無煙タバコの使用と野球選手の健康への影響
V L Ernster1, D G Grady, J C Greene
1Department of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco 94143-0560.
JAMA
|July 11, 1990
まとめ
野球選手の無煙タバコの使用は,口腔白血病と歯周病を大幅に増加させた. 健康への影響は,使用期間と種類に関連しており,スナップ使用者はより高いリスクを示しています.
科学分野:
- 口腔病理学について
- 歯周病学 歯周病学について
- タバコに関する研究
背景:
- プロ野球では無煙タバコ (ST) の使用が一般的です.
- この集団におけるSTの健康への影響を理解することは極めて重要です.
研究 の 目的:
- プロ野球選手の間で無煙タバコの使用が口腔健康に及ぼす影響を調査する.
- ST使用に関連した口腔の病変および歯周病の有病率を決定する.
主な方法:
- 1988年の春のトレーニング中に,1109人のプロ野球選手を対象とした横断的な研究.
- データ収集には,STの使用習慣,口腔検査,および疑わしい病変のパンチバイオプシーが含まれていました.
- 統計分析は,ST使用者と非使用者の健康状態を比較した.
主要な成果:
- 選手の39%がSTを使用し,18歳くらいから開始し,5年間使用しています.
- 口腔白血球症は,非使用者 (1.4%) よりも,ST使用者 (46%) で60倍多く見られた.
- STの使用は,歯周の衰退と付着の喪失の増加と関連していましたが,下痢や歯周炎ではありませんでした.
結論:
- 野球選手の無煙タバコの使用は,口腔白血球症と局所性歯周病と強く関連しています.
- スナフの使用と長期間の日常使用は,白血病のリスクを高めます.
- 系統的健康マーカーは影響を受けなかったが,口腔健康への影響は大きい.
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