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Nursing research in community-based approaches to reduce exposure to secondhand smoke 2009 University of Kentucky College of Nursing, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Annual Review of Nursing Research
Periodical, Abbrev.
Annu.Rev.Nurs.Res.
Pub Date Free Form
Volume
27
Issue
Start Page
365
Other Pages
391
Notes
JID: 8406387; 0 (Tobacco Smoke Pollution); RF: 116; ppublish
Place of Publication
United States
ISSN/ISBN
0739-6686; 0739-6686
Accession Number
PMID: 20192112
Language
eng
SubFile
Journal Article; Review; IM; N
DOI
Output Language
Unknown(0)
PMID
20192112
Abstract
Secondhand smoke (SHS) is the third leading cause of preventable death in the United States and a major source of indoor air pollution, accounting for an estimated 53,000 deaths per year among nonsmokers. Secondhand smoke exposure varies by gender, race/ethnicity, and socioeconomic status. The most effective public health intervention to reduce SHS exposure is to implement and enforce smoke-free workplace policies that protect entire populations including all workers regardless of occupation, race/ethnicity, gender, age, and socioeconomic status. This chapter summarizes community and population-based nursing research to reduce SHS exposure. Most of the nursing research in this area has been policy outcome studies, documenting improvement in indoor air quality, worker's health, public opinion, and reduction in Emergency Department visits for asthma, acute myocardial infarction among women, and adult smoking prevalence. These findings suggest a differential health effect by strength of law. Further, smoke-free laws do not harm business or employee turnover, nor are revenues from charitable gaming affected. Additionally, smoke-free laws may eventually have a positive effect on cessation among adults. There is emerging nursing science exploring the link between SHS exposure to nicotine and tobacco dependence, suggesting one reason that SHS reduction is a quit smoking strategy. Other nursing research studies address community readiness for smoke-free policy, and examine factors that build capacity for smoke-free policy. Emerging trends in the field include tobacco free health care and college campuses. A growing body of nursing research provides an excellent opportunity to conduct and participate in community and population-based research to reduce SHS exposure for both vulnerable populations and society at large.
Descriptors
Attitude to Health, Consumer Participation, Environmental Exposure/adverse effects/prevention & control, Health Promotion/organization & administration, Humans, Nursing Research, Public Policy, Smoking/legislation & jurisprudence/prevention & control, Tobacco Smoke Pollution/adverse effects/prevention & control, United States, Workplace
Links
Book Title
Database
Publisher
Data Source
Authors
Hahn,E. J., Ashford,K. B., Okoli,C. T., Rayens,M. K., Ridner,S. L., York,N. L.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Relapse prevention interventions for smoking cessation 2009 Wolfson Institute of Preventive Medicine, Queen Mary's School of Medicine and Dentistry, Turner Street, London, UK, E1 2AD.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Cochrane database of systematic reviews
Periodical, Abbrev.
Cochrane Database Syst.Rev.
