新型烟草产品包括电子烟和加热烟草产品增加了青少年过敏性鼻炎和哮喘的风险：韩国青年调查分析
2020/02/11
摘要
背景：新型烟草制品，例如电子烟（EC）和加热的烟草制品（HTP）对变应性鼻炎（AR）和哮喘的影响尚不清楚。本文评估了新型烟草产品对哮喘和AR的健康影响。
方法：本研究是使用韩国初中和高中学生的大量调查数据进行的。评估了当前哮喘/ AR与新型烟草制品使用者状态之间的关系。为了比较常规香烟（CC），EC和HTP的使用对当前过敏性疾病的综合影响，将参与者根据CC（当前，之前和从未），EC（当前，之前和从未）和HTP（曾有和从未）的状态分为18组。
结果：共分析了代表2,850,118名韩国青少年的60,040名参与者。在所有参与者中，当前CC，EC和曾有的HTP用户分别为6.7％，2.7％和2.9％。在调整后的模型中，当前使用CC和曾经使用过的HTP与当前的哮喘和AR显著相关。当前EC显示与当前AR相关，但与哮喘的相关性在调整后的模型中消失了。在18个组中，包括当前使用CC组比从未HTP，从未EC，从未CC组显示出对当前AR和哮喘的风险更高。与从未使用HTC-从未使用EC的当前CC用户组比，同时使用EC和/或HTP的CC的患者哮喘的患病率更高。
结论：在青少年中使用EC和/或HTP可能会增强CC对AR和哮喘的不良影响。
Novel tobacco products including electronic cigarette and heated tobacco products increase risk of allergic rhinitis and asthma in adolescents: Analysis of Korean youth survey.
Chung SJ, Kim BK, Oh JH, Shim JS, Chang YS, Cho SH, Yang MS.
Allergy. 2020 Jan 31. doi: 10.1111/all.14212. [Epub ahead of print]
Abstract
BACKGROUND:The effect of novel tobacco products, such as electronic cigarettes (EC) and heated tobacco products (HTP), on allergic rhinitis (AR) and asthma is not well known. To evaluate the health effect of novel tobacco products on asthma and AR.
MEthodS:This study was conducted using large survey data on Korean middle and high school students. The relationship between current asthma/AR and novel tobacco products user status was evaluated. In order to compare the combined effects of conventional cigarette (CC), EC, and HTP use on current allergic diseases, the participants were classified into 18 groups based on CC (current, former, and never), EC (current, former, and never), and HTP (ever and never) status.
RESULTS:A total of 60,040 participants representing 2,850,118 Korean adolescents were analyzed. Of all participants, 6.7%, 2.7%, and 2.9% were current CC, current EC, and ever HTP users, respectively. Current CC and ever HTP use was significantly associated with current asthma and AR in adjusted models. Current EC showed association with current AR but the association with asthma disappeared in the adjusted model. Among 18 groups, the groups including current CC use showed higher risk of current AR and asthma than never HTP-never EC-never CC group. The odds ratio of current asthma especially increased more in those who used EC and/or HTP with CC concurrently than those in the never HTP-never EC-current CC user group.
CONCLUSIONS:Using EC and/or HTP in adolescents might enhance the adverse effect of CC on AR and asthma.
背景：新型烟草制品，例如电子烟（EC）和加热的烟草制品（HTP）对变应性鼻炎（AR）和哮喘的影响尚不清楚。本文评估了新型烟草产品对哮喘和AR的健康影响。
方法：本研究是使用韩国初中和高中学生的大量调查数据进行的。评估了当前哮喘/ AR与新型烟草制品使用者状态之间的关系。为了比较常规香烟（CC），EC和HTP的使用对当前过敏性疾病的综合影响，将参与者根据CC（当前，之前和从未），EC（当前，之前和从未）和HTP（曾有和从未）的状态分为18组。
结果：共分析了代表2,850,118名韩国青少年的60,040名参与者。在所有参与者中，当前CC，EC和曾有的HTP用户分别为6.7％，2.7％和2.9％。在调整后的模型中，当前使用CC和曾经使用过的HTP与当前的哮喘和AR显著相关。当前EC显示与当前AR相关，但与哮喘的相关性在调整后的模型中消失了。在18个组中，包括当前使用CC组比从未HTP，从未EC，从未CC组显示出对当前AR和哮喘的风险更高。与从未使用HTC-从未使用EC的当前CC用户组比，同时使用EC和/或HTP的CC的患者哮喘的患病率更高。
结论：在青少年中使用EC和/或HTP可能会增强CC对AR和哮喘的不良影响。
(中日友好医院呼吸与危重症医学科 王瑞茵 摘译 林江涛 审校)
(Allergy. 2020 Jan 31. doi: 10.1111/all.14212. [Epub ahead of print])
(Allergy. 2020 Jan 31. doi: 10.1111/all.14212. [Epub ahead of print])
Novel tobacco products including electronic cigarette and heated tobacco products increase risk of allergic rhinitis and asthma in adolescents: Analysis of Korean youth survey.
Chung SJ, Kim BK, Oh JH, Shim JS, Chang YS, Cho SH, Yang MS.
Allergy. 2020 Jan 31. doi: 10.1111/all.14212. [Epub ahead of print]
Abstract
BACKGROUND:The effect of novel tobacco products, such as electronic cigarettes (EC) and heated tobacco products (HTP), on allergic rhinitis (AR) and asthma is not well known. To evaluate the health effect of novel tobacco products on asthma and AR.
MEthodS:This study was conducted using large survey data on Korean middle and high school students. The relationship between current asthma/AR and novel tobacco products user status was evaluated. In order to compare the combined effects of conventional cigarette (CC), EC, and HTP use on current allergic diseases, the participants were classified into 18 groups based on CC (current, former, and never), EC (current, former, and never), and HTP (ever and never) status.
RESULTS:A total of 60,040 participants representing 2,850,118 Korean adolescents were analyzed. Of all participants, 6.7%, 2.7%, and 2.9% were current CC, current EC, and ever HTP users, respectively. Current CC and ever HTP use was significantly associated with current asthma and AR in adjusted models. Current EC showed association with current AR but the association with asthma disappeared in the adjusted model. Among 18 groups, the groups including current CC use showed higher risk of current AR and asthma than never HTP-never EC-never CC group. The odds ratio of current asthma especially increased more in those who used EC and/or HTP with CC concurrently than those in the never HTP-never EC-current CC user group.
CONCLUSIONS:Using EC and/or HTP in adolescents might enhance the adverse effect of CC on AR and asthma.
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