2018
DOI: 10.5551/jat.42150
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Associations of Tobacco Smoking with Impaired Endothelial Function: The Circulatory Risk in Communities Study (CIRCS)

Abstract: Aims: Smoking impairs endothelial function as an acute effect. However, few population-based studies have examined the association between smoking status and endothelial function or the dose-response and duration- response association of smoking with endothelial function. We examined whether smoking habits were associated with impaired endothelial function depending on smoking dose and duration.Methods: We conducted a cross-sectional study of 910 men and women aged 30–79 years from 2013 to 2016. Statistical an… Show more

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Cited by 22 publications
(20 citation statements)
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“…In the present study, we corroborated the previously reported, strong relationship between NAFLD and sE‐selectin . In addition, using large cohorts we are able to adjust for potential confounding factors, such as smoking, low‐grade inflammation, plasma lipids, type 2 diabetes and cardiovascular disease, which have all been associated with systemic endothelial dysfunction . We observed that plasma ALT levels were associated with sE‐selectin, independent of these potential confounders.…”
Section: Discussionsupporting
confidence: 90%
“…In the present study, we corroborated the previously reported, strong relationship between NAFLD and sE‐selectin . In addition, using large cohorts we are able to adjust for potential confounding factors, such as smoking, low‐grade inflammation, plasma lipids, type 2 diabetes and cardiovascular disease, which have all been associated with systemic endothelial dysfunction . We observed that plasma ALT levels were associated with sE‐selectin, independent of these potential confounders.…”
Section: Discussionsupporting
confidence: 90%
“…Even though these hemodynamic adaptations may reflect sympathetic activation, the evidence regarding endothelial function depression points clearly to other causes rather than a mere autonomic modulation. Endothelial dysfunction is a pathophysiological state in which normal homeostatic properties of the vessels wall are damaged or lost [20] , and consistently with other studies involving either short-term [20][21][22][23][24][25] or long-term smokers [29,30] , our results clearly demonstrated changes in endothelial function as evaluated with the FMD method. It is noteworthy that baseline FMD was significantly lower in AG compared to both the CG and the PG, hence some degree of depression of endothelial function was already present in the smokers, as in Yufu et al [31] , in which 26 young active smokers were compared with 31 young non-smokers, and FMD was shown to be significantly lower in the smoking group, even though no significant difference was found regarding brachialankle PWV.…”
Section: Discussionsupporting
confidence: 90%
“…Promoting aging and damaging organ systems, cigarette smoke contains various chemical substances, provoking deleterious effects on the human body 1 6 ) . In the cardiovascular system, smoking induces vascular endothelial damage and accelerates the progression of atherosclerosis 7 12 ) . With its incidence increasing even in individuals with low levels of smoking or smoking with low-tar tobacco, cardiovascular disease is the leading cause of death in many parts of the world 8 11 ) .…”
Section: Introductionmentioning
confidence: 99%