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Skeet GamesTobacco use as a risk factor for chronic obstructive pulmonary disease in morbidly obese patients.
The aim of this study was to evaluate the prevalence of, and risk factors associated with, smoking in a series of morbidly obese patients, in order to provide correct information for a targeted smoking cessation program. A total of 326 morbidly obese patients (289 women and 37 men) consecutively hospitalized for laparoscopic or bariatric surgery were included. Pre-operative assessment, including socio-demographic information, smoking history and co-morbidities were recorded. All patients were asked to complete a questionnaire about smoking prevalence. Demographic data of smoking patients were compared with smoking-free patients. Univariate and multivariate analyses were used to identify predictors of smoking. The overall smoking rate was 21%. Multivariate analysis showed that the main predictor of smoking is chronic obstructive pulmonary disease (OR: 3.03, 95% CI: 1.48-6.18). The prevalence of smoking was similar in males (29%) and females (23%). Forty-seven percent of smokers reported having made a recent quit attempt. The majority of smokers (76%) had not received any professional counselling. Almost two-thirds of the patients who had received counselling reported having been advised to quit smoking (29%). Multivariate analysis of smoking counselling versus no counselling showed that receiving professional advice to quit smoking was the only variable predictive of a positive response (OR: 3.8, 95% CI: 1.45-10). The high rate of smoking prevalence among morbidly obese patients and the low proportion of smokers who report having attempted to quit smoking is similar to that observed in the general population. Patients with chronic obstructive pulmonary disease should be informed about the high risk of morbid obesity in this population and receiving professional advice on smoking cessation should be promoted among patients.The Paideia Journal
Paideia Journal offers advanced scholars, teachers, and practitioners of literature, poetry, art, and rhetoric in the humanities and the social sciences a forum to explore the long-standing debate over the nature and purpose of the humanities, a forum for scholars to give the humanities a place in their intellectual lives, and a forum to share the latest research on the nature of literature, poetics, poesis, aesthetics, theory,
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