Associations of exposure to secondhand smoke with hypertension risk and blood pressure values in adults

Abstract

Background The effects of environmental chemical exposure on blood pressure (BP) have been confirmed, but the association between exposure to secondhand smoke (SHS) and hypertension risk and BP in the general population remains unknown. Methods Cross-sectional associations between SHS exposure and hypertension risk and BP values were evaluated using data for subjects who participated in the National Health and Nutrition Examination Survey (NHANES), 1999–2016. Logistic regression and linear regression were performed after adjusting for age, sex, race, alcohol consumption, poverty-to-income ratio (PIR), body mass index (BMI), estimated glomerular filtration rate, physical activity, diabetes, cardiovascular disease, and NHANES cycle. Restricted cubic spline models were created to display the potential nonlinear association between SHS and BP levels. Results Higher risk of hypertension was found at the highest SHS concentrations (OR = 1.13, 95% CI 1.04, 1.24, P for trend = 0.007). Additionally, SHS exposure had a strong positive association with systolic blood pressure (SBP) but was negatively associated with diastolic blood pressure (DBP). Furthermore, the nonlinear model result showed a significant association between SHS and SBP (P = 0.017); however, the nonlinear model result was not significant for SHS or DBP. Conclusions Our results suggest a potential association between high SHS exposure and the risk of hypertension. Further research is needed to elucidate the underlying mechanisms.

Joint effect of overweight/obesity and tobacco exposure on hypertension in children aged 6–17 years: a cross-sectional study

“…In addition, dietary factors, endothelial and vascular dysfunction, neuroendocrine imbalances, metabolic, sodium retention, and inflammation have all been identified as potential mechanisms for the association of obesity with hypertension (24-26). Several researchers have proposed a relationship between tobacco exposure and the odds of hypertension (10,27,28). The result of our study was consistent with previous studies.…”

Epidemiological survey of hypertension among middle-aged and elderly adults in Anhui Province

“…Among the risk factors, it is worth noting that most studies have shown that not only can active smoking increase the prevalence of hypertension, but the passive inhalation of secondhand smoke can also increase the risk of hypertension as a result of vasodilation dysfunction, vascular remodeling regulated by the autonomic nervous system and vascular aging. [13][14][15][16] In addition, we emphasize excessive drinking because many guidelines allow residents to drink in moderation, and many studies have shown that drinking in moderation is not only not a risk factor for but has a protective effect on the cardiovascular system by reducing thrombosis. Therefore, only excessive drinking is discussed as a risk factor in this investigation.…”