The association between smoking and cardiometabolic risk among male adults with disabilities in Taiwan

Lin, Ming‐Shyan; Huang, Tung‐Jung; Lin, Yu‐Chen; Jane, Sui‐Whi; Chen, Mei‐Yen

doi:10.1177/1474515118795602

Cited by 3 publications

(4 citation statements)

References 21 publications

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“…In women, even though the mean scores of perceived benefits and self-efficacy in those without a history of smoking were higher, and the mean score of perceived barriers was lower, only the mean score of perceived self-efficacy in those without a history of smoking was statistically significant. These findings are consistent with the studies of Mohammadi et al, 60 Oluma et al, 61 Lin et al, 62 and Moore et al 63 …”

Section: Discussionsupporting

confidence: 92%

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

Solhi¹,

Abbasi²,

Naderi³

2023

JTHC

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Background: Hypertension is a health problem. The purpose of the present study was to compare perceived self-efficacy, benefits, and barriers of hypertension control between male and female patients. Methods: This cross-sectional study was carried out on 400 patients referred to Rajaie Cardiovascular Medical and Research Center in Tehran from August 2020 through March 2021. The convenience sampling method was used. The data collection tools consisted of a digital sphygmomanometer, a demographic form, and a researcher-made questionnaire of perceived benefits, barriers, and self-efficacy of hypertension control, whose validity and reliability were obtained. Results: The mean age of the male and female patients was 54.02±12.93 years and 56.48±12.10 years, respectively. The mean score of perceived barriers in women was lower than that in men, and the mean perceived self-efficacy in women was higher than that in men (P<0.001). According to the regression test, history of smoking in men and family history of hypertension and age in women were predictors of perceived benefits. Further, occupation and history of smoking in men and education level, family history of hypertension, and history of smoking in women were predictors of perceived barriers. Additionally, marital status, education level, and disease duration in men and education level, family history of hypertension, history of smoking, and age in women were predictors of perceived self-efficacy (P<0.050). Conclusion: In men, the mean score of perceived barriers was higher and the mean score of perceived self-efficacy was lower. Additionally, the predictors of each of these perceptions were determined.

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Section: Discussionsupporting

confidence: 92%

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

Solhi¹,

Abbasi²,

Naderi³

2023

JTHC

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“…A recent systematic review assessing screen-based sedentary behavior among adolescents during the COVID-19 pandemic reported a doseresponse association between increased levels of screen time and components of metabolic syndrome [28]. Our findings are consistent with the existing literature on smoking as a risk factor for metabolic conditions [52][53][54][55] and increased physical activity as a protective factor [56][57][58]. As such, both smoking cessation and physical activity should be encouraged to reduce the risk of metabolic conditions, especially during this pandemic.…”

Section: Discussionsupporting

confidence: 89%

The prevalence of metabolic conditions before and during the COVID-19 pandemic and its association with health and sociodemographic factors

et al. 2023

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Background There is a dearth of evidence on the relationship between COVID-19 and metabolic conditions among the general U.S. population. We examined the prevalence and association of metabolic conditions with health and sociodemographic factors before and during the COVID-19 pandemic. Methods Data were drawn from the 2019 (N = 5,359) and 2020 (N = 3,830) Health Information National Trends Surveys on adults to compare observations before (2019) and during (2020) the COVID-19 pandemic. We conducted weighted descriptive and multivariable logistic regression analyses to assess the study objective. Results During the pandemic, compared to pre-pandemic, the prevalence of diabetes (18.10% vs. 17.28%) has increased, while the prevalence of hypertension (36.38% vs. 36.36%) and obesity (34.68% vs. 34.18%) has remained similar. In general, the prevalence of metabolic conditions was higher during the pandemic (56.09%) compared to pre-pandemic (54.96%). Compared to never smokers, former smokers had higher odds of metabolic conditions (AOR = 1.38, 95% CI = 1.01, 1.87 and AOR = 1.57, 95% CI = 1.10, 2.25) before and during the pandemic, respectively. People with mild anxiety/depression symptoms (before: AOR = 1.52, 95% CI = 1.06, 2.19 and during: AOR = 1.55, 95% CI = 1.01, 2.38) had higher odds of metabolic conditions relative to those with no anxiety/depression symptoms. Conclusion This study found increased odds of metabolic conditions among certain subgroups of US adults during the pandemic. We recommend further studies and proper allocation of public health resources to address these conditions.

