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Role of smoking in ...
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Talley, Nicholas J.Faculty of Health and Medicine, University of Newcastle, Lot 1 Kookaburra Circuit, New Lambton Heights, Australia; NHMRC Centre for Research Excellence in Digestive Health, Australia,Univ Newcastle, Fac Hlth & Med, Lot 1 Kookaburra Circuit, New Lambton Hts 2305, Australia.;NHMRC Ctr Res Excellence Digest Hlth, New Lambton Hts, NSW, Australia.
(author)
Role of smoking in functional dyspepsia and irritable bowel syndrome : three random population-based studies
- Article/chapterEnglish2021
Publisher, publication year, extent ...
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2021-05-13
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John Wiley & Sons,2021
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:umu-183573
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183573URI
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https://doi.org/10.1111/apt.16372DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-195590URI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-454478URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:146519164URI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Background: It is uncertain if functional dyspepsia (FD) or irritable bowel syndrome (IBS) are linked to smoking, and smoking cessation is not part of the routine advice provided to these patients.Aim: To assess if smoking is an independent risk factor for FD and IBS.Methods: Three population-based endoscopy studies in Sweden with 2560 community individuals in total (mean age 51.5 years, 46% male). IBS (14.9%), FD (33.5%), and associated symptoms were assessed using the validated abdominal symptom questionnaire, and smoking (17.9%) was obtained from standardised questions during a clinic visit. The effect of smoking on symptom status was analysed in an individual person data meta-analysis using mixed effect logistic regression, adjusted for snuffing, age and sex.Results: Individuals smoking cigarettes reported significantly higher odds of postprandial distress syndrome (FD-PDS) (OR 10-19 cig/day = 1.42, 95% CI 1.04-1.98 P = 0.027, OR ≥20 cig/day = 2.16, 95% CI 1.38-3.38, P = 0.001) but not epigastric pain. Individuals smoking 20 or more cigarettes per day reported significantly higher odds of IBS-diarrhoea (OR = 2.40, 95% CI 1.12-5.16, P = 0.025), diarrhoea (OR = 2.01, 95%CI 1.28-3.16, P = 0.003), urgency (OR = 2.21, 95%CI 1.41-3.47, P = 0.001) and flatus (OR = 1.77, 95%CI 1.14-2.76, P = 0.012) than non-smokers. Smoking was not associated with IBS-constipation or IBS-mixed.Conclusion: Smoking is an important environmental risk factor for postprandial distress syndrome, the most common FD subgroup, with over a twofold increased odds of PDS in heavy smokers. The role of smoking in IBS-diarrhoea, but not constipation, is also likely important.
Subject headings and genre
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Powell, NicholasDivision of Digestive Disease, Imperial College, London, United Kingdom,Imperial Coll, Div Digest Dis, London, England.
(author)
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Walker, Marjorie M.Faculty of Health and Medicine, University of Newcastle, Lot 1 Kookaburra Circuit, New Lambton Heights, Australia; NHMRC Centre for Research Excellence in Digestive Health, Australia,Univ Newcastle, Fac Hlth & Med, Lot 1 Kookaburra Circuit, New Lambton Hts 2305, Australia.;NHMRC Ctr Res Excellence Digest Hlth, New Lambton Hts, NSW, Australia.
(author)
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Jones, Mike P.NHMRC Centre for Research Excellence in Digestive Health, Australia; Department of Psychology, Macquarie University, NSW, North Ryde, Australia,NHMRC Ctr Res Excellence Digest Hlth, New Lambton Hts, NSW, Australia.;Macquarie Univ, Dept Psychol, N Ryde, NSW, Australia.
(author)
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Ronkainen, JukkaCenter for Life Course Health Research, University of Oulu, Oulu, Finland; Primary Health Care Centre, Tornio, Finland,Univ Oulu, Ctr Life Course Hlth Res, Oulu, Finland.;Primary Hlth Care Ctr, Tornio, Finland.
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Forsberg, AnnaKarolinska Institutet
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Kjellström, LarsGastromottagningen City, Stockholm, Sweden.
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Hellström, Per M.,1954-Uppsala universitet,Gastroenterologi/hepatologi(Swepub:uu)perhe742
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Aro, PerttiArokero OY, Tornio, Finland.
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Wallner, Bengt,1962-Umeå universitet,Kirurgi,Umeå Univ, Dept Surg & Perioperatve Sci, Umeå, Sweden.(Swepub:umu)bewa0005
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Agréus, LarsKarolinska Institutet
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Andreasson, AnnaKarolinska Institutet,Stockholms universitet,Stressforskningsinstitutet,Macquarie University, Australia; Karolinska Institutet, Sweden,Macquarie Univ, Dept Psychol, N Ryde, NSW, Australia.;Karolinska Inst, Dept Med Solna, Solna, Sweden.;Stockholm Univ, Stress Res Inst, Dept Psychol, Stockholm, Sweden.(Swepub:su)anan6088
(author)
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Faculty of Health and Medicine, University of Newcastle, Lot 1 Kookaburra Circuit, New Lambton Heights, Australia; NHMRC Centre for Research Excellence in Digestive Health, AustraliaUniv Newcastle, Fac Hlth & Med, Lot 1 Kookaburra Circuit, New Lambton Hts 2305, Australia.;NHMRC Ctr Res Excellence Digest Hlth, New Lambton Hts, NSW, Australia.
(creator_code:org_t)
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In:Alimentary Pharmacology and Therapeutics: John Wiley & Sons54:1, s. 32-420269-28131365-2036
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