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Role of smoking in functional dyspepsia and irritable bowel syndrome : three random population-based studies

Talley, Nicholas J. (författare)
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.
Powell, Nicholas (författare)
Division of Digestive Disease, Imperial College, London, United Kingdom,Imperial Coll, Div Digest Dis, London, England.
Walker, Marjorie M. (författare)
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.
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Jones, Mike P. (författare)
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.
Ronkainen, Jukka (författare)
Center 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.
Forsberg, Anna (författare)
Karolinska Institutet
Kjellström, Lars (författare)
Gastromottagningen City, Stockholm, Sweden.
Hellström, Per M., 1954- (författare)
Uppsala universitet,Gastroenterologi/hepatologi
Aro, Pertti (författare)
Arokero OY, Tornio, Finland.
Wallner, Bengt, 1962- (författare)
Umeå universitet,Kirurgi,Umeå Univ, Dept Surg & Perioperatve Sci, Umeå, Sweden.
Agréus, Lars (författare)
Karolinska Institutet
Andreasson, Anna (författare)
Karolinska 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.
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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, 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. (creator_code:org_t)
2021-05-13
2021
Engelska.
Ingår i: Alimentary Pharmacology and Therapeutics. - : John Wiley & Sons. - 0269-2813 .- 1365-2036. ; 54:1, s. 32-42
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
https://urn.kb.se/re...
https://urn.kb.se/re...
http://kipublication...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

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