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“…As the burden of cardiovascular disease and diabetes mellitus remains tremendous, risk factors leading to these diseases were intensively studied in the past decades. The term "cardiometabolic risk" was first employed by the American Diabetes Association as an umbrella term to include all the risk factors for diabetes and cardiovascular diseases [4][5][6][7]. Cardiometabolic risk factors refer to the combined factors contributing to cardiovascular events and the interrelated pathophysiology of metabolic disorders.…”

Section: Introductionmentioning

confidence: 99%

“…Cardiometabolic risk factors refer to the combined factors contributing to cardiovascular events and the interrelated pathophysiology of metabolic disorders. Several cardiometabolic risk factors were proposed, including age, sex, hypertension, dyslipidemia, hyperglycemia, abdominal obesity (measured by the waist circumference), insulin resistance, inflammation, cigarette smoking, betel nut chewing, alcohol drinking, lack of fruits/vegetable consumption, and sedentary lifestyle [4][5][6][7]. These factors are associated with vascular events or type 2 diabetes [8].…”

Section: Introductionmentioning

confidence: 99%

Lung function impairment and cardiometabolic risks among rural adults: implication for an aging society

et al. 2021

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Background Early detection and prevention of cardiometabolic risk factors in an increasingly aging society are a global public health concern. Maintaining adequate lung function is important for healthy aging. Few studies exist on lung function impairment and decline in primary healthcare settings, especially among rural adults with cardiometabolic risks. This study aimed to explore the prevalence of impaired lung function and its association with cardiometabolic risks among rural adults. Methods A community-based, cross-sectional study was conducted between March and December 2019 in western coastal Yunlin County, Taiwan. The lung function test was measured by spirometry, based on the American Thoracic Society recommendations. Three lung function parameters were obstructive lung impairment, restrictive lung impairment, and mixed lung impairment. Restrictive, obstructive, and mixed type lung function was categorized as impaired. Cardiometabolic risk factors and metabolic syndrome were based on the national standard and include five abnormal biomarkers, including abdominal obesity, blood pressure, fasting plasma glucose, triglycerides, and decreased high-density cholesterol levels. Results The median age of the 1653 (92.9%) participants with complete data was 66 years (interquartile range: 55 to 75 years). The prevalence of impaired lung function was 37%, including 31.7% restrictive, 2.5% obstructive, and 2.7% mixed type. Adults with impaired lung function (86% restrictive type) engaged more in smoking and betel nut chewing, ate fewer vegetables and fruit, and drank less water compared to the normal lung function group. After adjusting for potential confounding variables, multivariate logistic regression analysis showed that cardiometabolic risk factors were independently associated with restrictive lung impairment, while cigarette smoking (OR = 2.27, 95% CI = 1.14–4.53) and betel nut chewing (OR = 2.33, 95% CI = 1.09–5.01) were significantly associated with the obstructive type of lung impairment. Conclusions A high prevalence of restrictive lung impairment, cardiometabolic risks, and unhealthy lifestyles among rural adults were found in this study. For adults with cardiometabolic risks in rural areas, initiating lifestyle modifications with culture-tailored programs to improve lung function should be an important issue for clinicians and primary healthcare providers.

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The association between smoking and cardiometabolic risk among male adults with disabilities in Taiwan

Abstract: The present findings show a high prevalence of cigarette smoking, unhealthy lifestyle, and cardiometabolic risk among adult men with disabilities. Clinicians and primary healthcare providers should reduce the consequences thereof by initiating innovative health promotion programs.

Cited by 3 publications

References 21 publications

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

Comparison of Perceived Self-efficacy, Benefits, and Barriers of Hypertension Control between Male and Female Patients Referred to Rajaie Cardiovascular Medical and Research Center in Tehran

The prevalence of metabolic conditions before and during the COVID-19 pandemic and its association with health and sociodemographic factors

Lung function impairment and cardiometabolic risks among rural adults: implication for an aging society

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