Home > Cigarette use and cardiovascular risk in chronic kidney disease: an unappreciated modifiable lifestyle risk factor.

Stack, Austin G. and Murthy, Bhamidipati VR (2010) Cigarette use and cardiovascular risk in chronic kidney disease: an unappreciated modifiable lifestyle risk factor. Seminars in Dialysis , 23 , (3) , pp. 298-305.

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.


Item Type:Article
Date:2010
Page Range:pp. 298-305
Publisher:Wiley
Volume:23
Number:3
EndNote:View
Accession Number:HRB (Not in collection)
Related URLs:
Subjects:VA Geographic area > Europe > Ireland
L Social psychology and related concepts > Lifestyle
G Health and disease > State of health > Physical health
B Substances > Tobacco (cigarette smoking)

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