Amount Of Smoking Research Articles

Rapid Growth of Ag Nanoparticles on MoS2 Surfaces: An Effective Method to Improve Fire Safety and Mechanical Properties of Ethylene‐Vinyl Acetate Composites

ABSTRACTTwo‐dimensional molybdenum disulfide (MoS2) nanosheets are promising nanofillers for improving the properties of polymers, but low‐cost, facile and green methods need to be further explored to meet the requirements for large‐scale production of modified MoS2 nanosheets. Here, we developed a new idea that is, to prepare MoS2@Ag by modifying the surface of MoS2 using radiative reduction. It is noteworthy that the modified MoS2@Ag can effectively improve the mechanical strength of ethylene‐vinyl acetate (EVA) composites. In addition, the addition of MoS2@Ag was able to substantially improve the flame‐retardant properties of EVA, resulting in a significant reduction in the amount of heat and smoke released from its combustion. When two parts of MoS2@Ag were added, the peak heat release rate and total smoke release of EVA/2.0MoS2@Ag composites were reduced by 29.7% and 39.2%, respectively, compared with that of pure EVA. At the same time, the toxic gases (e.g., CO) produced by the combustion of EVA composites were significantly reduced, which indicates an improvement in their fire safety.

The impact of wildfire smoke exposure on excess mortality and later-life socioeconomic outcomes: the Great Fire of 1910

AbstractThe Great Fire of 1910 in the northwestern United States burnt more than 1.2 million hectares in just two days and stands as one of the largest wildfires ever recorded. While it is known for having led to the introduction of a rigorous fire suppression regime that lasted for much of the twentieth century, it also generated a considerable amount of smoke far beyond the burnt areas that is likely to have impacted the health of those exposed. This paper examines the short- and long-term impact of this fire-sourced smoke pollution on children, combining historical data with smoke emission and dispersion modelling. The econometric results indicate a 119% increase in excess mortality during the week of the fire and a decrease of 4–14% in later-life socioeconomic status scores 20 and 30 years after the event. This research offers novel insights into wildfire smoke repercussions on health and long-run human capital formation in a setting where avoidance behaviour was minimal.

Smoking Cessation and Incident Cardiovascular Disease

The association between smoking cessation and cardiovascular disease (CVD) risk in relation to cumulative smoking exposure remains poorly understood. To evaluate the associations among smoking cessation, lifetime smoking burden, and CVD risk according to the number of years elapsed after smoking cessation. This retrospective cohort study of the Korean National Health Insurance Service database investigated smoking duration and intensity between January 2006 and December 2008. Participants were categorized by self-reported smoking habits as current, ex-, or never-smokers. Smoking records were updated every 2 years until December 2019, with participants whose smoking status changed or whose smoking status was unclear excluded. Data analysis was performed between June and December 2022. Time-updated self-reported smoking status, years since quitting, and cumulative smoking amount (pack-years [PY]). The primary outcome was incidence and hazard ratio of CVD (composite of cardiovascular death, myocardial infarction, stroke, and heart failure). Overall, 5 391 231 participants (39.9% male; mean [SD] age, 45.8 [14.7] years; 853 756 [15.8%] current smokers, 104 604 [1.9%] ex-smokers, and 4 432 871 [82.2%] never smokers) were followed up for a mean (SD) of 4.2 (4.4) years. The median (IQR) baseline cumulative smoking amounts were 14.0 (7.5-20.0) PY in current smokers and 10.5 (5.3-20.0) PY in ex-smokers. The median (IQR) duration of smoking cessation was 4 (2-8) years for ex-smokers. Regardless of continued smoking, a dose-dependent association was evident between smoking and incident CVD. Compared with current smokers, ex-smokers with a lifetime smoking burden of less than 8 PY (light ex-smokers) experienced a significant reduction in CVD risk within 10 years of cessation, with a CVD risk similar to that of never-smokers. Conversely, ex-smokers with at least 8 PY (heavy ex-smokers) exhibited a slower decline in CVD risk than light ex-smokers, requiring more than 25 years for the residual CVD risk to disappear. In this cohort study, smoking and CVD risk exhibited a dose-dependent association, with light ex-smokers having a CVD risk similar to that of never-smokers relatively soon after smoking cessation. For heavy ex-smokers, greater than 25 years might be required for the residual CVD risk to align with that of never-smokers.

