Smoking is Associated With Impaired Long-term Quality of Life in Elderly People: A 22-year Cohort Study in NIPPON-DATA 90
Background: Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the relationship between smoking and subjective QoL in a long cohort study.Methods: The NIPPON DATA 90 project collected 8,383 community residents in 300...
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Published in | Journal of Epidemiology Vol. 34; no. 6; pp. 265 - 269 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Japan
Japan Epidemiological Association
05.06.2024
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Online Access | Get full text |
ISSN | 0917-5040 1349-9092 |
DOI | 10.2188/jea.JE20220226 |
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Abstract | Background: Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the relationship between smoking and subjective QoL in a long cohort study.Methods: The NIPPON DATA 90 project collected 8,383 community residents in 300 randomly selected areas as baseline data in 1990, administered four follow-up QoL surveys, and evaluated mortality statistics. We conducted multinomial logistic regression analysis to compare past smokers and current smokers to never smokers, with impaired QoL and mortality as outcomes.Results: In four follow-ups, QoL data was collected from 2,035, 2,252, 2,522, and 3,280 participants in 1995, 2000, 2005, and 2012, respectively. In the 1995 follow-up, current smoking at baseline was not associated with worse QoL. In 2000 and 2005 follow-ups, smoking was significantly associated with worse QoL (odds ratio [OR] 2.1; 95% confidence interval [CI], 1.33–3.36 and OR 2.29; 95% CI, 1.38–3.80, respectively). In the 2012 follow-up, smoking was not associated with QoL. Sensitivity analysis did not change the result significantly.Conclusion: In this study we found that baseline smoking was associated with worse QoL in long-follow-up. |
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AbstractList | Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the relationship between smoking and subjective QoL in a long cohort study.
The NIPPON DATA 90 project collected 8,383 community residents in 300 randomly selected areas as baseline data in 1990, administered four follow-up QoL surveys, and evaluated mortality statistics. We conducted multinomial logistic regression analysis to compare past smokers and current smokers to never smokers, with impaired QoL and mortality as outcomes.
In four follow-ups, QoL data was collected from 2,035, 2,252, 2,522, and 3,280 participants in 1995, 2000, 2005, and 2012, respectively. In the 1995 follow-up, current smoking at baseline was not associated with worse QoL. In 2000 and 2005 follow-ups, smoking was significantly associated with worse QoL (odds ratio [OR] 2.1; 95% confidence interval [CI], 1.33-3.36 and OR 2.29; 95% CI, 1.38-3.80, respectively). In the 2012 follow-up, smoking was not associated with QoL. Sensitivity analysis did not change the result significantly.
In this study we found that baseline smoking was associated with worse QoL in long-follow-up. Background: Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the relationship between smoking and subjective QoL in a long cohort study. Methods: The NIPPON DATA 90 project collected 8,383 community residents in 300 randomly selected areas as baseline data in 1990, administered four follow-up QoL surveys, and evaluated mortality statistics. We conducted multinomial logistic regression analysis to compare past smokers and current smokers to never smokers, with impaired QoL and mortality as outcomes. Results: In four follow-ups, QoL data was collected from 2,035, 2,252, 2,522, and 3,280 participants in 1995, 2000, 2005, and 2012, respectively. In the 1995 follow-up, current smoking at baseline was not associated with worse QoL. In 2000 and 2005 follow-ups, smoking was significantly associated with worse QoL (odds ratio [OR] 2.1; 95% confidence interval [CI], 1.33–3.36 and OR 2.29; 95% CI, 1.38–3.80, respectively). In the 2012 follow-up, smoking was not associated with QoL. Sensitivity analysis did not change the result significantly. Conclusion: In this study we found that baseline smoking was associated with worse QoL in long-follow-up. |
ArticleNumber | JE20220226 |
Author | Okayama, Akira Kadota, Aya Liu, Yiwei Sato, Yasunori Kondo, Keiko Ohkubo, Takayoshi Miura, Katsuyuki Hirata, Aya Hayakawa, Takehito Ueshima, Hirotsugu Okamura, Tomonori |
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Cites_doi | 10.1093/ntr/nts182 10.2188/jea.JE20190234 10.1016/j.socec.2017.08.003 10.1136/bmj.g1151 10.1093/pubmed/fdw096 10.1016/j.atherosclerosis.2010.11.033 10.1136/tobaccocontrol-2015-052601 10.2337/dc12-2412 10.1093/geronb/gbp012 10.1001/archinte.168.18.1968 10.1186/1471-2261-13-35 10.1007/s00213-017-4682-x 10.1080/14622200802163142 10.1002/cam4.1999 10.18637/jss.v045.i03 |
