Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: A population-based study

Saffar Soflaei, S. and Darroudi, S. and Tayefi, M. and Nosrati Tirkani, A. and Moohebati, M. and Ebrahimi, M. and Esmaily, H. and Parizadeh, S. M. R. and Heidari-Bakavoli, A. R. and Ferns, G. A. and Ghayour-Mobarhan, M. (2018) Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: A population-based study. Diabetology and Metabolic Syndrome, 10 (1).

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Abstract

Objectives: The adverse effects of cigarette smoking have been widely studied before, whilst the effects of hookah smoking has received less attention, although it is a common habit in the Middle East. Here we have investigated the effects of cigarette and hookah smoking on biochemical characteristics in a representative population sample derived from the Mashhad stroke and heart atherosclerotic disorder (MASHAD) cohort study, from Northeastern Iran. Study design: A total of 9840 subjects from the MASHAD population study were allocated to five groups; non-smokers (6742), ex-smokers (976), cigarette smokers (864), hookah smokers (1067), concomitant cigarette and hookah smokers (41). Methods: Baseline characteristics were recorded in a questionnaire. Biochemical characteristics were measured by routine methods. Data were analyzed using SPSS software and p < 0.05 was considered significant. Results: After adjustment for age and sex; the presence of CVD, obesity, metabolic syndrome, DM and dyslipidemia were significantly (p < 0.001) related to smoking status. After multivariate analysis, HDL (p < 0.001), WBC (p < 0.001), MCV (p < 0.05), PLT (p < 0.01) and RDW (p < 0.001), and the presence of CVD (p < 0.01), obesity (p < 0.001), metabolic syndrome (p < 0.05) and DM (p < 0.01) remained significant between cigarette smokers and non-smokers. Between hookah smokers and non-smokers; uric acid (p < 0.001), PLT (p < 0.05) and RDW (p < 0.05), and the presence of obesity (p < 0.01), metabolic syndrome (p < 0.001), diabetes (p < 0.01) and dyslipidemia (p < 0.01) remained significant after logistic regression. Conclusion: There was a positive association between hookah smoking and metabolic syndrome, diabetes, obesity and dyslipidemia which was not established in cigarette smoking. © 2018 The Author(s).

Item Type: Article
Additional Information: Cited By :6 Export Date: 16 February 2020 Correspondence Address: Ghayour-Mobarhan, M.; Neurogenic Inflammation Research Center, Department of Modern Sciences and Technologies, Mashhad University of Medical SciencesIran; email: GhayourM@mums.ac.ir
Uncontrolled Keywords: Biochemical measurements Cigarette Diabetes Dyslipidemia Hookah Metabolic syndrome Smoking Water-pipe high density lipoprotein uric acid adult aged Article cigarette smoking controlled study diabetes mellitus health status human leukocyte count mean corpuscular volume metabolic syndrome X obesity platelet count population research priority journal questionnaire red blood cell distribution width water pipe smoking
Subjects: WD Nutrition Disease and metabolic diseases
QV pharmacology
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 06 May 2020 11:45
Last Modified: 06 May 2020 11:45
URI: http://eprints.mums.ac.ir/id/eprint/17507

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