Experimental Study based on Case Analysis for Efficient Management of Smoke Detectors

This paper presents an experimental study aimed at developing effective management strategies for smoke detectors under various environmental conditions. Through surveys and expert consultations, the primary causes of unwanted fire alarms were identified, and scenarios involving humidity, cooking smoke, and dust were selected for re-enactment experiments. The study investigated the operational changes in smoke detectors under varying humidity levels and conducted tests under both normal and humid indoor conditions for cooking smoke. Additional experiments were performed on smoke detectors coated with dust to observe their performance under different humidity and smoke conditions. As a result, it was found that the response time of smoke detectors varied depending on the level of moisture present, the amount of smoke generated, and the accumulation of dust. In conclusion, the study experimentally confirmed that smoke detectors should not be installed in areas exposed to high humidity and highlighted the importance of regular inspection and cleaning to minimize unwanted fire alarms.

Explosion dynamics for thermal runaway gases of 314 Ah LiFePO4 lithium-ion batteries triggered by overheating and overcharging

Thermal runaway (TR) of LiFePO4 lithium-ion batteries (LFPs) can produce significant amounts of smoke, posing serious explosion hazards. This paper systematically investigated TR gas generation, explosion limits, explosion overpressure, and post-explosion gas compositions of 314 Ah LFPs under overcharging and overheating. Quantum chemical and explosion reaction kinetics calculations clarified the elementary reactions and compositional alterations occurring in gases and free radicals during the explosion process. The findings revealed that H2 constituted the primary component of TR gases, comprising 47.64 % and 53.12 % of the overcharging and overheating, respectively, followed by CO2 and CO. The ranges of explosion concentration for TR gases, when subjected to overheating and overcharging conditions, were 6.32–29.3 % and 6.83–26.91 %, respectively. At the point of maximum explosion overpressure (Pmax), the gas concentrations peaked at 15.86 % and 16.25 %. The elementary reaction R1 held a pivotal position in enhancing the explosion overpressure. As the TR gas concentration escalated, the Rate of Production (ROP) of R31 and R35 also surged, ultimately resulting in elevated concentrations of CO. The reactions R123, R250, and R279 facilitated the generation of H2 while simultaneously consuming hydrocarbon gases. This resulted in a risk of secondary explosion of the TR gas after the explosion. Post-explosion gas residual quantities followed the order: C2H6 < C2H4 < CH4 < H2 < CO. The results revealed crucial insights for developing explosion prevention and suppression in the process safety industry and Energy Storage Systems.

Study on flame retardant and smoke suppression of EPDM by sepiolite expansion flame retardant system

AbstractA large amount of smoke will be produced during the combustion of ethylene propylene diene monomer(EPDM), which seriously endangers the environment and personal safety. In this study, K‐SEP was obtained by modifying sepiolite with KH550, and two bio‐based flame retardant and smoke suppression systems AEGS and PEGS were prepared by combining ammonium polyphosphate intumescent flame retardant system (AEG) and piperazine pyrophosphate intumescent flame retardant system (PEG), respectively. The flame retardant and smoke suppression properties of AEGS and PEGS on EPDM matrix composites were investigated. The experimental results show that the LOI values of EPDM/AEGS3 and EPDM/PEGS3 composites with 3 phr K‐SEP are 8.1% and 5.5% higher than those of the blank samples without sepiolite. TSP decreased by 26.3% and 14.3% respectively, which proved that sepiolite has important research value in the field of flame retardant and smoke suppression of polymer materials.

