Cigarette smoking, blood pressure and serum lipids and lipoproteins in middle-aged women
H Imamura1, N Miyamoto, K Uchida
1Laboratory of Nutrition and Exercise Physiology, Department of Food and Nutrition, Nakamura Gakuen University. imamura@cc.nakamura-u.ac.jp
Insights
Cigarette smoking is linked to changes in blood pressure and cholesterol levels in middle-aged women. While not dose-dependent, smoking negatively impacts systolic blood pressure (SBP) and diastolic blood pressure (DBP), and favorably affects HDL-C.
Area of Science:
- Cardiovascular Health
- Lipid Metabolism
- Public Health
Background:
- Cigarette smoking is a major public health concern with known cardiovascular risks.
- Understanding its specific impact on blood pressure and serum lipids in middle-aged women is crucial for targeted interventions.
Purpose of the Study:
- To investigate the association between cigarette smoking and blood pressure (systolic and diastolic).
- To examine the relationship between cigarette smoking and serum lipids and lipoproteins, including HDL-C, TC/HDL-C, TG, and LDL-C.
Main Methods:
- Cross-sectional study of 3934 middle-aged women (40-59 years).
- Statistical analyses including adjustment for age, BMI, alcohol intake, and physical activity.
- Forward stepwise multiple regression was used to identify relationships.
Main Results:
- Significant mean differences in SBP, DBP, HDL-C, TC/HDL-C, and TG were observed between smokers and non-smokers.
- Multiple regression revealed negative associations between smoking and SBP, DBP, and HDL-C.
- Positive associations were found between smoking and TC/HDL-C, TG, Log TG, and LDL-C.
Conclusions:
- Cigarette smoking is negatively associated with systolic and diastolic blood pressure in middle-aged women.
- Smoking shows unfavorable associations with key serum lipid and lipoprotein profiles, including HDL-C, TG, and LDL-C.
- These findings underscore the detrimental cardiovascular effects of smoking in this demographic.
Abstract:
The relationship of cigarette smoking with blood pressure and serum lipids and lipoproteins was studied in the 3934 middle-aged women aged 40 to 59 years. After adjusting age, body mass index (BMI), alcohol intake and physical activity scores, the mean systolic and diastolic blood pressures (SBP and DEP, respectively) did not indicate dose-dependent relationships. The largest significant mean differences in SBP (4.6 mmHg), DBP (3.9 mmHg), high density lipoprotein cholesterol (HDL-C) (9.6 mg/dL), ratio of total cholesterol to HDL-C (TC/HDL-C) (0.8), triglycerides (TG) (22.9 mg/dL) and the logarithmic transformation of TG (Log TG) (0.26) were found between the non-smokers and smokers. When age, BMI, alcohol intake and physical activity scores were included in the forward stepwise multiple regression analyses, there were negative relationships found for cigarette smoking and SBP, DBP and HDL-C and positive relationships for cigarette smoking and TC/HDL-C, TG, Log TG and low density lipoprotein cholesterol. Although the results are somewhat variable, the present study shows cigarette smoking is negatively associated with SBP and DBP and unfavorably associated with serum lipids and lipoproteins in middle-aged women.
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