Pub Date Free Form
21-Jan
Volume
(1):CD003999. doi
Issue
1
Start Page
CD003999
Other Pages
Notes
LR: 20151119; JID: 100909747; 0 (Chewing Gum); 0 (Nicotinic Agonists); 6M3C89ZY6R (Nicotine); CIN: Ann Intern Med. 2009 Jul 21;151(2):JC1-11. PMID: 19620155; UIN: Cochrane Database Syst Rev. 2013;8:CD003999. PMID: 23963584; RF: 93; epublish
Place of Publication
England
ISSN/ISBN
1469-493X; 1361-6137
Accession Number
PMID: 19160228
Language
eng
SubFile
Journal Article; Meta-Analysis; Review; IM
DOI
10.1002/14651858.CD003999.pub3 [doi]
Output Language
Unknown(0)
PMID
19160228
Abstract
BACKGROUND: A number of treatments can help smokers make a successful quit attempt, but many initially successful quitters relapse over time. Several interventions were proposed to help prevent relapse. OBJECTIVES: To assess whether specific interventions for relapse prevention reduce the proportion of recent quitters who return to smoking. SEARCH STRATEGY: We searched the Cochrane Tobacco Addiction Group trials register in August 2008 for studies mentioning relapse prevention or maintenance in title, abstracts or keywords. SELECTION CRITERIA: Randomized or quasi-randomized controlled trials of relapse prevention interventions with a minimum follow up of six months. We included smokers who quit on their own, or were undergoing enforced abstinence, or who were participating in treatment programmes. We included trials that compared relapse prevention interventions to a no intervention control, or that compared a cessation programme with additional relapse prevention components to a cessation programme alone. DATA COLLECTION AND ANALYSIS: Studies were screened and data extracted by one author and checked by a second. Disagreements were resolved by discussion or referral to a third author. MAIN RESULTS: Fifty-four studies met inclusion criteria, but were heterogeneous in terms of populations and interventions. We considered 36 studies that randomized abstainers separately from studies that randomized participants prior to their quit date.Looking at studies of behavioural interventions which randomised abstainers, we detected no benefit of brief and 'skills-based' relapse prevention methods for women who had quit smoking due to pregnancy, or for smokers undergoing a period of enforced abstinence during hospitalisation or military training. We also failed to detect significant effects of behavioural interventions in trials in unselected groups of smokers who had quit on their own or with a formal programme. Amongst trials randomising smokers prior to their quit date and evaluating the effect of additional relapse prevention components we also found no evidence of benefit of behavioural interventions in any subgroup. Overall, providing training in skills thought to be needed for relapse avoidance did not reduce relapse, but most studies did not use experimental designs best suited to the task, and had limited power to detect expected small differences between interventions. For pharmacological interventions, extended treatment with varenicline significantly reduced relapse in one trial (risk ratio 1.18, 95% confidence interval 1.03 to 1.36). Pooling of five studies of extended treatment with bupropion failed to detect a significant effect (risk ratio 1.17; 95% confidence interval 0.99 to 1.39). Two small trials of oral nicotine replacement treatment (NRT) failed to detect an effect but treatment compliance was low and in two other trials of oral NRT randomizing short-term abstainers there was a significant effect of intervention. AUTHORS' CONCLUSIONS: At the moment there is insufficient evidence to support the use of any specific behavioural intervention for helping smokers who have successfully quit for a short time to avoid relapse. The verdict is strongest for interventions focusing on identifying and resolving tempting situations, as most studies were concerned with these. There is little research available regarding other behavioural approaches. Extended treatment with varenicline may prevent relapse. Extended treatment with bupropion is unlikely to have a clinically important effect. Studies of extended treatment with nicotine replacement are needed.
Descriptors
Behavior Therapy, Chewing Gum, Female, Humans, Male, Nicotine/therapeutic use, Nicotinic Agonists, Pregnancy, Randomized Controlled Trials as Topic, Secondary Prevention, Smoking/prevention & control, Smoking Cessation/methods
Links
Book Title
Database
Publisher
Data Source
Authors
Hajek,P., Stead,L. F., West,R., Jarvis,M., Lancaster,T.
Original/Translated Title
URL
Date of Electronic
20090121
PMCID
Editors
Global patterns of nicotine and tobacco consumption 2009
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Handb Exp Pharmacol
Periodical, Abbrev.
Handb.Exp.Pharmacol.
Pub Date Free Form
Volume
Issue
192
Start Page
3
Other Pages
28
Notes
ID: 19184644
Place of Publication
ISSN/ISBN
Accession Number
Language
en
SubFile
DOI
Output Language
Unknown(0)
PMID
Abstract
Humans consume tobacco in dozens of guises, all of which are toxic; globally, a tenth of deaths among adults are caused by tobacco. Tobacco may be combusted (e.g., cigarettes, bidis, kreteks); heated (e.g., waterpipes, hookah, nargile); or taken orally or nasally (e.g., snuff, betel quid, chewing tobacco). The predominant forms vary among cultures, but the use of cigarettes has grown most dramatically in the past century. While smoking rates among women are comparable to those among men in Europe and North America, in other regions the rate is ten or more times higher among men; this gender gap is closing among young people. Per capita tobacco use in the USA doubled in the first half of the twentieth century, and has since declined to less than the 1900 levels. While cigarettes were only 2% of tobacco consumed in the USA in 1900 (half was chewing tobacco) 50 years later they were over 80%. A similar increase in tobacco consumption, and a shift to cigarettes, has been occurring globally, with a concomitant increase in tobacco-related death and disease that is not expected to peak for another two decades.
