吸烟对性结肠炎的影响和与家族病史的相互作用:基于人口的队列研究
Hyeong Sik Ahn1,2, Heather Swan1,2, Sayada Zartasha Kazmi3
1Cochrane Korea, Seoul, South Korea.
Journal of gastroenterology and hepatology
|December 10, 2024
概括
目前吸烟可以预防性结肠炎 (UC),而以前吸烟会增加风险. 吸烟与家族病史相互作用,改变UC风险不同于现在和前吸烟者.
科学领域:
- 胃肠病学 胃肠病学
- 流行病学 流行病学
- 遗传学 是一个遗传学.
背景情况:
- 亚洲人群中吸烟和性结肠炎 (UC) 之间的关系尚不清楚.
- 在UC中,基因吸烟的相互作用没有得到充分的记录.
研究的目的:
- 调查吸烟状态与UC风险之间的关联.
- 评估UC发育中吸烟和家族病史之间的相互作用.
主要方法:
- 利用了一个大型的国家医疗保险数据库 (2002-2019) 拥有550万个人.
- 采用Cox比例危险回归来分析吸烟和家族风险.
- 使用因相互作用 (RERI) 的相对过度风险评估了基因吸烟相互作用.
主要成果:
- 目前的吸烟显示有保护作用 (HR 0.53),而以前的吸烟增加了UC风险 (HR 1.62).
- 对UC的家族风险显著增加 (HR 7.51).
- 观察到显著的相互作用:当前吸烟的保护增强了家族病史 (RERI -3.18),而前吸烟的风险被放大了 (RERI 1.63).
结论:
- 吸烟对UC风险的影响在亚洲和西方人口中似乎是一致的.
- 检测到基因吸烟相互作用,影响UC风险在当前和前吸烟者的相反方向.
相关概念视频
Inflammatory Bowel Disease I: Ulcerative Colitis
137
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
137
Peptic Ulcer Disease I: Introduction
133
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
133
Drugs for Treatment of Ulcerative Colitis in IBD
119
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
119
Statistical Methods for Analyzing Epidemiological Data
301
Epidemiological data primarily involves information on specific populations' occurrence, distribution, and determinants of health and diseases. This data is crucial for understanding disease patterns and impacts, aiding public health decision-making and disease prevention strategies. The analysis of epidemiological data employs various statistical methods to interpret health-related data effectively. Here are some commonly used methods:
301
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
316
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
316
Stress Prevention and Stress Management Techniques IV
26
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
26


