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Title:
Cigarette smoking and smoking cessation in relation to risk of rheumatoid arthritis in women | Arthritis Research & Therapy
Description:
Introduction Whereas the overall association between smoking and rheumatoid arthritis (RA) must be regarded as established, considerably less is known about how much smoking is needed to increase the risk of RA, that is, the effect of smoking intensity, duration and cessation. Methods The Swedish Mammography Cohort, including 34,101 women aged 54 to 89 years, was followed up from January 1, 2003 through December 31, 2010 (219 RA cases identified). Relative risks (RR) and their 95% confidence intervals (CI) were estimated as rate ratios using Cox proportional hazards model. Results There was a statistically significant association between smoking intensity (RR comparing 1 to 7 cigarettes/day vs never smoking 2.31 (95% CI: 1.59, 3.36)) as well as duration of smoking (comparing 1 to 25 years vs never smoking RR = 1.60 (95% CI: 1.07, 2.38)) and risk of RA. Compared to never smokers, the risk was still significantly elevated 15 years after smoking cessation (RR = 1.99 (95% CI: 1.23, 3.20)). However, among former smokers, the risk of RA seemed to be decreasing over time since stopping smoking: women who stopped smoking 15 years before the start of the follow-up had 30% lower risk of RA compared to those who stopped only a year before start of the follow-up (RR = 0.70 (95% CI: 0.24,2.02)). Conclusions This prospective study highlights that even light cigarette smoking is associated with increased risk of RA in women and that smoking cessation may reduce, though not remove, this risk.
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smoking, risk, arthritis, article, pubmed, rheumatoid, years, google, scholar, smokers, study, cessation, women, cigarette, intensity, results, cases, duration, swedish, followup, cas, cohort, data, packyears, analysis, number, start, age, table, rheum, central, information, research, statistically, studies, additional, association, compared, stopped, increased, current, sensitivity, alfredsson, previous, status, quitting, register, smoked, period, file,
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swedish research council/committee article download pdf prospective population-based design population-based prospective study previous case-control study hla-drb1 shared epitope acpa-negative rheumatoid arthritis case-control study [6] case-control studies [1โ15] daniela di giuseppe rheumatology unit d2 related subjects ra joint conditions full size image shared-epitope genes shared epitope genes inflammatory rheumatic diseases privacy choices/manage cookies developing acpa-positive chronic inflammatory diseases dentistry tobacco introduction full access tobacco cessation motivators swedish national board ms di giuseppe body mass index private care-givers articleย numberย r56 swedish rheumatology register methods study population cyclic citrullinated peptides malaysian epidemiological investigation standard health care restricted immune reactions seropositive rheumatoid arthritis prospective study highlights swedish mammography cohort arthritis res ther biomed central developing rheumatoid arthritis trigger hla-dr icd-10 codes m07 icd-10 codes m05 alternative lag periods nat rev immunol swedish death register myeira study group experimental autoimmune arthritis light cigarette smoking current tobacco smoking
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headline:Cigarette smoking and smoking cessation in relation to risk of rheumatoid arthritis in women
description:Whereas the overall association between smoking and rheumatoid arthritis (RA) must be regarded as established, considerably less is known about how much smoking is needed to increase the risk of RA, that is, the effect of smoking intensity, duration and cessation. The Swedish Mammography Cohort, including 34,101 women aged 54 to 89 years, was followed up from January 1, 2003 through December 31, 2010 (219 RA cases identified). Relative risks (RR) and their 95% confidence intervals (CI) were estimated as rate ratios using Cox proportional hazards model. There was a statistically significant association between smoking intensity (RR comparing 1 to 7 cigarettes/day vs never smoking 2.31 (95% CI: 1.59, 3.36)) as well as duration of smoking (comparing 1 to 25 years vs never smoking RR = 1.60 (95% CI: 1.07, 2.38)) and risk of RA. Compared to never smokers, the risk was still significantly elevated 15 years after smoking cessation (RR = 1.99 (95% CI: 1.23, 3.20)). However, among former smokers, the risk of RA seemed to be decreasing over time since stopping smoking: women who stopped smoking 15 years before the start of the follow-up had 30% lower risk of RA compared to those who stopped only a year before start of the follow-up (RR = 0.70 (95% CI: 0.24,2.02)). This prospective study highlights that even light cigarette smoking is associated with increased risk of RA in women and that smoking cessation may reduce, though not remove, this risk.
datePublished:2013-04-22T00:00:00Z
dateModified:2013-04-22T00:00:00Z
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Rheumatoid Arthritis
Smoking Cessation
Light Smoking
Smoking Intensity
Rheumatoid Arthritis Case
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Orthopedics
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headline:Cigarette smoking and smoking cessation in relation to risk of rheumatoid arthritis in women
description:Whereas the overall association between smoking and rheumatoid arthritis (RA) must be regarded as established, considerably less is known about how much smoking is needed to increase the risk of RA, that is, the effect of smoking intensity, duration and cessation. The Swedish Mammography Cohort, including 34,101 women aged 54 to 89 years, was followed up from January 1, 2003 through December 31, 2010 (219 RA cases identified). Relative risks (RR) and their 95% confidence intervals (CI) were estimated as rate ratios using Cox proportional hazards model. There was a statistically significant association between smoking intensity (RR comparing 1 to 7 cigarettes/day vs never smoking 2.31 (95% CI: 1.59, 3.36)) as well as duration of smoking (comparing 1 to 25 years vs never smoking RR = 1.60 (95% CI: 1.07, 2.38)) and risk of RA. Compared to never smokers, the risk was still significantly elevated 15 years after smoking cessation (RR = 1.99 (95% CI: 1.23, 3.20)). However, among former smokers, the risk of RA seemed to be decreasing over time since stopping smoking: women who stopped smoking 15 years before the start of the follow-up had 30% lower risk of RA compared to those who stopped only a year before start of the follow-up (RR = 0.70 (95% CI: 0.24,2.02)). This prospective study highlights that even light cigarette smoking is associated with increased risk of RA in women and that smoking cessation may reduce, though not remove, this risk.
datePublished:2013-04-22T00:00:00Z
dateModified:2013-04-22T00:00:00Z
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Smoking Cessation
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Smoking Intensity
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