Descriptors
Smoking/epidemiology, Tobacco Use Disorder/history, Tobacco, Adolescent, Age Distribution, History, 15th Century, History, 16th Century, History, 17th Century, History, 20th Century, History, 21st Century, History, Ancient, History, Medieval, Humans, Sex Distribution, Smoking/history, Tobacco/adverse effects, Tobacco Use Disorder/epidemiology, Tobacco, Smokeless/adverse effects, Tobacco, Smokeless/history
Links
http://dx.doi.org/10.1007/978-3-540-69248-5_1
Book Title
Database
MEDLINE; http://www.globalhealthlibrary.net/
Publisher
Data Source
Authors
Hammond,S. K.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Commercial polymeric fiber as sorbent for solid-phase microextraction combined with high-performance liquid chromatography for the determination of polycyclic aromatic hydrocarbons in water 2009 Department of Chemistry, National University of Singapore, 3 Science Drive 3, Singapore 117543, Singapore.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of chromatography.A
Periodical, Abbrev.
J.Chromatogr.A
Pub Date Free Form
30-Oct
Volume
1216
Issue
44
Start Page
7520
Other Pages
7526
Notes
JID: 9318488; 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Polymers); 0 (Water Pollutants, Chemical); 2008/12/30 [received]; 2009/08/07 [revised]; 2009/09/09 [accepted]; 2009/09/12 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1873-3778; 0021-9673
Accession Number
PMID: 19786278
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.chroma.2009.09.019 [doi]
Output Language
Unknown(0)
PMID
19786278
Abstract
A novel microextraction method making use of commercial polymer fiber as sorbent, coupled with high-performance liquid chromatography-fluorescence detection for the determination of polycyclic aromatic hydrocarbons (PAHs) in water has been developed. In this technique, the extraction device was simply a length (8 cm) of a strand of commercial polymer fiber, Kevlar (each strand consisted of 1000 filaments, each of diameter ca. 9.23 microm), that was allowed to tumble freely in the aqueous sample solution during extraction. The extracted analytes were desorbed ultrasonically before the extract was injected into HPLC system for analysis. Extraction parameters such as extraction time, desorption time, type of desorption solvent and sample volume were optimized. Each fiber could be used for up to 50 extractions and the method showed good precision, reproducibility and linear response within a concentration range 0.05-5.00 microg L(-1) with correlation coefficients of up to 0.9998. Limits of detection between 0.4 and 4.4 ng L(-1) for seven PAHs could be achieved. The relative standard deviations (n=3) of this technique were between 2.9% and 12.1%.
Descriptors
Chromatography, High Pressure Liquid/methods, Microscopy, Electron, Scanning, Polycyclic Hydrocarbons, Aromatic/analysis, Polymers/analysis, Solid Phase Microextraction/methods, Water Pollutants, Chemical/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Hii,T. M., Basheer,C., Lee,H. K.
Original/Translated Title
URL
Date of Electronic
20090912
PMCID
Editors
Analysis of the gastrointestinal symptoms of uninvestigated dyspepsia and irritable bowel syndrome 2009 Department of Endoscopic Center, Hyogo College of Medicine, Nishinomiya, Japan.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Gut and liver
Periodical, Abbrev.
