The Prevalence of Smoking in Middle-Aged Patients with Metabolic Syndrome in Comparison with Healthy People, Isfahan City, Iran, 2018

Document Type : Original Article (s)

Authors

1 Assistant Professor, Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Health Center Number 2, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Metabolic syndrome is a physiologic and biochemical disorder. Due to the possible important role of smoking in metabolic syndrome, we aimed to assess this role.Methods: This cross-sectional study was performed on the data of middle-aged patients’ health records in Isfahan City, Iran, in 2018. According to diagnostic criteria of metabolic syndrome, 246 involved patient and 246 healthy people were selected using convenience sampling method. Smoking status and other demographic information were collected and analyzed using chi-square and multiple logistic regression methods.Findings: Using water pipe (hookah) is significantly more prevalent among the patients with metabolic syndrome (57.7%) compared to healthy population (16.3%) (P < 0.001). We also indicated that smoking [odds ratio (OR) = 5.55, P = 0.006] and low education were associated with increased odds of developing metabolic syndrome, whereas being married reduced the odds (OR = 0.15, P < 0.001).Conclusion: As shown by this study, using hookah is more prevalent among the patients with metabolic syndrome compared to healthy population; smoking is associated with increased odds of metabolic syndrome as well.

Keywords

References

  1. Aguilar M, Bhuket T, Torres S, Liu B, Wong RJ. Prevalence of the metabolic syndrome in the United States, 2003-2012. JAMA 2015; 313(19): 1973-4.
  2. Azizi F, Salehi P, Etemadi A, Zahedi-Asl S. Prevalence of metabolic syndrome in an urban population: Tehran Lipid and Glucose Study. Diabetes Res Clin Pract 2003; 61(1): 29-37.
  3. Jahangiry L, Shojaeezadeh D, Montazeri A, Najafi M, Mohammad K. Health-related quality of life among people participating in a metabolic syndrome e-screening program: A Web-based Study. Int J Prev Med 2016; 7: 27.
  4. Yankey BN, Strasser S, Okosun IS. A cross-sectional analysis of the association between marijuana and cigarette smoking with metabolic syndrome among adults in the United States. Diabetes Metab Syndr 2016; 10(2 Suppl 1): S89-S95.
  5. Huang PL. A comprehensive definition for metabolic syndrome. Dis Model Mech 2009; 2(5-6): 231-7.
  6. Kang JH, Song YM. Association between cotinine-verified smoking status and metabolic syndrome: analyses of Korean National Health and Nutrition Examination Surveys 2008-2010. Metab Syndr Relat Disord 2015; 13(3): 140-8.
  7. Slagter SN, van Vliet-Ostaptchouk JV, Vonk JM, Boezen HM, Dullaart RP, Kobold AC, et al. Associations between smoking, components of metabolic syndrome and lipoprotein particle size. BMC Med 2013; 11: 195.
  8. Calo WA, Ortiz AP, Suarez E, Guzman M, Perez CM, Perez CM. Association of cigarette smoking and metabolic syndrome in a Puerto Rican adult population. J Immigr Minor Health 2013; 15(4): 810-6.
  9. Slagter SN, van Vliet-Ostaptchouk JV, Vonk JM, Boezen HM, Dullaart RP, Kobold AC, et al. Combined effects of smoking and alcohol on metabolic syndrome: the LifeLines cohort study. PLoS One 2014; 9(4): e96406.
  10. Saffar SS, Darroudi S, Tayefi M, Nosrati TA, Moohebati M, Ebrahimi M, et al. Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: A population-based study. Diabetol Metab Syndr 2018; 10: 33.
  11. Lee WY, Jung CH, Park JS, Rhee EJ, Kim SW. Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III. Diabetes Res Clin Pract 2005; 67(1): 70-7.
  12. Liao CM, Lin CM. life course effects of socioeconomic and lifestyle factors on metabolic syndrome and 10-year risk of cardiovascular disease: A longitudinal study in Taiwan adults. Int J Environ Res Public Health 2018; 15(10).
  13. Alkhalifa II, Mohammed SH, Ali ZM. Cigarette smoking as relative risk factor for metabolic syndrome. J Endocrinol Metab 2016; 6(6): 178-82.
  14. Ansari H, Ansari-Moghaddam A, Mohammadi M. Prevalence of substance abuse and associated factors in hookah users. J Mazandaran Univ Med Sci 2016; 26(136): 73-84. [In Persian].
  15. Azizi F, Takyar M, Zadeh-Vakili A. Contributions and Implications of the Tehran Lipid and Glucose Study. Int J Endocrinol Metab 2018; 16(4 Suppl): e84792.
  16. World Health Organization. WHO report on the global tobacco epidemic 2008: The MPOWER package. Geneva, Switzerland: WHO; 2008. p. 14-21.
  17. Fakhari A, Mohammadpoorasl A, Nedjat S, Sharif HM, Fotouhi A. Hookah smoking in high school students and its determinants in Iran: A longitudinal study. Am J Mens Health 2015; 9(3): 186-92.
  18. Goreishi A, Shajari Z. Substance abuse among students of Zanjan's Universities (Iran): A knot of today's society. Addict Health 2013; 5(1-2): 66-72.
  19. Sabahy AR, Divsalar K, Bahreinifar S, Marzban M, Nakhaee N. Waterpipe tobacco use among Iranian university students: Correlates and perceived reasons for use. Int J Tuberc Lung Dis 2011; 15(6): 844-7.
Journal of Isfahan Medical School
Volume 37, Issue 544 - Serial Number 544
July and August 2019
Pages 1100-1105

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History

  • Receive Date: 11 May 2019
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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