Smoking Archives - Dr Amin Azhari - دکتر امین اظهری

Drinking, smoking, and drug use linked to premature heart disease in the young

Recreational drinking, smoking, and drug use is linked to premature heart disease in young people, particularly younger women, finds research published online in the journal Heart.

Those who regularly use 4 or more substances are 9 times as likely to be affected, the findings indicate.

The numbers of new cases of heart disease (atherosclerotic cardiovascular disease) have been increasing in young adults, but the potential role of recreational substance use isn’t entirely clear.

To probe this further, the researchers explored whether the recreational use of tobacco, cannabis, alcohol, and illicit drugs, such as amphetamine and cocaine, might be linked to prematurely and extremely prematurely furred up arteries.

They drew on information supplied to the 2014–2015 nationwide Veterans Affairs Healthcare database and the Veterans with premaTure AtheroscLerosis (VITAL) registry.

Extremely premature heart disease was defined as an ‘event’, such as a heart attack, angina, or stroke before the age of 40, while premature heart disease was defined as an event before the age of 55 in men and before the age of 65 in women.

In all, there were 135,703 people with premature heart disease and 7716 with extremely premature heart disease. They were compared with 1,112, 45 patients who didn’t have premature heart disease.

Recreational use of any substance was independently associated with a higher likelihood of premature and extremely premature heart disease.

Patients with premature heart disease were more likely to smoke (63% vs 41%), drink (32% vs 15%), and to use cocaine (13% vs 2.5%), amphetamines (3% vs 0.5%), and cannabis (12.5% vs 3%).

After accounting for potentially influential factors, such as high blood pressure, diabetes, and high cholesterol, those who smoked tobacco were nearly twice as likely to have premature heart disease while those who drank recreationally were 50% more likely to do so.

Release date: 15 February 2021
Source: BMJ

Male sex, BMI, smoking and depression all increase biological age

A ‘biological age’ score predicts that being male, overweight, a smoker and having depression all contribute to biological aging, a study published today in eLife reports.

Aging can be measured in different ways. While chronological age is measured by date of birth, scientists have developed a range of measurements to determine our biological age. These include measuring the length of telomeres (little caps on the end of our chromosomes that shorten as we grow older), chemical changes to our DNA (epigenetics), and changes to the proteins and metabolites in our bodies (proteomic and metabolomic measures).

Although studies have linked these individual measurements to physical and mental health, it is not known whether they influence each other – or whether they have a cumulative effect on our overall wellbeing as we age. This new research is the first to combine these individual measurements of biological age and show how they link with mental and physical health.

The team used blood samples from nearly 3,000 people taking part in the Netherlands Study of Depression and Anxiety. They applied computer modelling to create individual biological aging indicators based on five commonly used measurements: telomere length, epigenetics, gene levels, metabolites and proteomics. The five indicators were then linked back to different factors such as sex, lifestyle factors, and known physical and mental disorders such as depression.

Of the five biological aging indicators, only three were found to significantly interact in individuals, such that an increase in one indicator also paralleled an increase in the other. There were many overlapping and distinct links between particular aging indicators and specific lifestyle factors or diseases. But being male, having a high body mass index (BMI), smoking and having metabolic syndrome were most consistently linked with more advanced biological aging.

This study has been published as part of eLife’s special issue on aging, geroscience and longevity.

Release date: 09 February 2021
Source: eLife

Covid-19, Public Health

Smoking associated with increased risk of COVID-19 symptoms

The study published today in Thorax, by researchers from King’s , investigates the association between smoking and the severity of the COVID-19.

Researchers analysed data from the ZOE COVID Symptom Study App. Of the participants of the app, 11% were smokers. This is a lower proportion than the overall UK population of 14.7%, however, it reflects the demographics of the self-selected sample of the ZOE COVID Symptom Study.

While more than a third of users reported not feeling physically well during the period of study (24th March and April 2020), current smokers were 14% more likely to develop the classic triad of symptoms suggesting diagnosis of COVID-19: fever, persistent cough and shortness of breath – compared to non-smokers.

Current smokers were also more likely to have a higher symptom burden than non-smokers. Smokers were 29% more likely to report more than five symptoms associated with COVID-19 and 50% more likely to report more than ten, including loss of smell, skipping meals, diarrhoea, fatigue, confusion or muscle pain. A greater number of symptoms suggested more severe COVID-19.

Additionally, current smokers who tested positive for SARS-CoV-2 were more than twice as likely as non-smokers to attend hospital.

The researchers recommended that a smoking cessation strategy be included as an element to address COVID-19, as smoking increased both the likelihood of symptomatic disease and disease severity. Reduction in smoking rates could also reduce the health system burden from other smoking-related conditions that require hospitalisation.

Release date: 06 January 2021
Source: King’s College London

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