ArticleHeart (British Cardiac Society)2013
Smoking water-pipe, chewing nass and prevalence of heart disease: a cross-sectional analysis of baseline data from the Golestan Cohort Study, Iran.
Article in Heart (British Cardiac Society), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review on association between smokeless tobacco & cardiovascular diseases.The Indian journal of medical research · 2018Pooled it
- The association between dietary total, animal and plant protein and macronutrient substitution; and the risk of all-cause, cardiovascular or cancer mortality in the Golestan cohort study.BMC public health · 2026Article
- Impact of prolonged exposure to occasional and regular waterpipe smoke on cardiac injury, oxidative stress and mitochondrial dysfunction in male mice.Frontiers in physiology · 2024Article
- Article
- Socioeconomic and environmental factors associated with waterpipe tobacco smoking among Iranian adults: a PERSIAN cohort-based cross-sectional study.BMC public health · 2023Article
- Patterns and Predictors of Multimorbidity in the Azar Cohort.Archives of Iranian medicine · 2023Article
- Exercise Training Attenuates Cardiac Vulnerability and Promotes Cardiac Resistance to Isoproterenol-Induced Injury Following Hookah Smoke Inhalation in Male Rats: Role of Klotho and Sirtuins.Cardiovascular toxicology · 2022Article
- Waterpipe smoking: a review of pulmonary and health effects.European respiratory review : an official journal of the European Respiratory Society · 2021Review
- Prevalence of high-risk behaviors in reproductive age women in Alborz province in 2019 using unmatched count technique.BMC women's health · 2020Article
- Waterpipe (shisha, hookah) smoking, oxidative stress and hidden disease potential.Redox biology · 2020Review
- Smokeless Tobacco Use in Iran: A Systematic Review.Addiction & health · 2020Review
- The psychometric properties of the Hypertensive Treatment Adherence Scale.ARYA atherosclerosis · 2020Article
- The effects of hookah/waterpipe smoking on general health and the cardiovascular system.Environmental health and preventive medicine · 2019Review
- Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk: A Scientific Statement From the American Heart Association.Circulation · 2019Review
- Effects of Endurance Exercise Training on Cardiac Dysfunction Induced by Waterpipe Tobacco Smoking.Addiction & health · 2019Article
- Factors contributing to nass consumption among Iranian Turkmen: A qualitative study.Tobacco induced diseases · 2018Article
- Hazards of cigarettes, smokeless tobacco and waterpipe in a Middle Eastern Population: a Cohort Study of 50 000 individuals from Iran.Tobacco control · 2017Article
- Pars cohort study of non-communicable diseases in Iran: protocol and preliminary results.International journal of public health · 2017Article
- Health Effects of Waterpipe Tobacco Use: Getting the Public Health Message Just Right.Tobacco use insights · 2017Article
- Prevalence of Hookah Smoking and Its Related Factors Among Students of Tehran University of Medical Sciences, 2012 - 2013.Iranian journal of psychiatry and behavioral sciences · 2016Article
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Authors and funding
19 authors.
Funding
Abstract
objectiveWater-pipe and smokeless tobacco use have been associated with several adverse health outcomes. However, little information is available on the association between water-pipe use and heart disease (HD). Therefore, we investigated the association of smoking water-pipe and chewing nass (a mixture of tobacco, lime and ash) with prevalent HD.
designCross-sectional study.
settingBaseline data (collected in 2004-2008) from a prospective population-based study in Golestan Province, Iran.
participants50 045 residents of Golestan (40-75 years old; 42.4% men).
main outcome measuresORs and 95% CIs from multivariate logistic regression models for the association of water-pipe and nass use with HD prevalence.
resultsA total of 3051 (6.1%) participants reported a history of HD, and 525 (1.1%) and 3726 (7.5%) reported ever water-pipe or nass use, respectively. Heavy water-pipe smoking was significantly associated with HD prevalence (highest level of cumulative use vs never use, OR=3.75; 95% CI 1.52 to 9.22; p for trend=0.04). This association persisted when using different cut-off points, when restricting HD to those taking nitrate compound medications, and among never cigarette smokers. There was no significant association between nass use and HD prevalence (highest category of use vs never use, OR=0.91; 95% CI 0.69 to 1.20).
conclusionsOur study suggests a significant association between HD and heavy water-pipe smoking. Although the existing evidence suggesting similar biological consequences of water-pipe and cigarette smoking make this association plausible, results of our study were based on a modest number of water-pipe users and need to be replicated in further studies.
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