Smoking is Associated With Extra-intestinal Manifestations in Inflammatory Bowel Disease

被引:42
|
作者
Severs, M. [1 ]
van Erp, S. J. H. [2 ]
van der Valk, M. E. [1 ]
Mangen, M. J. J. [3 ]
Fidder, H. H. [1 ]
van der Have, M. [1 ]
van Bodegraven, A. A. [4 ,7 ]
de Jong, D. J. [5 ]
van der Woude, C. J. [6 ]
Romberg-Camps, M. J. L. [7 ]
Clemens, C. H. M. [8 ]
Jansen, J. M. [9 ]
van de Meeberg, P. C. [10 ]
Mahmmod, N. [11 ]
Ponsioen, C. Y. [12 ]
Bolwerk, C. [13 ]
Vermeijden, J. R. [14 ]
Pierik, M. J. [15 ]
Siersema, P. D. [1 ]
Leenders, M. [16 ]
van der Meulen-de Jong, A. E. [2 ]
Dijkstra, G. [17 ]
Oldenburg, B. [1 ]
机构
[1] Univ Med Ctr Utrecht, Dept Gastroenterol & Hepatol, Utrecht, Netherlands
[2] Leiden Univ, Med Ctr, Dept Gastroenterol & Hepatol, Leiden, Netherlands
[3] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[4] Vrije Univ Amsterdam Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands
[5] Radboud Univ Nijmegen, Med Ctr, Dept Gastroenterol & Hepatol, NL-6525 ED Nijmegen, Netherlands
[6] Erasmus Univ, Dept Gastroenterol & Hepatol, Med Ctr, Rotterdam, Netherlands
[7] Atrium Orbis Med Ctr, Dept Gastroenterol & Hepatol, Sittard, Netherlands
[8] Diaconessenhuis, Dept Gastroenterol & Hepatol, Leiden, Netherlands
[9] Onze Lieve Vrouw Hosp, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands
[10] Slingeland Hosp, Dept Gastroenterol & Hepatol, Doetinchem, Netherlands
[11] St Antonius Hosp, Dept Gastroenterol & Hepatol, Nieuwegein, Netherlands
[12] Univ Amsterdam, Acad Med Ctr, Dept Gastroenterol & Hepatol, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands
[13] Reinier de Graaf Grp, Dept Gastroenterol & Hepatol, Delft, Netherlands
[14] Meander Med Ctr, Dept Gastroenterol & Hepatol, Amersfoort, Netherlands
[15] Maastricht Univ, Med Ctr, Dept Gastroenterol & Hepatol, NL-6200 MD Maastricht, Netherlands
[16] Univ Utrecht, Inst Risk Assessment Sci, Utrecht, Netherlands
[17] Univ Groningen, Univ Med Ctr Groningen, Dept Gastroenterol & Hepatol, Groningen, Netherlands
来源
JOURNAL OF CROHNS & COLITIS | 2016年 / 10卷 / 04期
关键词
Inflammatory bowel disease; extra-intestinal manifestations; smoking; CITRULLINATED PEPTIDE ANTIBODY; CROHNS-DISEASE; RHEUMATOID-ARTHRITIS; ULCERATIVE-COLITIS; CIGARETTE-SMOKING; RISK-FACTORS; COMPLICATIONS; PREDICTORS; INCREASES; CESSATION;
D O I
10.1093/ecco-jcc/jjv238
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Smoking affects the course of disease in patients with ulcerative colitis (UC) and Crohn's disease (CD). We aimed to study the association between smoking and extra-intestinal manifestations (EIMs) in inflammatory bowel disease (IBD). We cross-sectionally explored the association between smoking and EIMs in IBD in three cohort studies: (1) the COIN study, designed to estimate healthcare expenditures in IBD; (2) the Groningen study, focused on cigarette smoke exposure and disease behaviour in IBD; and (3) the JOINT study, evaluating joint and back manifestations in IBD. In the COIN, Groningen and JOINT cohorts, 3030, 797 and 225 patients were enrolled, of whom 16, 24 and 23.5% were current smokers, respectively. Chronic skin disorders and joint manifestations were more prevalent in smoking IBD patients than in non-smokers (COIN, 39.1 vs 29.8%, p < 0.01; Groningen, 41.7 vs 30.0%, p < 0.01) in both CD and UC. In the JOINT cohort, smoking was more prevalent in IBD patients with joint manifestations than in those without (30.3 vs 13.0%, p < 0.01). EIMs appeared to be more prevalent in high- than in low-exposure smokers (56.0 vs 37.1%, p = 0.10). After smoking cessation, the prevalence of EIMs in IBD patients rapidly decreased towards levels found in never smokers (lag time: COIN cohort, 1-2 years; Groningen cohort, within 1 year). There is a robust dose-dependent association between active smoking and EIMs in both CD and UC patients. Smoking cessation was found to result in a rapid reduction of EIM prevalence to levels encountered in never smokers.
引用
收藏
页码:455 / 461
页数:7
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