Cigarette use and cardiovascular risk in chronic kidney disease: an unappreciated modifiable lifestyle risk factor.
Affiliation
Regional Kidney Centre, Department of Medicine, Letterkenny General Hospital,, Health Services Executive, County Donegal, Ireland. austin.stack@hse.ieIssue Date
2012-01-31T16:31:18ZMeSH
*Cardiovascular Diseases/epidemiology/etiology/prevention & controlHumans
Incidence
Kidney Failure, Chronic/*complications
*Life Style
Prognosis
Risk Factors
Smoking/*adverse effects/epidemiology
Smoking Cessation/methods
Survival Rate/trends
Metadata
Show full item recordCitation
Semin Dial. 2010 May-Jun;23(3):298-305.Journal
Seminars in dialysisDOI
10.1111/j.1525-139X.2010.00728.xPubMed ID
20636923Abstract
Tobacco use is a major modifiable cardiovascular risk factor in the general population and contributes to excess cardiovascular risk. Emerging evidence from large-scale observational studies suggests that continued tobacco use is also an independent cardiovascular risk factor among patients with chronic kidney disease (CKD). The benefits of smoking cessation programs on improving the heath status of patients and reducing mortality are unequivocal in the general population. Despite this, there has been little effort in pursuing tobacco cessation programs in dialysis cohorts or those with lesser degrees of kidney impairment. Most of our attention to date has focused on the development of "kidney-specific" interventions that reduce rates of renal disease progression and improve dialysis outcomes. The purpose of this current review is to describe the epidemiology of tobacco use among patients with CKD, draw attention to its negative impact on cardiovascular morbidity and mortality, and finally highlight potential strategies for successful intervention. We hope that this study heightens the importance of tobacco use in CKD, stimulates renewed interest in the barriers and challenges that exist in achieving smoking cessation, and endorses the efficacy of intervention strategies and the immeasurable benefits of quitting on cardiovascular and noncardiovascular outcomes.Language
engISSN
1525-139X (Electronic)0894-0959 (Linking)
ae974a485f413a2113503eed53cd6c53
10.1111/j.1525-139X.2010.00728.x