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The role of smoking cessation programs in lowering blood pressure: A retrospective cohort study

Szu-Ying Tsai1,2, Wei-Hsin Huang1, Hsin-Lung Chan1

  • 1Department of Family Medicine, Mackay Memorial Hospital, Taipei City, Taiwan.

Tobacco Induced Diseases
|November 1, 2021
PubMed

Insights

Smoking cessation programs significantly lower blood pressure for all participants. This effect is more pronounced in individuals with hypertension, highlighting the cardiovascular benefits of quitting smoking.

Area of Science:

  • Cardiology
  • Public Health
  • Addiction Medicine

Background:

  • Cigarette smoking is a significant risk factor for cardiovascular diseases, impacting blood pressure.
  • The effectiveness of smoking cessation programs on blood pressure management remains unclear.
  • This study investigates the impact of a smoking cessation program on blood pressure levels.

Purpose of the Study:

  • To evaluate the effect of a smoking cessation program on blood pressure.
  • To compare the blood pressure changes between hypertensive and non-hypertensive participants after smoking cessation.
  • To identify factors associated with successful smoking cessation.

Main Methods:

  • A retrospective cohort study of 721 participants from a tertiary medical center in Taiwan (2017-2018).
  • Smoking cessation status was verified via phone calls.
  • Blood pressure was measured before and after the program; analysis of covariance and logistic regression were used.

Main Results:

  • Overall systolic blood pressure decreased by 4.0 mmHg and diastolic blood pressure by 2.5 mmHg.
  • Hypertensive participants exhibited a greater reduction in both systolic (p=0.018) and diastolic blood pressure (p=0.016) compared to non-hypertensives.
  • Multivariate analysis confirmed a more significant diastolic blood pressure reduction in the hypertensive group.

Conclusions:

  • The smoking cessation program effectively reduced both systolic and diastolic blood pressure in the study cohort.
  • The blood pressure-lowering effect was more significant among participants with hypertension.
  • These findings underscore the cardiovascular benefits of smoking cessation, particularly for hypertensive individuals.
Abstract

Keywords:
cigarettediastolic blood pressurehypertensivesmoking cessation

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