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Published on: October 22, 2020
Axial Spondyloarthritis and Cigarette Smoking
Irène Kona Kaut1,2, Fatima Ezzhara Abourazzak3, Essouri Jamila1,2
1Sidi Mohammeh Ben Abdellah University, Faculty of Medicine and Pharmacy, Fes, Morocco.
Smoking is linked to male sex and increased disease severity in axial spondyloarthritis patients. This finding highlights smoking as a significant risk factor impacting disease progression and patient outcomes.
Area of Science:
- Rheumatology
- Environmental Health
- Epidemiology
Background:
- Smoking is a key environmental risk factor for rheumatic diseases.
- The American College of Rheumatology (ACR 2014) identifies smoking as a risk factor for severe axial spondyloarthritis (axSpA).
Purpose of the Study:
- To investigate the association between smoking and disease activity.
- To examine the relationship between smoking and functional impact in axSpA patients.
- To assess the link between smoking and disease severity in axSpA.
Main Methods:
- A cross-sectional study was conducted between January 2014 and December 2015.
- Data from 214 patients with axSpA were analyzed using SPSS v20.
- Univariate, bivariate, and multivariate logistic regression analyses were performed with p < 0.005 significance.
Main Results:
- The prevalence of smoking among axSpA patients was 36%.
- Smoking was significantly associated with male sex (p≤0.0001), functional impairment (BASFI, p=0.038), and disease activity (BASDAI, p=0.004; ASDAS CRP, p=0.036).
- Multivariate analysis confirmed smoking's association with male sex and disease severity.
Conclusions:
- A significant association exists between smoking and male sex in axSpA.
- Smoking is significantly associated with increased disease severity in axial spondyloarthritis.
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