Cigarette smoking and cardiovascular disease incidence and all-cause mortality: the modifying role of diet quality Article Swipe

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Mostafa Norouzzadeh , Farshad Teymoori , Hossein Farhadnejad , Nazanin Moslehi , Parvin Mirmiran , Seyedeh Tayebeh Rahideh , Fereidoun Azizi ·

YOU? · · 2023 · Open Access · · DOI: https://doi.org/10.21203/rs.3.rs-3563434/v1

Background This study examines the potential long-term interaction between smoking and diet as modifiable risk factors concerning cardiovascular disease (CVD) incidence and all-cause mortality in the Tehran Lipid and Glucose Study framework. Method The study followed 955 smokers from the third and fourth examinations and collected dietary data using a food frequency questionnaire to calculate three different diet quality indices (DQIs): DQI-international, DQI-revised, and Mediterranean-DQI. Current smokers were classified according to smoking intensity and pack-year index. Cox proportional hazards regression models were used to determine the HR (95% CI) of the impact of DQIs, smoking status, and their interaction on CVD incidence and all-cause mortality. Result Over a follow-up period of almost 8 years, 94 cases of CVD (9.8%) and 40 cases of mortality (4.2%) were documented. Although no significant association was found between adherence to the DQI-I and DQI-R indices and the studied outcomes, the study found that lower diet quality based on the Med-DQI was associated with a higher risk of mortality among current smokers (HR: 3.45; 95%CI:1.12, 10.57). Light smokers with higher scores on the DQI-I and DQI-R, compared to heavy smokers with poor diet quality, had a lower risk of CVD incidence (HR: 0.35; 95%CI: 0.35, 0.83) and mortality (HR: 0.20; 95%CI:0.05, 0.77), respectively. Smoking cessation reduced mortality risk (HR: 0.35; 95%CI:0.12, 1.03), and this risk reduction was greater when accompanied by improved diet quality (HR: 0.10; 95%CI:0.02, 0.45). Conclusion Improving diet quality and quitting smoking can lower the risk of CVD and mortality for smokers.

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Medicine Incidence (geometry) Disease Proportional hazards model Demography Environmental health Internal medicine Optics Physics Sociology

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Type: preprint
Language: en
Landing Page: https://doi.org/10.21203/rs.3.rs-3563434/v1
PDF: https://www.researchsquare.com/article/rs-3563434/latest.pdf
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References: 45
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DOI: https://doi.org/10.21203/rs.3.rs-3563434/v1

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Title: Cigarette smoking and cardiovascular disease incidence and all-cause mortality: the modifying role of diet quality

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Type: preprint

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Language: en

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Publication year: 2023

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Publication date: 2023-11-15

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Authors: Mostafa Norouzzadeh, Farshad Teymoori, Hossein Farhadnejad, Nazanin Moslehi, Parvin Mirmiran, Seyedeh Tayebeh Rahideh, Fereidoun Azizi

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Landing page: https://doi.org/10.21203/rs.3.rs-3563434/v1

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Concepts: Medicine, Incidence (geometry), Disease, Proportional hazards model, Demography, Environmental health, Internal medicine, Optics, Physics, Sociology

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