Literature DB >> 18436226

Smoking, smoking cessation and aortic arch calcification in older Chinese: the Guangzhou Biobank Cohort Study.

Chao Qiang Jiang1, Xiang Qian Lao, Peng Yin, G Neil Thomas, Wei Sen Zhang, Bin Liu, Peymane Adab, Tai Hing Lam, Kar Keung Cheng.   

Abstract

OBJECTIVE: To study the association between smoking, smoking cessation and aortic arc calcification (AAC) in an older Chinese population.
METHODS: A total of 3022 men and 7279 women aged 50-85 years were recruited and received a medical check-up including measurement of fasting plasma vascular risk factors. Two radiologists reviewed the posterior-anterior plain chest X-ray radiographs and assessed AAC together. Information on smoking status, socioeconomic and lifestyle factors was collected.
RESULTS: The crude prevalence of AAC in men (38.58%) was lower than that in women (41.37%). The adjusted odds ratios of AAC increased significantly across never, ex- and current smokers in both genders. Dose-response relationships were observed among current smokers for smoking amount (cigarettes/day), smoking duration (years) and cigarette pack-years in both genders (all p<0.01). The odds ratios decreased significantly (p=0.018) with longer duration of quitting in light ex-smoking men (<23.5 pack-years) but showed no beneficial effect (p=0.72) for heavy ex-smokers (>or=23.5 pack-years).
CONCLUSION: Smoking increased the risk of AAC in Chinese, while smoking cessation decreased the risk only in male light ex-smokers. Chest X-ray is a cheap and simple method to detect AAC, which should be an important warning signal for immediate smoking cessation.

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Year:  2008        PMID: 18436226     DOI: 10.1016/j.atherosclerosis.2008.03.004

Source DB:  PubMed          Journal:  Atherosclerosis        ISSN: 0021-9150            Impact factor:   5.162


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