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Secondhand Smoke Exposure and Risk of Dementia in Nonsmokers: A Population-Based Cohort Study.
Wan, Zhongxiao; Zhang, Xiaohui; He, Huanying; Zhang, Yebing; Chen, Guo-Chong; Qin, Li-Qiang; Zhang, Na; Li, Fu-Rong.
Afiliación
  • Wan Z; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • Zhang X; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • He H; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • Zhang Y; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • Chen GC; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • Qin LQ; Department of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, China.
  • Zhang N; School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  • Li FR; School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
Neuroepidemiology ; 58(3): 166-173, 2024.
Article en En | MEDLINE | ID: mdl-38417408
ABSTRACT

BACKGROUND:

Large population-based prospective studies are necessary to provide clarification on the associations of panoramic secondhand smoking burden, including prenatal and postnatal secondhand smoke (SHS) exposure, with the risk of developing dementia.

METHODS:

Our study comprised a sample of 353,756 dementia-free individuals from the UK Biobank who were nonsmokers had data on the exposure of maternal smoking as well as SHS exposure in daily life, which was quantified in terms of hours per week (h/week) and whether they lived with household smokers. Multivariable Cox regression models were utilized to analyze the independent and joint associations of maternal smoking and daily life SHS exposure with dementia risk.

RESULTS:

During a median follow-up of 11.8 years, 4,113 participants developed dementia. Compared with those who lived in the environment without smokers, multivariable-adjusted hazard ratios (HRs) (95% CIs) were 1.11 (1.02, 1.20) and 1.31 (1.13, 1.52) for those who exposed to SHS for >0 but ≤4 h/week and >4 h/week, respectively, and was 1.25 (1.13, 1.39) for those who lived with smokers in the household. A positive history of maternal smoking was associated with a modestly higher risk of dementia (HR = 1.07; 95% CI 1.01, 1.15). Furthermore, compared with participants with neither history of maternal smoking nor exposure to SHS, a particularly higher risk of dementia was observed among those with both exposures (HR = 1.48; 95% CI 1.18, 1.86). Additionally, the HR (95% CI) was 1.32 (1.10, 1.59) when comparing participants with a history of maternal smoking who lived with smokers in their households with those who had neither exposures.

CONCLUSIONS:

Having a history of maternal smoking, longer exposure to SHS, and living with smokers in the household were each associated with an increased risk of developing dementia. Individuals who were simultaneously exposed to maternal smoking and SHS or lived with household smokers had a particularly higher dementia risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación por Humo de Tabaco / Demencia Límite: Adult / Aged / Female / Humans / Male / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Neuroepidemiology Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Contaminación por Humo de Tabaco / Demencia Límite: Adult / Aged / Female / Humans / Male / Middle aged / Pregnancy País/Región como asunto: Europa Idioma: En Revista: Neuroepidemiology Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza