Evidence map›Paper›PMID 30169581›Full record

ArticleEuropean heart journal2019

Early vascular damage from smoking and alcohol in teenage years: the ALSPAC study.

Marietta Charakida, George Georgiopoulos, Frida Dangardt, Scott T Chiesa, Alun D Hughes, Alicja Rapala, George Davey Smith, Debbie Lawlor, Nicholas Finer, John E Deanfield

Abstract read
In one paragraph

Article in European heart journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Article
  8. A multilevel conceptual framework for dementia: from life-course mechanisms to public health strategies.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
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  19. Association between tobacco smoking and alcohol consumption with arterial stiffness.Journal of clinical hypertension (Greenwich, Conn.) · 2023
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Marietta CharakidaInstitute of Cardiovascular Science, University College London, UK.
George GeorgiopoulosInstitute of Cardiovascular Science, University College London, UK.
Frida DangardtInstitute of Cardiovascular Science, University College London, UK.
Scott T ChiesaInstitute of Cardiovascular Science, University College London, UK.
Alun D HughesInstitute of Cardiovascular Science, University College London, UK.
Alicja RapalaInstitute of Cardiovascular Science, University College London, UK.
George Davey SmithMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Debbie LawlorMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.
Nicholas FinerInstitute of Cardiovascular Science, University College London, UK.
John E DeanfieldInstitute of Cardiovascular Science, University College London, UK.

Funding

British Heart Foundation CS/13/1/30327British Heart Foundation CS/15/6/31468British Heart Foundation RG/10/004/28240Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_00011/6Medical Research Council MC_UU_12013/3Medical Research Council MC_UU_12013/5Wellcome Trust
6 · The paper itself

Abstract

Aims: To determine the impact of smoking and alcohol exposure during adolescence on arterial stiffness at 17 years. Methods and results: Smoking and alcohol use were assessed by questionnaires at 13, 15, and 17 years in 1266 participants (425 males and 841 females) from the ALSPAC study. Smoking status (smokers and non-smoker) and intensity ('high' ≥100, 'moderate' 20-99, and 'low or never' <20 cigarettes in lifetime) were ascertained. Participants were classified by frequency (low or high) and intensity of drinking [light (LI <2), medium (MI 3-9), and heavy (HI >10 drinks on a typical drinking day)]. Carotid to femoral pulse wave velocity (PWV) was assessed at 17 years [mean ± standard deviation and/or mean difference (95% confidence intervals)]. Current smokers had higher PWV compared with non-smokers (P = 0.003). Higher smoking exposure was associated with higher PWV compared with non-smokers [5.81 ± 0.725 vs. 5.71 ± 0.677 m/s, mean adjusted difference 0.211 (0.087-0.334) m/s, P = 0.001]. Participants who stopped smoking had similar PWV to never smokers (P = 0.160). High-intensity drinkers had increased PWV [HI 5.85 ± 0.8 vs. LI 5.67 ± 0.604 m/s, mean adjusted difference 0.266 (0.055-0.476) m/s, P = 0.013]. There was an additive effect of smoking intensity and alcohol intensity, so that 'high' smokers who were also HI drinkers had higher PWV compared with never-smokers and LI drinkers [mean adjusted increase 0.603 (0.229-0.978) m/s, P = 0.002]. Conclusion: Smoking exposure even at low levels and intensity of alcohol use were associated individually and together with increased arterial stiffness. Public health strategies need to prevent adoption of these habits in adolescence to preserve or restore arterial health.

Indexed as

AdolescentAlcohol DrinkingBlood PressureFemaleFollow-Up StudiesHumansIncidenceMalePulse Wave AnalysisRisk AssessmentRisk FactorsSmokingSurveys and QuestionnairesTime FactorsUnited KingdomVascular Diseases

Identifiers

PMID30169581
PMCPMC6340100

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.