Movement Disorders (revue)

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Population‐based case–control study of cigarette smoking and essential tremor

Identifieur interne : 000886 ( Istex/Corpus ); précédent : 000885; suivant : 000887

Population‐based case–control study of cigarette smoking and essential tremor

Auteurs : Julián Benito-Le N ; Elan D. Louis ; Félix Bermejo-Pareja

Source :

RBID : ISTEX:76B5298048EA33E13E12C0766277644A40ED79FC

English descriptors

Abstract

Parkinson's disease (PD) is inversely associated with smoking cigarettes. Despite long‐standing clinical links between PD and essential tremor (ET), there are surprisingly few data on smoking in ET. We studied whether smoking cigarettes is inversely associated with ET. Using a population‐based, case–control design, cigarette smoking habits were assessed in 221 prevalent ET cases (75.5 ± 7.1 years old) and 663 matched controls (74.6 ± 7.0 years old). In logistical regression analyses, diagnosis (ET vs. control) was the dependent variable, and cigarette smoking status, the independent variable. Ever smokers were marginally less likely to have ET than were never smokers (22.0% vs. 27.0%, odds ratio [OR] 0.76, 95% confidence interval [CI] 0.55–1.04, P = 0.09). In an analysis that adjusted for confounding factors (drink‐years and depressive symptoms), ever smokers were nearly half less likely to have ET than the never smokers (OR 0.58, 95% CI 0.40–0.84, P = 0.004). There was a strong inverse association between pack‐years and odds of ET (adjusted OR 0.991, 95% CI 0.984–0.997, P = 0.005, i.e., with every 10 pack‐year increase, odds of ET were lowered 10%). Ever smokers in the highest pack‐year tertile were one‐third as likely to have ET than the never smokers (adjusted OR 0.39, 95% CI 0.22–0.69, P = 0.001). We demonstrated an inverse association between ever smoking and ET. Additional studies are needed to reproduce these findings and assess whether this association is due to a biologically protective effect. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21810

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ISTEX:76B5298048EA33E13E12C0766277644A40ED79FC

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<degrees>MD, PhD</degrees>
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<keyword xml:id="kwd1">essential tremor</keyword>
<keyword xml:id="kwd2">cigarette smoking</keyword>
<keyword xml:id="kwd3">epidemiology</keyword>
<keyword xml:id="kwd4">case–control studies.</keyword>
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<fundingNumber>FIS 93/0773</fundingNumber>
<fundingNumber>96/1993</fundingNumber>
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<fundingAgency>Spanish Office of Science and Technology</fundingAgency>
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<fundingInfo>
<fundingAgency>National Institutes of Health, Bethesda, MD</fundingAgency>
<fundingNumber>NIH R01 NS042859</fundingNumber>
<fundingNumber>R01 NS039422</fundingNumber>
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<title type="main">Abstract</title>
<p>Parkinson's disease (PD) is inversely associated with smoking cigarettes. Despite long‐standing clinical links between PD and essential tremor (ET), there are surprisingly few data on smoking in ET. We studied whether smoking cigarettes is inversely associated with ET. Using a population‐based, case–control design, cigarette smoking habits were assessed in 221 prevalent ET cases (75.5 ± 7.1 years old) and 663 matched controls (74.6 ± 7.0 years old). In logistical regression analyses, diagnosis (ET vs. control) was the dependent variable, and cigarette smoking status, the independent variable. Ever smokers were marginally less likely to have ET than were never smokers (22.0% vs. 27.0%, odds ratio [OR] 0.76, 95% confidence interval [CI] 0.55–1.04,
<i>P</i>
= 0.09). In an analysis that adjusted for confounding factors (drink‐years and depressive symptoms), ever smokers were nearly half less likely to have ET than the never smokers (OR 0.58, 95% CI 0.40–0.84,
<i>P</i>
= 0.004). There was a strong inverse association between pack‐years and odds of ET (adjusted OR 0.991, 95% CI 0.984–0.997,
<i>P</i>
= 0.005, i.e., with every 10 pack‐year increase, odds of ET were lowered 10%). Ever smokers in the highest pack‐year tertile were one‐third as likely to have ET than the never smokers (adjusted OR 0.39, 95% CI 0.22–0.69,
<i>P</i>
= 0.001). We demonstrated an inverse association between ever smoking and ET. Additional studies are needed to reproduce these findings and assess whether this association is due to a biologically protective effect. © 2007 Movement Disorder Society</p>
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<p>The other members of the Neurological Disorders in Central Spain (NEDICES) Study Group are listed in Appendix.</p>
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<affiliation>Department of Neurology, University Hospital “12 de Octubre,” Madrid, Spain</affiliation>
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<namePart type="termsOfAddress">MD, MSc</namePart>
<affiliation>GH Sergievsky Center, Columbia University, New York, New York, USA</affiliation>
<affiliation>Department of Neurology, Columbia University, New York, New York, USA</affiliation>
<affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation>
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<affiliation>Department of Neurology, Columbia University, New York, New York, USA</affiliation>
<affiliation>Taub Institute for Research on Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York, USA</affiliation>
<affiliation>Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA</affiliation>
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<abstract lang="fr">Parkinson's disease (PD) is inversely associated with smoking cigarettes. Despite long‐standing clinical links between PD and essential tremor (ET), there are surprisingly few data on smoking in ET. We studied whether smoking cigarettes is inversely associated with ET. Using a population‐based, case–control design, cigarette smoking habits were assessed in 221 prevalent ET cases (75.5 ± 7.1 years old) and 663 matched controls (74.6 ± 7.0 years old). In logistical regression analyses, diagnosis (ET vs. control) was the dependent variable, and cigarette smoking status, the independent variable. Ever smokers were marginally less likely to have ET than were never smokers (22.0% vs. 27.0%, odds ratio [OR] 0.76, 95% confidence interval [CI] 0.55–1.04, P = 0.09). In an analysis that adjusted for confounding factors (drink‐years and depressive symptoms), ever smokers were nearly half less likely to have ET than the never smokers (OR 0.58, 95% CI 0.40–0.84, P = 0.004). There was a strong inverse association between pack‐years and odds of ET (adjusted OR 0.991, 95% CI 0.984–0.997, P = 0.005, i.e., with every 10 pack‐year increase, odds of ET were lowered 10%). Ever smokers in the highest pack‐year tertile were one‐third as likely to have ET than the never smokers (adjusted OR 0.39, 95% CI 0.22–0.69, P = 0.001). We demonstrated an inverse association between ever smoking and ET. Additional studies are needed to reproduce these findings and assess whether this association is due to a biologically protective effect. © 2007 Movement Disorder Society</abstract>
<note type="funding">Spanish Health Research Agency - No. FIS 93/0773; No. 96/1993; </note>
<note type="funding">Spanish Office of Science and Technology</note>
<note type="funding">National Institutes of Health, Bethesda, MD - No. NIH R01 NS042859; No. R01 NS039422; </note>
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<topic>cigarette smoking</topic>
<topic>epidemiology</topic>
<topic>case–control studies.</topic>
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<identifier type="ISSN">0885-3185</identifier>
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<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
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