Trajectories in smoking habits and outcomes in patients with stable coronary artery disease

Abstract Background Smoking is a well-identified risk factor for recurrent cardiovascular (CV) events in patients with stable coronary artery disease (CAD). However, smoking status is not binary, and there is a wide diversity of smoking habits trajectories within this population, with different consequences on residual CV risk. Purpose To better understand how smoking status evolves in patients with CAD, and how it is associated with subsequent CV events. Methods We analysed the CLARIFY registry, which included 32,378 patients with CAD. We defined groups according to smoking status at inclusion in the registry: never, former and active smokers. For former smokers, we assessed the timing of definitive smoking discontinuation and its relationship with subsequent CV events. For active smokers, we investigated the association between smoking reduction or discontinuation in active smokers with outcomes. Our primary endpoint was the occurrence of MACE defined by CV death or myocardial infarction (MI) during the 5-year follow-up period adjusted on known predictors for MACE in CAD patients. Results At inclusion, 13,366 (41.3%) patients had never smoked, 14,973 (46.2%) were former smokers, and 4,039 (12.5%) were current smokers, after an average of 6.5 (±6.3) years following CAD diagnosis. In former smokers that were smoking at the time of CAD diagnosis, 72.8% definitively discontinued smoking within the first year following diagnosis, while only 27.2% quit in subsequent years. Each additional year of active smoking after CAD diagnosis increased the risk of MACE (adjusted HR [aHR] 1.08, 95% CI 1.04-1.12 per year). However, regardless of the duration of smoking cessation, former smokers did not return to the cardiovascular risk levels observed in individuals who never smoked (figure). In active smokers at inclusion, smoking cessation was associated with improved CV outcomes, irrespective of the timing of cessation during follow-up (aHR 0.56, 95% CI 0.42-0.76, p &amp;lt; 0.001). Among active smokers, 25.7% reduced their quantity smoked within the first year of follow-up without quitting, but this did not significantly reduce the rate of CV death and MI (aHR 0.96, 95% CI 0.74-1.26, p = 0.78) compared to other active smokers. Conclusion In active smokers diagnosed with CAD, the vast majority of definite quitters cease smoking within the first year of CAD diagnosis. Each subsequent year of active smoking adversely affects CV outcomes. Smoking cessation at any time significantly reduces the risk of CV death or recurrent MI compared to persistent active smokers, although CV risk of former smokers does not decrease to the levels observed in never-smokers. Finally, smoking quantity reduction is not enough to reduce CV risk in this population. These findings underscore the critical importance of timely interventions for smokers diagnosed with CAD, and emphasize that when it comes to smoking cessation, sooner is better, but it is never too late.

Study on road performance and flame retardant properties of direct-to-plant warm mixing-flame retardant SBS composite modified asphalt

In order to mitigate the current state of the asphalt tunnel fire crisis, this study intends to prepare a novel environmentally friendly direct-to-plant warm mixing-flame retardant SBS composite modified asphalt that will slow down the burning of asphalt itself and reduce the amount of smoke that is produced. This research introduced the preparation process for direct-to-plant SBS modified asphalt. Through conventional performance experiments, flash point and oxygen index tests, and based on DSR and BBR tests, a comparative analysis of ATH and HF-216 flame retardants was conducted. Additionally, the road performance and flame retardant properties of various warm mix types were analyzed by compounding them with flame retardants. The findings indicate that ATH and HF-216 flame retardants can, respectively, raise the softening point by 13 % and 16 %, lower the ductivity by 6 % and 7 %, and decrease the needle penetration of D-SBS by 10 % and 18 %.Both can enhance asphalt's high-temperature characteristics while negatively affecting its low-temperature characteristics. Warm mixing agent and flame retardant can greatly increase the consistency and deformation resistance of direct-to-plant SBS-modified asphalt; however, they also reduce the ductility of the material by 26 %, 16 %, and 12 %, respectively, which will negatively impact its performance at low temperatures. The composite modified asphalt's high temperature stability can be enhanced by compound mixing the three types of warm mixture before and after aging; nevertheless, the fatigue performance declines to varying degrees and the fatigue factor rises by 3535, 3811, and 3889 kPa, respectively. The warm mixture and flame retardant mixture's S value is 82.5 MPa, 33.7 MPa, 13.8 MPa (-12°C), and 187.4 MPa, 90.7 MPa, and 40.6 MPa (-18°C) higher than the D-SBS mixture's, respectively. The low temperature brittleness of D-SBS can be increased by combining a heated mixture with a flame retardant. The burning times of the Marshall and rut plate specimens are shortened by 31, 46, 55, and 86 s, respectively, when compared to the D-SBS combination. The residual stability is raised by 19.2 %, 21.2 %, and 6 %, 10.7 %, respectively, while the mass loss before and after combustion is decreased by 3.9 g, 5.8 g, and 26 g, 32 g, respectively. AH type exhibits superior flame retardant performance than WH type.

