Evidence map›Paper›PMID 34298890›Full record

ReviewInternational journal of molecular sciences2021

Smoking and Neuropsychiatric Disease-Associations and Underlying Mechanisms.

Omar Hahad, Andreas Daiber, Matthias Michal, Marin Kuntic, Klaus Lieb, Manfred Beutel, Thomas Münzel

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Comorbidity and Familial Aggregation of Mood Disorders and Cigarette Smoking in a Controlled Family Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  4. Impact of Physical Activity on Smoking, Sleep Disorders, and Depression Among U.S. Adults.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Substance Use and Concurrent Disorders: Current Context and the Need for Treatment Integration.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2025
    Article
  19. Review
  20. Article
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

7 authors at 1 institution in 1 country.

Omar HahadUniversity Medical Center, Department of Cardiology-Cardiology I, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.ORCID 0000-0001-7823-7671
Andreas DaiberUniversity Medical Center, Department of Cardiology-Cardiology I, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.ORCID 0000-0002-2769-0094
Matthias MichalGerman Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, 55131 Mainz, Germany.
Marin KunticUniversity Medical Center, Department of Cardiology-Cardiology I, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.ORCID 0000-0003-2435-851X
Klaus LiebUniversity Medical Center, Department of Psychiatry and Psychotherapy, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.
Manfred BeutelUniversity Medical Center, Department of Psychosomatic Medicine and Psychotherapy, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.
Thomas MünzelUniversity Medical Center, Department of Cardiology-Cardiology I, Johannes Gutenberg-University Mainz, 55131 Mainz, Germany.ORCID 0000-0001-5503-4150
Johannes Gutenberg University Mainz · DE

Funding

Boehringer Ingelheim Stiftung collaborative research group "Novel and neglected cardiovascular risk factors: molecular mechanisms and therapeutics"Deutsches Zentrum für Herz-Kreislaufforschung Partnersite Rhine-Main, MainzStiftung Mainzer Herz Mainzer Herz 17 & 21
6 · The paper itself

Abstract

Despite extensive efforts to combat cigarette smoking/tobacco use, it still remains a leading cause of global morbidity and mortality, killing more than eight million people each year. While tobacco smoking is a major risk factor for non-communicable diseases related to the four main groups-cardiovascular disease, cancer, chronic lung disease, and diabetes-its impact on neuropsychiatric risk is rather elusive. The aim of this review article is to emphasize the importance of smoking as a potential risk factor for neuropsychiatric disease and to identify central pathophysiological mechanisms that may contribute to this relationship. There is strong evidence from epidemiological and experimental studies indicating that smoking may increase the risk of various neuropsychiatric diseases, such as dementia/cognitive decline, schizophrenia/psychosis, depression, anxiety disorder, and suicidal behavior induced by structural and functional alterations of the central nervous system, mainly centered on inflammatory and oxidative stress pathways. From a public health perspective, preventive measures and policies designed to counteract the global epidemic of smoking should necessarily include warnings and actions that address the risk of neuropsychiatric disease.

Indexed as

AnimalsAnxiety DisordersHumansOxidative StressRisk FactorsSignal TransductionSmokingTobacco Smokinginflammationneuropsychiatric disorderoxidative stresssmokingsmoking-induced disease

Identifiers

PMID34298890
PMCPMC8304236
OpenAlexW3181381262

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.