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References_xml | – reference: 8. Kogure M, Tsuchiya N, Narita A, et al. Relationship between calcium intake and impaired activities of daily living in a Japanese population: NIPPON DATA90. J Epidemiol. 2021;31:119–124. – reference: 16. Taylor G, McNeill A, Girling A, Farley A, Lindson-Hawley N, Aveyard P. Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ. 2014;348:g1151. – reference: 11. Weinhold D, Chaloupka FJ. Smoking status and subjective well-being. Tob Control. 2017;26:195–201. – reference: 9. Sakurai M, Saitoh S, Miura K, et al; NIPPON DATA90 Research Group. HbA1c and the risks for all-cause and cardiovascular mortality in the general Japanese population: NIPPON DATA90. Diabetes Care. 2013;36(11):3759–3765. – reference: 5. U.S. Food and Drug Administration. Tobacco Products; Required Warnings for Cigarette Packages and Advertisement. Docket No. FDA-2019-N-3065. https://www.fda.gov/media/136223/download. – reference: 2. Heikkinen H, Jallinoja P, Saarni SI, Patja K. The impact of smoking on health-related and overall quality of life: a general population survey in Finland. Nicotine Tob Res. 2008;10:1199–1207. – reference: 13. Churchill SA, Farrell L. Investigating the relationship between smoking and subjective welfare. J Behav Exp Econ. 2017;71:1–12. – reference: 6. Jia H, Lubetkin EI. Dose-response effect of smoking status on quality-adjusted life years among US adults aged 65 years and older. J Public Health (Oxf). 2017;39:e194–e201. – reference: 3. Stafford L, Berk M, Jackson HJ. Tobacco smoking predicts depression and poorer quality of life in heart disease. BMC Cardiovasc Disord. 2013;13:35. – reference: 7. Kadota A, Miura K, Okamura T, et al; NIPPON DATA90 Research Group. Relationship of moderate metabolic risk factor clustering to cardiovascular disease mortality in non-lean Japanese: a 15-year follow-up of NIPPON DATA90. Atherosclerosis. 2011;215(1):209–213. – reference: 4. Holahan CK, Holahan CJ, North RJ, Hayes RB, Powers DA, Ockene JK. Smoking status, physical health-related quality of life, and mortality in middle-aged and older women. Nicotine Tob Res. 2013;15:662–669. – reference: 12. Xia J, Wu P, Wang J, Yu J. Alerting the illusion of smoking improves quality of life in Chinese male cancer survivors. Cancer Med. 2019;8:1066–1073. – reference: 14. Mendelsohn C. Smoking and depression—a review. Aust Fam Physician. 2012;41:304–307. – reference: 17. Robert SA, Cherepanov D, Palta M, Dunham NC, Feeny D, Fryback DG. Socioeconomic status and age variations in health-related quality of life: results from the national health measurement study. J Gerontol B Psychol Sci Soc Sci. 2009;64:378–389. – reference: 10. Van Buuren S, Groothuis-Oudshoorn K. mice: Multivariate imputation by chained equations in R. J Stat Softw. 2011;45:1–67. – reference: 15. Shiffman S, Terhorst L. Intermittent and daily smokers’ subjective responses to smoking. Psychopharmacology (Berl). 2017;234:2911–2917. – reference: 1. Strandberg AY, Strandberg TE, Pitkälä K, Salomaa VV, Tilvis RS, Miettinen TA. The effect of smoking in midlife on health-related quality of life in old age: a 26-year prospective study. Arch Intern Med. 2008;168:1968–1974. – ident: 4 doi: 10.1093/ntr/nts182 – ident: 8 doi: 10.2188/jea.JE20190234 – ident: 13 doi: 10.1016/j.socec.2017.08.003 – ident: 16 doi: 10.1136/bmj.g1151 – ident: 6 doi: 10.1093/pubmed/fdw096 – ident: 5 – ident: 7 doi: 10.1016/j.atherosclerosis.2010.11.033 – ident: 11 doi: 10.1136/tobaccocontrol-2015-052601 – ident: 9 doi: 10.2337/dc12-2412 – ident: 17 doi: 10.1093/geronb/gbp012 – ident: 1 doi: 10.1001/archinte.168.18.1968 – ident: 3 doi: 10.1186/1471-2261-13-35 – ident: 14 – ident: 15 doi: 10.1007/s00213-017-4682-x – ident: 2 doi: 10.1080/14622200802163142 – ident: 12 doi: 10.1002/cam4.1999 – ident: 10 doi: 10.18637/jss.v045.i03 |
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Snippet | Background: Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the... Whether smoking is associated with worse quality of life (QoL) or not is relatively controversial. The current study is to investigate the relationship between... |
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SubjectTerms | Aged Aged, 80 and over Cohort Studies cohort study Female Follow-Up Studies Humans Male Middle Aged Original Public Health Quality of Life Republic of Korea - epidemiology smoking Smoking - epidemiology Smoking - psychology tobacco control |
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Title | Smoking is Associated With Impaired Long-term Quality of Life in Elderly People: A 22-year Cohort Study in NIPPON-DATA 90 |
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