Reverse Engineering to Design an Ergonomic Bio Briquette Packaging Machine

Briquettes are solids that are produced through the process of compression and pressure applicationand if burned will produce a small amount of smoke. Briquette production is carried out using ahammer mill where the raw material for briquettes is charcoal which is then crushed into charcoalgranules. The packaging process is still done manually using a shovel to fill the 50kg sack and thentake it to the sewing machine. The worker's posture when using a shovel has a Rapid Entire BodyAssessment (REBA) score of 12 so it has a high work risk of musculoskeletal disorders (MSDs) andrequires immediate improvement. The working environment at the company produces pollutants,meaning that there is no capture container for the fall of charcoal grains from the hammer mill. Basedon the existing problems, a redesign of the existing machine is needed. The proposed machine wasdesigned using the Reverse Engineering method because the existing condition already uses themachine then the existing machine is decomposed to find out the components and functions of theexisting machine to find alternative concepts. The ergonomic approach uses REBA and LBA todetermine changes in worker posture and the forces acting in the human spine. The DEM approachwas chosen to find out if the charcoal grains dropped from the hammer mill were successfully capturedand to find out the flow of the charcoal grains. The results of the proposed machine design have agood impact on workers in the packaging process.

Dyspnea, respiratory muscle strength, cough capacity, and sleep quality in individuals with substance use disorder

There is evidence that substance use and smoking cause some adverse effects on the respiratory system. The aim of this study was to assess dyspnea severity, respiratory muscle strength, cough capacity, and sleep quality in people with substance use disorder (SUD). Forty eight individuals with SUD and 28 active cigarette smokers participated in the study. Participants’ dyspnea severity was assessed using the Modified Medical Research Council Scale, respiratory muscle strength was measured with a portable electronic mouth pressure device, peak cough flow was assessed with a Peak Flow Meter, and sleep quality was determined using the Pittsburgh Sleep Quality Index (PSQI). The amount of daily cigarette smoking and dyspnea severity were significantly higher in individuals with SUD (p < .001). Peak cough flow values, maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), MIP (%predicted), and MEP (%predicted) were not significantly different between the SUD patients and the active cigarette smokers (p > .05). However, PSQI sub-parameters such as subjective sleep quality, sleep latency, habitual sleep efficiency, use of sleeping medication, and total scores showed significant differences between the SUD patients and the active cigarette smokers (p < .05, p < .001, p = .03, p < .001, p < .001, respectively). Individuals with SUD were found to have higher dyspnea and poorer sleep quality than active smokers. However, respiratory muscle strength and cough capacities were similar.

Simulating the Response of Tropical Cyclones to Potential Nuclear War

AbstractNuclear war would cause massive amounts of smoke from its associated explosions and fires that would subsequently inject copious amounts of aerosols into the stratosphere. There would also be considerable changes to the global climate system, threatening human health and sustainability. Our work reveals a reduction of global‐scale tropical cyclones (TCs) from a simulation of a nuclear war scenario that could produce ∼150 million tons of smoke. In response to nuclear war, there would be spatially uneven cooling that would result in an anomalous sea surface temperature (SST) gradient pattern. Associated with this would be an anomalous zonal vertical circulation, tending to suppress upward motion and increase vertical wind shear over all TC main development regions, largely explaining the observed TC reduction at regional and global scales. This study improves our understanding of the impact of nuclear war on the TC environment.

