸烟暴露的问题,其中1392名(70.4%)为被动吸烟者,586名(29.6%)为非被动吸烟者。在这三组人群中,通过逻辑回归模型计算的比值比,比较了36种食物的饮食摄入量(频率和数量)。报告经常摄入牛奶或奶制品、胡萝卜或南瓜、西红柿、橙子以及除橙子外其他水果的被动吸烟者比例,显著低于非被动吸烟者(比值比分别为0.80、0.74、0.80、0.77、0.79)。另一方面,更多被动吸烟者报告经常或大量摄入猪肉、腌菜、酱菜、软饮料、咖啡和毛竹笋汤(比值比分别为1.38、1.53、1.32、1.73、1.30、1.33)。被动吸烟者的饮食模式与吸烟者相似。总之,在本研究中,被动吸烟者与非被动吸烟者的饮食模式不同。在未来关于被动吸烟暴露相关疾病的研究中,饮食因素应被视为混杂因素。