Water-pipe smoking and metabolic syndrome: a population-based study.

Water-pipe (WP) smoking has significantly increased in the last decade worldwide. Compelling evidence suggests that the toxicants in WP smoke are similar to that of cigarette smoke. The WP smoking in a single session could have acute harmful health effects even worse than cigarette smoking. However,...

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Autores principales: Kashif Shafique, Saira Saeed Mirza, Muhammad Kashif Mughal, Zain Islam Arain, Naveed Ahmed Khan, Muhammad Farooq Tareen, Ishtiaque Ahmad
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Publicado: Public Library of Science (PLoS) 2012
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Acceso en línea:https://doaj.org/article/e001ae9c6bb14668bb88ed12779b3ca0
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spelling oai:doaj.org-article:e001ae9c6bb14668bb88ed12779b3ca02021-11-18T07:10:49ZWater-pipe smoking and metabolic syndrome: a population-based study.1932-620310.1371/journal.pone.0039734https://doaj.org/article/e001ae9c6bb14668bb88ed12779b3ca02012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22848361/?tool=EBIhttps://doaj.org/toc/1932-6203Water-pipe (WP) smoking has significantly increased in the last decade worldwide. Compelling evidence suggests that the toxicants in WP smoke are similar to that of cigarette smoke. The WP smoking in a single session could have acute harmful health effects even worse than cigarette smoking. However, there is no evidence as such on long term WP smoking and its impact on chronic health conditions particularly cardiovascular and metabolic conditions. Therefore, we conducted this study to investigate the relationship between WP smoking and metabolic syndrome (MetS). This was a cross-sectional study carried out in Punjab province of Pakistan using the baseline data of a population-based study--Urban Rural Chronic Diseases Study (URCDS). Information was collected by trained nurses regarding the socio-demographic profile, lifestyle factors including WP smoking, current and past illnesses. A blood sample was obtained for measurement of complete blood count, lipid profile and fasting glucose level. MetS was ascertained by using the International Diabetic Federation's criteria. We carried out multiple logistic regressions to investigate the association between WP smoking and MetS. Final sample included 2,032 individuals--of those 325 (16.0%) were current WP smokers. Age adjusted-prevalence of MetS was significantly higher among current WP smokers (33.1%) compared with non-smokers (14.8%). Water-pipe smokers were three times more likely to have MetS (OR 3.21, 95% CI 2.38-4.33) compared with non-smokers after adjustment for age, sex and social class. WP smokers were significantly more likely to have hypertriglyceridemia (OR 1.63, 95% CI 1.25-2.10), hyperglycaemia (OR 1.82, 95% CI 1.37-2.41), Hypertension (OR 1.95, 95% CI 1.51-2.51) and abdominal obesity (OR 1.93, 95% CI 1.52-2.45). However, there were no significant differences in HDL level between WP smokers and non-smokers. This study suggests that WP smoking has a significant positive (harmful) relationship with MetS and its components.Kashif ShafiqueSaira Saeed MirzaMuhammad Kashif MughalZain Islam ArainNaveed Ahmed KhanMuhammad Farooq TareenIshtiaque AhmadPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 7, p e39734 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kashif Shafique
Saira Saeed Mirza
Muhammad Kashif Mughal
Zain Islam Arain
Naveed Ahmed Khan
Muhammad Farooq Tareen
Ishtiaque Ahmad
Water-pipe smoking and metabolic syndrome: a population-based study.
description Water-pipe (WP) smoking has significantly increased in the last decade worldwide. Compelling evidence suggests that the toxicants in WP smoke are similar to that of cigarette smoke. The WP smoking in a single session could have acute harmful health effects even worse than cigarette smoking. However, there is no evidence as such on long term WP smoking and its impact on chronic health conditions particularly cardiovascular and metabolic conditions. Therefore, we conducted this study to investigate the relationship between WP smoking and metabolic syndrome (MetS). This was a cross-sectional study carried out in Punjab province of Pakistan using the baseline data of a population-based study--Urban Rural Chronic Diseases Study (URCDS). Information was collected by trained nurses regarding the socio-demographic profile, lifestyle factors including WP smoking, current and past illnesses. A blood sample was obtained for measurement of complete blood count, lipid profile and fasting glucose level. MetS was ascertained by using the International Diabetic Federation's criteria. We carried out multiple logistic regressions to investigate the association between WP smoking and MetS. Final sample included 2,032 individuals--of those 325 (16.0%) were current WP smokers. Age adjusted-prevalence of MetS was significantly higher among current WP smokers (33.1%) compared with non-smokers (14.8%). Water-pipe smokers were three times more likely to have MetS (OR 3.21, 95% CI 2.38-4.33) compared with non-smokers after adjustment for age, sex and social class. WP smokers were significantly more likely to have hypertriglyceridemia (OR 1.63, 95% CI 1.25-2.10), hyperglycaemia (OR 1.82, 95% CI 1.37-2.41), Hypertension (OR 1.95, 95% CI 1.51-2.51) and abdominal obesity (OR 1.93, 95% CI 1.52-2.45). However, there were no significant differences in HDL level between WP smokers and non-smokers. This study suggests that WP smoking has a significant positive (harmful) relationship with MetS and its components.
format article
author Kashif Shafique
Saira Saeed Mirza
Muhammad Kashif Mughal
Zain Islam Arain
Naveed Ahmed Khan
Muhammad Farooq Tareen
Ishtiaque Ahmad
author_facet Kashif Shafique
Saira Saeed Mirza
Muhammad Kashif Mughal
Zain Islam Arain
Naveed Ahmed Khan
Muhammad Farooq Tareen
Ishtiaque Ahmad
author_sort Kashif Shafique
title Water-pipe smoking and metabolic syndrome: a population-based study.
title_short Water-pipe smoking and metabolic syndrome: a population-based study.
title_full Water-pipe smoking and metabolic syndrome: a population-based study.
title_fullStr Water-pipe smoking and metabolic syndrome: a population-based study.
title_full_unstemmed Water-pipe smoking and metabolic syndrome: a population-based study.
title_sort water-pipe smoking and metabolic syndrome: a population-based study.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/e001ae9c6bb14668bb88ed12779b3ca0
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