Gut Liver
Pub Date Free Form
Sep
Volume
3
Issue
3
Start Page
192
Other Pages
196
Notes
LR: 20131113; JID: 101316452; OID: NLM: PMC2852717; OTO: NOTNLM; 2009/05/28 [received]; 2009/07/05 [accepted]; 2009/09/30 [epublish]; ppublish
Place of Publication
Korea (South)
ISSN/ISBN
2005-1212; 1976-2283
Accession Number
PMID: 20431745
Language
eng
SubFile
Journal Article
DOI
10.5009/gnl.2009.3.3.192 [doi]
Output Language
Unknown(0)
PMID
20431745
Abstract
BACKGROUND/AIMS: Epidemiological studies suggest that there is a considerable overlap between functional dyspepsia (FD) and irritable bowel syndrome (IBS). The aim of this study was to examine concurrent gastrointestinal symptoms in FD and IBS. METHODS: A total of 186 college students filled out a questionnaire regarding whether they had uninvestigated dyspepsia (UD, FD without endoscopic examination) and IBS based on Rome-II criteria. Gastrointestinal symptoms were measured using the Gastrointestinal Symptom Rating Scale (GSRS) questionnaire. RESULTS: A total of 181 students (98 males, mean age 24.6 years) completed both questionnaires. The prevalence of UD, IBS, and UD+IBS overlap was 12 (6.7%), 40 (22.1%), and 8 (4.4%), respectively. A significant UD+IBS overlap was observed (66.7% IBS in UD, 20.0% UD in IBS). Reflux scores of GSRS in either UD or IBS were significantly greater than in those without. Gastroesophageal reflux disease (GERD), defined as weekly occurring moderate symptoms of heartburn and/or acid regurgitation and evaluated using the GSRS, was found in 16 (8.8%) of the subjects. The prevalence of IBS was significantly higher in GERD patients than in non-GERD patients (50.0% vs 19.4%). CONCLUSIONS: The considerable overlap not only between UD and IBS, but also between GERD and IBS, suggests the involvement of common pathophysiological disturbances in the two conditions.
Descriptors
Dyspepsia, Gastroesophageal reflux, Gastrointestinal symptom rating scale, Irritable bowel syndrome, Overlap
Links
Book Title
Database
Publisher
Data Source
Authors
Hori,K., Matsumoto,T., Miwa,H.
Original/Translated Title
URL
Date of Electronic
20090930
PMCID
PMC2852717
Editors
Survey of pathogenic free-living amoebae and Legionella spp. in mud spring recreation area 2009 Department of Earth and Environmental Sciences, National Chung Cheng University, Chiayi, Taiwan, ROC. bmhsu@ccu.edu.tw
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Water research
Periodical, Abbrev.
Water Res.
Pub Date Free Form
Jun
Volume
43
Issue
11
Start Page
2817
Other Pages
2828
Notes
LR: 20131121; JID: 0105072; 0 (RNA, Ribosomal, 18S); 059QF0KO0R (Water); 2008/08/11 [received]; 2009/04/01 [revised]; 2009/04/02 [accepted]; 2009/04/14 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
0043-1354; 0043-1354
Accession Number
PMID: 19457534
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.watres.2009.04.002 [doi]
Output Language
Unknown(0)
PMID
19457534
Abstract
Acanthamoeba, Hartmannella, and Naegleria are free-living amoebae, ubiquitous in aquatic environments. Several species within these genera are recognized as potential human pathogens. These free-living amoebae may facilitate the proliferation of their parasitical bacteria, such as Legionella. In this study, we identified Acanthamoeba, Hartmannella, Naegleria, and Legionella using various analytical procedures and investigated their occurrence at a mud spring recreation area in Taiwan. We investigated factors potentially associated with the prevalence of the pathogens, including various water types, and physical and microbiological water quality parameters. Spring water was collected from 34 sites and Acanthamoeba, Hartmannella, Naegleria, and Legionella were detected in 8.8%, 35.3%, 14.7%, and 47.1%, respectively. The identified species of Acanthamoeba included Acanthamoeba castellanii and Acanthamoeba polyphaga. Nearly all the Hartmannella isolates are identified as Hartmannella vermiformis. The Naegleria species included Naegleria australiensis and its sister groups, and two other isolates referred to a new clade of Naegleria genotypes. The Legionella species identified included unnamed Legionella genotypes, Legionella pneumophila serotype 6, uncultured Legionella spp., Legionella lytica, Legionella drancourtii, and Legionella waltersii. Significant differences (Mann-Whitney U test, P<0.05) were observed between the presence/absence of Hartmannella and total coliforms, between the presence/absence of Naegleria and heterotrophic plate counts, and between the presence/absence of Legionella and heterotrophic plate counts. This survey confirms that pathogenic free-living amoebae and Legionella are prevalent in this Taiwanese mud spring recreation area. The presence of pathogens should be considered a potential health threat when associated with human activities in spring water.
