Evidence map›Paper›PMID 31675936›Full record

ArticleBMC public health2019

Associations of tobacco smoking with body mass distribution; a population-based study of 65,875 men and women in midlife.

Sidsel Graff-Iversen, Stephen Hewitt, Lisa Forsén, Liv Grøtvedt, Inger Ariansen

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sidsel Graff-IversenDivision of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway. sgri@fhi.no.ORCID http://orcid.org/0000-0002-7044-8228
Stephen HewittDepartment of Endocrinology, Morbid Obesity and Preventive Medicine, Medical Clinic, Oslo University Hospital Aker, Oslo, Norway.
Lisa ForsénDivision of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Liv GrøtvedtDivision of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.
Inger AriansenDivision of Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies indicate an effect of smoking toward abdominal obesity, but few assess hip and waist circumferences (HC and WC) independently. The present study aimed to assess the associations of smoking status and volume smoked with HC and WC and their ratio in a population with low prevalence of obesity together with high prevalence of smoking.

methodsWe used cross-sectional survey data from 11 of a total 19 Norwegian counties examined in 1997-99 including 65,875 men and women aged 39-44 years. Analysis of associations were adjusted for confounding by socioeconomic position, health indicators, and additionally for BMI.

resultsCompared with never-smokers, when adjusting for confounders and in addition for BMI, mean HC remained lower while mean WC and waist-hip-ratio (WHR) were higher in current smokers. The finding of a lower HC and higher WHR level among smokers was consistent by sex and in strata by levels of education and physical activity, while the finding of higher WC by smoking was less consistent. Among current smokers, BMI-adjusted mean HC decreased whereas WC and WHR increased by volume smoked. Compared with current smokers, former smokers had higher BMI-adjusted HC, lower WHR and among women WC was lower.

conclusionsThe main finding in this study was the consistent negative associations of smoking with HC. In line with the hypothesis that lower percentage gluteofemoral fat is linked with higher cardiovascular risk, our results suggest that smoking impacts cardiovascular risk through mechanisms that reduce the capacity of fat storage in the lower body region.

Indexed as

AdultCross-Sectional StudiesFemaleHumansMaleNorwayObesityPrevalenceTobacco SmokingWaist CircumferenceWaist-Hip RatioAbdominal obesityHip circumferenceSmokingWaist circumferenceWaist-hip ratio

Identifiers

PMID31675936
PMCPMC6825363

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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.