ArticleDiabetology & metabolic syndrome2018
Hookah smoking is strongly associated with diabetes mellitus, metabolic syndrome and obesity: a population-based study.
Article in Diabetology & metabolic syndrome, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 30 citations in OpenAlex.
- Impact of smoking hookah and cigarettes on hematological and biochemical profiles in the Iranian population.Journal of health, population, and nutrition · 2026Article
- Effect of the cysteine prodrug L-2-oxothiazolidine-4-carboxylic acid onFrontiers in toxicology · 2026Article
- 2024 Thai guidelines on the treatment of hypertension.Asian biomedicine : research, reviews and news · 2025Article
- Assessing the risk of metabolic syndrome and diabetes in relation to Hookah smoking: Evidence from a cohort study in Southern Iran.Health science reports · 2024Article
- Prevalence and Incidence of Metabolic Syndrome and Its Components Among Waterpipe Users.International journal of public health · 2024Article
- Research impact in randomized controlled trials of diabetes: an altmetric approach.Journal of diabetes and metabolic disorders · 2023Article
- The effect of smoking on latent hazard classes of metabolic syndrome using latent class causal analysis method in the Iranian population.BMC public health · 2023Article
- Review
- Does a Course of Aerobic Training Affect the Inflammatory Status and Cardiometabolic Risk Factors of Hookah-smoker Women? Results of a Cross-sectional Study.Addiction & health · 2022Article
- [The use of water pipe and its impact on university students' lifestyle and their psychological distress: a cross-sectional study.]Revista espanola de salud publica · 2020Observational
- Effect of waterpipe tobacco smoke exposure on the development of metabolic syndrome in adult male rats.PloS one · 2020Article
- Blood lipids and pressures data of exclusive narghile smokers compared with healthy non-smokers: studies from thin to thick.Environmental science and pollution research international · 2019Article
- Association Between Smoking Hookahs (Shishas) and Higher Risk of Obesity: A Systematic Review of Population-Based Studies.Journal of cardiovascular development and disease · 2019Review
- Effects of Endurance Exercise Training on Cardiac Dysfunction Induced by Waterpipe Tobacco Smoking.Addiction & health · 2019Article
- The Prevalence and Trend of Metabolic Syndrome in the South-East of Iran.Journal of medicine and lifeArticle
- Biochemical Data and Metabolic Profiles of Male Exclusive Narghile Smokers (ENSs) Compared With Apparently Healthy Nonsmokers (AHNSs).American journal of men's healthArticle
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Authors and funding
11 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe adverse effects of cigarette smoking have been widely studied before, whilst the effects of hookah smoking has received less attention, although it is a common habit in the Middle East. Here we have investigated the effects of cigarette and hookah smoking on biochemical characteristics in a representative population sample derived from the Mashhad stroke and heart atherosclerotic disorder (MASHAD) cohort study, from Northeastern Iran. STUDY
designA total of 9840 subjects from the MASHAD population study were allocated to five groups; non-smokers (6742), ex-smokers (976), cigarette smokers (864), hookah smokers (1067), concomitant cigarette and hookah smokers (41).
methodsBaseline characteristics were recorded in a questionnaire. Biochemical characteristics were measured by routine methods. Data were analyzed using SPSS software and p < 0.05 was considered significant.
resultsAfter adjustment for age and sex; the presence of CVD, obesity, metabolic syndrome, DM and dyslipidemia were significantly (p < 0.001) related to smoking status. After multivariate analysis, HDL (p < 0.001), WBC (p < 0.001), MCV (p < 0.05), PLT (p < 0.01) and RDW (p < 0.001), and the presence of CVD (p < 0.01), obesity (p < 0.001), metabolic syndrome (p < 0.05) and DM (p < 0.01) remained significant between cigarette smokers and non-smokers. Between hookah smokers and non-smokers; uric acid (p < 0.001), PLT (p < 0.05) and RDW (p < 0.05), and the presence of obesity (p < 0.01), metabolic syndrome (p < 0.001), diabetes (p < 0.01) and dyslipidemia (p < 0.01) remained significant after logistic regression.
conclusionThere was a positive association between hookah smoking and metabolic syndrome, diabetes, obesity and dyslipidemia which was not established in cigarette smoking.
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