Descriptors
Acanthamoeba/classification/isolation & purification, Animals, Hartmannella/classification/genetics/isolation & purification, Legionella/classification/genetics/isolation & purification, Naegleria/classification/genetics/isolation & purification, Phylogeny, RNA, Ribosomal, 18S/genetics, Recreation, Soil Microbiology, Water/parasitology, Water Microbiology
Links
Book Title
Database
Publisher
Data Source
Authors
Hsu,B. M., Lin,C. L., Shih,F. C.
Original/Translated Title
URL
Date of Electronic
20090414
PMCID
Editors
Hybrid separation and detection device for analysis of benzene, toluene, ethylbenzene, and xylenes in complex samples 2009 Center for Bioelectronics and Biosensors, Biodesign Institute and Department of Electrical Engineering, Arizona State University, Tempe, Arizona 85287-5801, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Analytical Chemistry
Periodical, Abbrev.
Anal.Chem.
Pub Date Free Form
1-Nov
Volume
81
Issue
21
Start Page
8930
Other Pages
8935
Notes
LR: 20141207; GR: U01 ES0106064-01/ES/NIEHS NIH HHS/United States; GR: U01 ES016064/ES/NIEHS NIH HHS/United States; GR: U01 ES016064-01/ES/NIEHS NIH HHS/United States; GR: U01 ES016064-02/ES/NIEHS NIH HHS/United States; GR: U01 ES016064-02S1/ES/NIEHS NIH
Place of Publication
United States
ISSN/ISBN
1520-6882; 0003-2700
Accession Number
PMID: 19780581
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1021/ac9015769 [doi]
Output Language
Unknown(0)
PMID
19780581
Abstract
We present a hybrid system for rapid detection and analysis of benzene, toluene, ethylbenzene, and xylenes (BTEX). The system combines selective and sensitive sensing elements with a fast and miniaturized chromatographic separation method. The sensing elements are an array of microfabricated quartz crystal tuning forks modified with selective molecularly imprinted polymers, and the separation method uses optimized short columns. The high sensitivity and selectivity of the sensing elements together with the help of the separation provides fast detection and analysis of BTEX in real samples containing highly concentrated interfering agents without preconcentration or heating of columns. The low cost, low power consumption, and small size of the hybrid device are particularly suitable for occupational health, industrial safety, and epidemiological applications.
Descriptors
Air Pollutants/analysis/chemistry, Benzene/analysis, Benzene Derivatives/analysis, Environmental Monitoring, Gas Chromatography-Mass Spectrometry/instrumentation/methods, Molecular Imprinting/methods, Polymers/chemistry, Quartz/chemistry, Toluene/analysis, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Iglesias,R. A., Tsow,F., Wang,R., Forzani,E. S., Tao,N.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC2782579
Editors
Temporal and spatial distribution of BTEX pollutants in the atmosphere of metropolitan areas and neighbouring towns 2009 Department of Environmental Sciences, Second University of Naples, Caserta, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Environmental monitoring and assessment
Periodical, Abbrev.
Environ.Monit.Assess.
