吸烟越多,白内障就越多:瑞典人口中吸烟,鼻使用和白内障的研究
Moa Nordström1,2, Madeleine Zetterberg1,2, Kjell Torén3
1Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Acta ophthalmologica
|October 18, 2024
概括
吸烟增加了白内障的患病率和手术率,显示出剂量-反应关系. 湿无烟烟 (snus) 使用与白内障无关,除了女性当前使用者.
科学领域:
- 眼科医生 眼科 眼科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在全球范围内,白内障是导致视力障碍的主要原因.
- 吸烟是众所周知的各种健康问题的风险因素,包括眼部疾病.
- 无烟烟草,特别是鼻烟对白内障发展的影响需要进一步研究.
研究的目的:
- 调查吸烟和鼻使用与白内障患病率和手术之间的联系.
- 为了确定白内障手术发生率与吸烟和鼻消费有关.
- 探索这些关联中的潜在剂量反应关系.
主要方法:
- 2014/2015年,瑞典Västra Götaland县进行了一项队列研究.
- 1951年出生的参与者填写了关于眼睛疾病,生活方式和病史的问卷.
- 计算了患病率和危险率,以评估吸烟/鼻使用与白内障结局之间的关联.
主要成果:
- 吸烟与自我报告的白内障和白内障手术的更高患病率有关.
- 当前和前吸烟者对白内障手术的风险比率增加.
- 在总吸烟年数和白内障手术风险之间观察到剂量反应关系.
- 鼻使用与白内障患病率或手术发生率没有显著的关联,除了女性现有使用者.
结论:
- 吸烟与白内障的患病率增加和白内障手术的发病率增加有显著的关联.
- 有证据表明,吸烟时间和白内障手术风险之间存在剂量反应关系.
- 在鼻使用和白内障结果之间没有发现一致的关联,目前女性鼻使用者是一个显著的例外.
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