Study on air entrainment coefficient for different heat release rates and transverse displacements in a tunnel with unpowered ventilation cap

AbstractAn automobile accident may cause combustion and release large quantities of toxic smoke in tunnels. This article investigates how the heat release rate and fire displacements affect the air entrainment coefficient during smoke one‐dimensional motion stage along the tunnel by using a shaft with unpowered ventilation cap for natural ventilation. The results show that the air entrainment coefficient increases with the heat release rate when plug‐holing occurs in the shaft. The correlation between the air entrainment coefficient and heat release rate is analyzed by dimensionless analysis and verified using experimental data. Different transverse fire source locations do not significantly affect the temperature distribution during the one‐dimensional horizontal spread of smoke. The air entrainment coefficient exhibits no significant difference for different transverse fire source locations, but is lower for a fire closing to the sidewall than for other locations. The ratio of the air entrainment coefficient for a fire source near the sidewall to that for a fire source at the center of the tunnel is 0.76–0.96. This research contributes to a deeper understanding of smoke dynamics in tunnels, which can ultimately aid in the development of strategies to help trapped people escape.

Effect of smoking on the risk of gastrointestinal cancer after cholecystectomy: A national population-based cohort study.

The role of smoking in the incidence of colorectal cancer (CRC) or gastric cancer (GC) in populations undergoing cholecystectomy has not been investigated. To evaluate the effect of smoking on CRC or GC development in cholecystectomy patients. A total of 174874 patients who underwent cholecystectomy between January 1, 2010 and December 31, 2017 were identified using the Korean National Health Insurance Service claims database. These patients were matched 1:1 with members of a healthy population according to age and sex. CRC or GC risk after cholecystectomy and the association between smoking and CRC or GC risk in cholecystectomy patients were evaluated using adjusted hazard ratios (HRs) and 95%CIs. The risks of CRC (adjusted HR: 1.15; 95%CI: 1.06-1.25; P = 0.0013) and GC (adjusted HR: 1.11; 95%CI: 1.01-1.22; P = 0.0027) were significantly higher in cholecystectomy patients. In the population who underwent cholecystectomy, both CRC and GC risk were higher in those who had smoked compared to those who had never smoked. For both cancers, the risk tended to increase in the order of non-smokers, ex-smokers, and current smokers. In addition, a positive correlation was observed between the amount of smoking and the risks of both CRC and GC. Careful follow-up and screening should be performed, focusing on the increased risk of gastrointestinal cancer in the cholecystectomy group, particularly considering the individual smoking habits.

Gastrointestinal parasites of wild Bornean orang-utans (Pongo pygmaeus) in a habitat affected by wildfire smoke

Wildfires are becoming increasingly frequent and severe in the tropical peatlands of Southern Borneo, with major consequences for both wildlife and people that inhabit them. Burning peat releases vast amounts of toxic smoke that, when inhaled, can cause a plethora of health-related issues. With some of the largest remaining populations of Bornean orang-utans (Pongo pygmaeus) being found in peatland forests, wildfires are becoming one of the greatest threats to this Critically Endangered ape, yet the effects of the toxic smoke on their health are unknown. Wildfire has long been known to influence wildlife disease by reducing populations of free-living parasites in the environment (thus altering host exposure), and there is a growing body of evidence to suggest that smoke may affect host susceptibility to such parasites by diminishing physiological condition and immune function. In this study, we investigated parasitic nematode infections in wild Bornean orang-utans inhabiting a drained peatland forest prone to fire and smoke. We identified four gastrointestinal nematode taxa that varied significantly in their prevalence and intensity. Overall prevalence of nematode infection was high, but intensity was relatively low. We present some evidence for an increase the prevalence and intensity of certain nematode taxa after the wildfire smoke event. Namely, an increase in the prevalence of Enterobius spp. and Trichuris spp., and an increase in the intensity of hookworm infections, after the smoke period. We identify the need for multi-year, multi-fire event research to increase sample sizes, along with measuring endocrinological markers of physiological condition, in tandem with parasitological monitoring, to gain a more comprehensive understanding of the impacts of environmental changes on orang-utan health.