Pub Date Free Form
Mar
Volume
150
Issue
4-Jan
Start Page
437
Other Pages
444
Notes
LR: 20131121; JID: 8508350; 0 (Air Pollutants); 0 (Benzene Derivatives); 0 (Xylenes); 3FPU23BG52 (Toluene); J64922108F (Benzene); L5I45M5G0O (ethylbenzene); 2007/07/12 [received]; 2008/02/27 [accepted]; 2008/04/25 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
1573-2959; 0167-6369
Accession Number
PMID: 18437518
Language
eng
SubFile
Journal Article; IM
DOI
10.1007/s10661-008-0242-5 [doi]
Output Language
Unknown(0)
PMID
18437518
Abstract
Atmospheric BTEX [benzene, toluene, ethylbenzene, o-xylene and (m + p)-xylene] concentrations have been determined in the Naples metropolitan area (NMA) and in two suburban areas located on the north within about 25 km, during 2006. The pollutants were collected by passive samplers (24-h samplings), and analysed by GC-MS. In all the areas analysed the average atmospheric benzene concentrations were higher than the limit value fixed by the European Union for 2010 and in NMA the average concentration (9.8 microg m(-3)) also exceeded the limit fixed for 2006. High linear correlation coefficients between the average daily concentrations of the different BTEX are indicative of a single major source, most likely the vehicular traffic. The temporal and spatial distribution of BTEX relative concentrations suggest that massive emissions in NMA negatively affect the quality of the air in northern suburban areas, prevalently during the hottest months of the year, probably due to transport by local seasonal winds. The ratios between BTEX daily concentrations showed a clear dependence on the intensity of solar actinic flow, indicating a major role of photochemical processes in the air cleaning from these volatile organic pollutants.
Descriptors
Air Pollutants/analysis, Atmosphere, Benzene/analysis, Benzene Derivatives/analysis, Cities, Environmental Monitoring, Humans, Italy, Toluene/analysis, Urban Health, Wind, Xylenes/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Iovino,P., Polverino,R., Salvestrini,S., Capasso,S.
Original/Translated Title
URL
Date of Electronic
20080425
PMCID
Editors
Oesophageal cancer in Golestan Province, a high-incidence area in northern Iran - a review 2009 Digestive Disease Research Center, Shariati Hospital, Tehran University of Medical Sciences, 14117 Tehran, Iran.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
European journal of cancer (Oxford, England : 1990)
Periodical, Abbrev.
Eur.J.Cancer
Pub Date Free Form
Dec
Volume
45
Issue
18
Start Page
3156
Other Pages
3165
Notes
LR: 20150813; GR: Intramural NIH HHS/United States; JID: 9005373; RF: 86; 2009/07/26 [received]; 2009/09/11 [revised]; 2009/09/15 [accepted]; 2009/10/01 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1879-0852; 0959-8049
Accession Number
PMID: 19800783
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Intramural; Review; IM
DOI
10.1016/j.ejca.2009.09.018 [doi]
Output Language
Unknown(0)
PMID
19800783
Abstract
Golestan Province, located in the south-east littoral of the Caspian Sea in northern Iran, has one of the highest rates of oesophageal cancer (OC) in the world. We review the epidemiologic studies that have investigated the epidemiologic patterns and causes of OC in this area and provide some suggestions for further studies. Oesophageal squamous cell carcinoma (OSCC) constitutes over 90% of all OC cases in Golestan. In retrospective studies, cigarettes and hookah smoking, nass use (a chewing tobacco product), opium consumption, hot tea drinking, poor oral health, low intake of fresh fruit and vegetables, and low socioeconomic status have been associated with higher risk of OSCC in Golestan. However, the association of tobacco with OSCC in this area is not as strong as that seen in Western countries. Alcohol is consumed by a very small percentage of the population and is not a risk factor for OSCC in this area. Other factors, such as polycyclic aromatic hydrocarbons, N-nitroso compounds, drinking water contaminants, infections, food contamination with mycotoxins, and genetic factors merit further investigation as risk factors for OSCC in Golestan. An ongoing cohort study in this area is an important resource for studying some of these factors and also for confirming the previously found associations.
