Eur Heart J：戒烟后体重增加并不能改变其对心肌梗死和卒中的保护作用！

2018-01-08 xing.T MedSci原创

由此可见，戒烟后BMI变化并没有显著改变戒烟对心肌梗死和卒中的保护性作用。

近日，心血管领域权威杂志Eur Heart J上发表了一篇研究文章，该研究旨在调查男性戒烟、戒烟后体重指数（BMI）变化与心肌梗死（MI）和卒中风险之间的关系。

研究人员采用2002年到2013年期间国民健康保险服务（NHIS）的数据集进行了一项前瞻性队列研究。基于第一次（2002-2003）和第二次（2004-2005）NHIS健康体检，108242名40岁以上的既往无心肌梗死或卒中的男性被分为持续吸烟者、BMI无变化的戒烟者、BMI减少的戒烟者和不吸烟者。体重指数变化定义为两次健康检查之间差异超过1 kg/m2。参与者从2006年1月1日随访到2013年12月31日。研究人员采用了使用调整了社会人口因素、健康状况和家庭健康史的Cox比例风险模型来计算风险比（HRs）和95%可信区间（95%CI）。

持续吸烟者相比，心肌梗死和卒中的风险在体重增加的戒烟者（心肌梗死HR为0.33；95%CI为0.16-0.70；卒中HR为0.75；95%CI为0.57-1）和BMI无变化的戒烟者（心肌梗死HR为0.55；95%CI为0.37-0.83；卒中HR为0.75；95%CI为0.62-0.92）中显著降低，但在BMI降低的戒烟者没有发现显著的相关性（心肌梗死HR为0.91；95%CI为0.43-1.91；卒中HR为0.86；95%CI为0.57-1.31）。与持续吸烟者相比，非吸烟者发生心肌梗死（HR为0.37，95%CI为0.32-0.43）和卒中（HR为0.68，95%CI为0.64-0.73）的风险较低。

由此可见，戒烟后BMI变化并没有显著改变戒烟对心肌梗死和卒中的保护性作用。

原始出处：

Kyuwoong Kim,et al. Weight gain after smoking cessation does not modify its protective effect on myocardial infarction and stroke: evidence from a cohort study of men. Eur Heart J.2017. https://doi.org/10.1093/eurheartj/ehx761

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2018-01-09 photoman

#保护作用#

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2018-01-09 slcumt

#HEART#

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2018-01-09 zhaojie88

#ART#

48 0
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2018-01-09 839640778

#体重增加#

51 0
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2018-01-09 九九消寒

优质资源.共同学习

98 0
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2018-01-08 一个字-牛

学习了谢谢分享

91 0
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2018-01-08 1ddf0692m34(暂无匿称)

学习了.涨知识

97 0
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2018-01-08 Y—xianghai

学习了新知识

89 0
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createdAvatar=https://wx.qlogo.cn/mmopen/Pw2csslt7CukWiabqiblnQAXaDEiaxhu025c3P0XshccTrbvGWBjKvnHIxbK3vqa80P7WGIFuicCFet97TicrNKpgB3TdabxP1vMh/0, createdBy=28851960965, createdName=榄枷檬, createdTime=Mon Jan 08 07:22:39 CST 2018, time=2018-01-08, status=1, ipAttribution=)]
2018-01-08 1dd8c52fm63(暂无匿称)

学习学习.继续关注

90 0
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2018-01-08 榄枷檬

学习学习

41 0