Sex disparity, prediagnosis lifestyle factors, and long-term survival of gastric cancer: a multi-center cohort study from China

BackgroundThis multi-center cohort study aimed to investigate whether sex and prediagnosis lifestyle affect the prognosis of gastric cancer.MethodsPatients with gastric cancer were from four gastric cancer cohorts of the National Cancer Center of China, The First Hospital of Lanzhou University, Lanzhou University Second Hospital, and Gansu Provincial Cancer Hospital. Prediagnosis lifestyle factors in our study included body mass index (BMI) at diagnosis, usual BMI, weight loss, the history of Helicobacter pylori (Hp) infection, and the status of smoking and drinking.ResultsFour gastric cancer cohorts with 29,779 gastric cancer patients were included. In total patients, female patients had a better prognosis than male patients (HR = 0.938, 95%CI: 0.881–0.999, P = 0.046). For prediagnosis lifestyle factors, BMI at diagnosis, usual BMI and the amount of smoking were statistically associated with the prognosis of gastric cancer patients. Female patients with smoking history had a poorer survival than non-smoking females (HR = 0.782, 95%CI: 0.616–0.993, P = 0.044). Tobacco consumption > 40 cigarettes per day (HR = 1.182, 95%CI: 1.035–1.350, P = 0.013) was independent adverse prognostic factors in male patients. Obesity paradox was observed only in male patients (BMI < 18.5, HR = 1.145, 95%CI: 1.019–1.286, P = 0.023; BMI: 23–27.4, HR = 0.875, 95%CI: 0.824–0.930, P < 0.001; BMI ≥ 27.5, HR = 0.807, 95%CI: 0.735–0.886, P < 0.001).ConclusionsSex and some prediagnosis lifestyle factors, including BMI at diagnosis, usual BMI and the amount of smoking, were associated with the prognosis of gastric cancer.

Cobalt exposure and pulmonary function reduction in chronic obstructive pulmonary disease patients: the mediating role of club cell secretory protein

BackgroundCobalt (Co) is a metal which is widely used in the industrial production. The previous studies found the toxic effects of environmental Co exposure on multiple organs. However, the correlation of blood Co concentration with lung function was inconsistent in patients with chronic obstructive pulmonary disease (COPD).MethodsAll 771 stable COPD patients were recruited. Peripheral blood and clinical information were collected. The levels of blood Co and serum CC16 were measured.ResultsCross-sectional study suggested that the level of blood Co was inversely and dose-dependently related to lung function parameters. Each 1 ppm elevation of blood Co was related to 0.598 L decline in FVC, 0.465 L decline in FEV1, 6.540% decline in FEV1/FVC%, and 14.013% decline in FEV1%, respectively. Moreover, higher age, enrolled in winter, current-smoking, higher smoking amount, and inhaled corticosteroids prominently exacerbated the negative correlation between blood Co and lung function. Besides, serum CC16 content was gradually reduced with blood Co elevation in COPD patients. Besides, serum CC16 was positively correlated with lung function, and inversely related to blood Co. Additionally, decreased CC16 substantially mediated 11.45% and 6.37% Co-triggered downregulations in FEV1 and FEV1%, respectively.ConclusionBlood Co elevation is closely related to the reductions of pulmonary function and serum CC16. CC16 exerts a significantly mediating role of Co-related to pulmonary function decrease among COPD patients.

Effect of Smoking on the Development of Migraine in Women: Nationwide Cohort Study in South Korea.