Descriptors
Alcohol Drinking/adverse effects/epidemiology, Alphapapillomavirus/isolation & purification, Asia/epidemiology, Carcinoma, Squamous Cell/epidemiology/etiology, Esophageal Neoplasms/epidemiology/etiology, Female, Hot Temperature/adverse effects, Humans, Iran/epidemiology, Male, Malnutrition/complications, Opioid-Related Disorders/complications/epidemiology, Polymorphism, Genetic/genetics, Risk Factors, Smoking/adverse effects/epidemiology, Tobacco, Smokeless/adverse effects, Turkmenistan/ethnology, Water Supply
Links
Book Title
Database
Publisher
Data Source
Authors
Islami,F., Kamangar,F., Nasrollahzadeh,D., Moller,H., Boffetta,P., Malekzadeh,R.
Original/Translated Title
URL
Date of Electronic
20091001
PMCID
Editors
Body mass index and Barrett&#39;s oesophagus in women 2009 Section of Gastroenterology, Department of Medicine, Boston University Medical Center, 88 East Concord Street, Room 7721, Boston, MA 02118, USA. brian.jacobson@bmc.org
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Gut
Periodical, Abbrev.
Gut
Pub Date Free Form
Nov
Volume
58
Issue
11
Start Page
1460
Other Pages
1466
Notes
LR: 20151119; GR: CA087969/CA/NCI NIH HHS/United States; GR: CA107412/CA/NCI NIH HHS/United States; GR: K07 CA107412/CA/NCI NIH HHS/United States; GR: K07 CA107412-04/CA/NCI NIH HHS/United States; GR: K08 DK070706/DK/NIDDK NIH HHS/United States; GR: K08 D
Place of Publication
England
ISSN/ISBN
1468-3288; 0017-5749
Accession Number
PMID: 19336423
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; AIM; IM
DOI
10.1136/gut.2008.174508 [doi]
Output Language
Unknown(0)
PMID
19336423
Abstract
OBJECTIVE: Excess body mass is associated with symptoms of gastro-oesophageal reflux disease, and cross-sectional studies suggest an association between body mass index (BMI) and Barrett's oesophagus. The present study sought prospectively to examine the influence of BMI and other anthropomorphic measures on the risk for Barrett's oesophagus among women. METHODS: This was a prospective study of 15 861 women who participated in the Nurses' Health Study, without a history of cancer, who underwent upper gastrointestinal endoscopy for any reason between 1986 and 2004. The main outcome measures were 261 cases of pathologically confirmed specialised intestinal metaplasia within the oesophagus (Barrett's oesophagus). Self-reported data on weight were collected from biennial questionnaires. Self-reported height was collected in 1976, and self-reported waist and hip circumferences were collected in 1986. RESULTS: Compared with women with a BMI of 20-24.9 kg/m(2), women with a BMI of 25-29.9 had a multivariate OR for Barrett's oesophagus of 0.92 (95% CI 0.66 to 1.27), women with a BMI > or =30 had a multivariate OR of 1.52 (95% CI 1.02 to 2.28) and women with a BMI <20 had a multivariate OR of 0.92 (95% CI 0.65 to 1.31). Results were similar when controlling for symptoms of gastro-oesophageal reflux, and among the entire Nurses' Health Study cohort (n = 93 609) regardless of a history of endoscopy. In contrast, waist-to-hip ratio, waist circumference and height did not appear to be associated with Barrett's oesophagus. CONCLUSIONS: Obese, but not overweight, women appear to be at increased risk for Barrett's oesophagus.
Descriptors
Adult, Barrett Esophagus/etiology, Body Mass Index, Endoscopy, Digestive System, Female, Gastroesophageal Reflux/complications, Humans, Intestines/pathology, Metaplasia/pathology, Middle Aged, Odds Ratio, Overweight/complications, Precancerous Conditions/etiology, Prospective Studies, Risk Factors, Surveys and Questionnaires, Waist Circumference, Waist-Hip Ratio
Links
Book Title
Database
Publisher
Data Source
Authors
Jacobson,B. C., Chan,A. T., Giovannucci,E. L., Fuchs,C. S.
Original/Translated Title
URL
Date of Electronic
20090330
PMCID
PMC2763036
Editors