Smoking is known to be a significant risk factor for various diseases. Migraine, a condition requiring careful lifestyle management, currently lacks specific guidelines advocating for smoking cessation as a preventive measure. Although cross-sectional studies have suggested a potential link between smoking and an increased risk of migraine, the findings have been inconsistent and conflicting. To date, there has been no longitudinal study which investigated the effect of smoking on the risk of migraine in a prospective setting. This longitudinal study aimed to investigate the impact of smoking on the incidence of migraine in women and examine the modifying effect of menopausal status. Using nationally representative National Health Insurance Service (NHIS) data, women aged ≥40 years who participated in national breast cancer screening in 2009 were followed-up until the end of 2019. Baseline data on smoking status (non-, ex-, and current smoker) as well as the duration and amount of cigarette smoking were collected. A Cox proportional hazards regression model was used to examine the independent effect of smoking on the risk of incident migraine after adjusting for demographics, comorbidities, and female reproductive factors. The results were stratified by menopausal status, and an interaction analysis (smoking × menopause) was performed. In total, 1,827,129 women were included in the analysis. Women with a history of smoking exhibited a higher risk of developing migraine, compared with nonsmokers. Specifically, a higher risk of migraine was observed in women with past (adjusted hazard ratio [HR] 1.044, 95% CI 1.000-1.089) and current cigarette use (adjusted HR 1.050, 95% CI, 1.023-1.079) than in nonsmokers. The effect was greater in premenopausal women (adjusted HR 1.140, 95% CI, 1.108-1.172) than in postmenopausal women (adjusted HR 1.045, 95% CI 1.018-1.073; P<.001). The risk increased with an increased amount of smoking, with a greater association in premenopausal women (P<.001). Smoking increases the risk of migraine in women, with a dose-dependent relationship. Menopause modifies this effect. Our findings suggest that smoking is an important modifiable risk factor of migraine, with a higher impact in premenopausal women. The interaction between smoking and estrogen may increase the vulnerability of the migraine brain.

The correlation between healthy lifestyle habits and all-cause and cardiovascular mortality in Guangxi

BackgroundAdherence to healthy lifestyle habits has become a mainstream approach for lessening the burden of cardiovascular disease (CVD) during initial prevention efforts. The purpose of this study was to investigate the prevalence of four healthy lifestyle habits, the associated factors, and their impact on all-cause and cardiovascular mortality among residents of Guangxi Zhuang Autonomous Region.MethodsFrom 2015 to 2019, individuals between the ages of 35 and 75 from Guangxi Zhuang Autonomous Region were recruited through the ChinaHeart Million Person Project. Our study examined four healthy lifestyle habits: not smoking, no or moderate amounts of alcohol, sufficient leisure time physical activity (LTPA) and a balanced diet.ResultsOut of the 19,969 individuals involved, the majority, 77.3% did not smoke, while 96.7% had limited alcohol intake, 24.5% engaged in sufficient LTPA, 5.5% followed a balanced diet, and merely 1.7% adhered to all four healthy lifestyle habits. Participants who were women, older, nonfarmers, living in cities, with a high income or level of education, or had hypertension or diabetes were more likely to follow all four healthy lifestyle habits (p < 0.001). People who followed the three healthy lifestyle habits had reduced chances of death from all cause (HR 0.34[95% CI:0.15,0.76]) and cardiovascular-related death (HR 0.23 [95% CI: 0.07, 0.68]) (p < 0.01) over a median period of 3.5 years.ConclusionsIn Guangxi Province, the level of adherence to healthy lifestyle habits is very minimal. Therefore, population-specific health promotion strategies are urgently needed.

Maternal smoking DNA methylation risk score associated with health outcomes in offspring of European and South Asian ancestry

Background:Maternal smoking has been linked to adverse health outcomes in newborns but the extent to which it impacts newborn health has not been quantified through an aggregated cord blood DNA methylation (DNAm) score. Here, we examine the feasibility of using cord blood DNAm scores leveraging large external studies as discovery samples to capture the epigenetic signature of maternal smoking and its influence on newborns in White European and South Asian populations.Methods:We first examined the association between individual CpGs and cigarette smoking during pregnancy, and smoking exposure in two White European birth cohorts (n=744). Leveraging established CpGs for maternal smoking, we constructed a cord blood epigenetic score of maternal smoking that was validated in one of the European-origin cohorts (n=347). This score was then tested for association with smoking status, secondary smoking exposure during pregnancy, and health outcomes in offspring measured after birth in an independent White European (n=397) and a South Asian birth cohort (n=504).Results:Several previously reported genes for maternal smoking were supported, with the strongest and most consistent association signal from the GFI1 gene (6 CpGs with p&lt;5 × 10-5). The epigenetic maternal smoking score was strongly associated with smoking status during pregnancy (OR = 1.09 [1.07, 1.10], p=5.5 × 10-33) and more hours of self-reported smoking exposure per week (1.93 [1.27, 2.58], p=7.8 × 10-9) in White Europeans. However, it was not associated with self-reported exposure (p&gt;0.05) among South Asians, likely due to a lack of smoking in this group. The same score was consistently associated with a smaller birth size (–0.37±0.12 cm, p=0.0023) in the South Asian cohort and a lower birth weight (–0.043±0.013 kg, p=0.0011) in the combined cohorts.Conclusions:This cord blood epigenetic score can help identify babies exposed to maternal smoking and assess its long-term impact on growth. Notably, these results indicate a consistent association between the DNAm signature of maternal smoking and a small body size and low birth weight in newborns, in both White European mothers who exhibited some amount of smoking and in South Asian mothers who themselves were not active smokers.Funding:This study was funded by the Canadian Institutes of Health Research Metabolomics Team Grant: MWG-146332.

Maternal smoking DNA methylation risk score associated with health outcomes in offspring of European and South Asian ancestry.

Maternal smoking has been linked to adverse health outcomes in newborns but the extent to which it impacts newborn health has not been quantified through an aggregated cord blood DNA methylation (DNAm) score. Here, we examine the feasibility of using cord blood DNAm scores leveraging large external studies as discovery samples to capture the epigenetic signature of maternal smoking and its influence on newborns in White European and South Asian populations. We first examined the association between individual CpGs and cigarette smoking during pregnancy, and smoking exposure in two White European birth cohorts (n=744). Leveraging established CpGs for maternal smoking, we constructed a cord blood epigenetic score of maternal smoking that was validated in one of the European-origin cohorts (n=347). This score was then tested for association with smoking status, secondary smoking exposure during pregnancy, and health outcomes in offspring measured after birth in an independent White European (n=397) and a South Asian birth cohort (n=504). Several previously reported genes for maternal smoking were supported, with the strongest and most consistent association signal from the GFI1 gene (6 CpGs with p<5 × 10-5). The epigenetic maternal smoking score was strongly associated with smoking status during pregnancy (OR = 1.09 [1.07, 1.10], p=5.5 × 10-33) and more hours of self-reported smoking exposure per week (1.93 [1.27, 2.58], p=7.8 × 10-9) in White Europeans. However, it was not associated with self-reported exposure (p>0.05) among South Asians, likely due to a lack of smoking in this group. The same score was consistently associated with a smaller birth size (-0.37±0.12 cm, p=0.0023) in the South Asian cohort and a lower birth weight (-0.043±0.013 kg, p=0.0011) in the combined cohorts. This cord blood epigenetic score can help identify babies exposed to maternal smoking and assess its long-term impact on growth. Notably, these results indicate a consistent association between the DNAm signature of maternal smoking and a small body size and low birth weight in newborns, in both White European mothers who exhibited some amount of smoking and in South Asian mothers who themselves were not active smokers. This study was funded by the Canadian Institutes of Health Research Metabolomics Team Grant: MWG-146332.