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. 1995 Oct;73(4):294–297. doi: 10.1136/adc.73.4.294

Blood pressure and smoking: observations on a national cohort.

A Charlton 1, D While 1
PMCID: PMC1511342  PMID: 7492191

Abstract

The reasons why adult smokers have lower blood pressure than non-smokers have not been determined. It is possible that low blood pressure might precede the onset of smoking. This study investigates this hypothesis in a national cohort study in Britain. Blood pressures and pulse rates taken on a sample of 5019 members of the British Birth Cohort Study (BCS 70) at the age of 10 years were analysed in relation to self reported smoking behaviour at age 16+ years. Prospectively, those children who had lower diastolic blood pressure or pulse rate at age 10 were more likely to have smoked by age 16+ years. Using analysis of variance, pulse rate was significantly related to smoking in young men (p < 0.001). Seventy per cent of those with lower pulse (below the 10th centile), 58% with medium pulse, and 52% with the higher pulse (above the 90th centile) had ever smoked by age 16+ years. In young women, pulse rate (p = 0.003), diastolic pressure (p = 0.024), and systolic pressure (p = 0.032) at age 10 were all significantly related to smoking at age 16. This longitudinal study found that lower blood pressure and slower pulse rate were related to the onset of smoking in children. More research is needed on this new observation.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berglund G., Wilhelmsen L. Factors related to blood pressure in a general population sample of Swedish men. Acta Med Scand. 1975 Oct;198(4):291–298. doi: 10.1111/j.0954-6820.1975.tb19543.x. [DOI] [PubMed] [Google Scholar]
  2. Bloxham C. A., Beevers D. G., Walker J. M. Malignant hypertension and cigarette smoking. Br Med J. 1979 Mar 3;1(6163):581–583. doi: 10.1136/bmj.1.6163.581. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Elliott J. M., Simpson F. O. Cigarettes and accelerated hypertension. N Z Med J. 1980 Jun 25;91(662):447–449. [PubMed] [Google Scholar]
  4. Erikssen J., Enger S. C. The effect of smoking on selected coronary heart disease risk factors in middle-aged men. Acta Med Scand. 1978;203(1-2):27–30. doi: 10.1111/j.0954-6820.1978.tb14826.x. [DOI] [PubMed] [Google Scholar]
  5. Green M. S., Jucha E., Luz Y. Blood pressure in smokers and nonsmokers: epidemiologic findings. Am Heart J. 1986 May;111(5):932–940. doi: 10.1016/0002-8703(86)90645-9. [DOI] [PubMed] [Google Scholar]
  6. Gyntelberg F., Meyer J. Relationship between blood pressure and physical fitness, smoking and alcohol consumption in Copenhagen males aged 40-59. Acta Med Scand. 1974 May;195(5):375–380. doi: 10.1111/j.0954-6820.1974.tb08155.x. [DOI] [PubMed] [Google Scholar]
  7. Havlik R. J., Garrison R. J., Feinleib M., Padgett S., Castelli W. P., McNamara P. M. Evidence for additional blood pressure correlates in adults 20-56 years old. Circulation. 1980 Apr;61(4):710–715. doi: 10.1161/01.cir.61.4.710. [DOI] [PubMed] [Google Scholar]
  8. Isles C., Brown J. J., Cumming A. M., Lever A. F., McAreavey D., Robertson J. I., Hawthorne V. M., Stewart G. M., Robertson J. W., Wapshaw J. Excess smoking in malignant-phase hypertension. Br Med J. 1979 Mar 3;1(6163):579–581. doi: 10.1136/bmj.1.6163.579. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kesteloot H., Van Houte O. An epidemiologic survey of arterial blood pressure in a large male population group. Am J Epidemiol. 1974 Jan;99(1):14–29. doi: 10.1093/oxfordjournals.aje.a121580. [DOI] [PubMed] [Google Scholar]
  10. ROTH G. M., SHICK R. M. Effect of smoking on the cardiovascular system of man. Circulation. 1958 Mar;17(3):443–459. doi: 10.1161/01.cir.17.3.443. [DOI] [PubMed] [Google Scholar]
  11. Stamler J., Rhomberg P., Schoenberger J. A., Shekelle R. B., Dyer A., Shekelle S., Stamler R., Wannamaker J. Multivariate analysis of the relationship of seven variables to blood pressure: findings of the Chicago Heart Association Detection Project in Industry, 1967-1972. J Chronic Dis. 1975 Nov;28(10):527–548. doi: 10.1016/0021-9681(75)90060-0. [DOI] [PubMed] [Google Scholar]
  12. Townsend J., Wilkes H., Haines A., Jarvis M. Adolescent smokers seen in general practice: health, lifestyle, physical measurements, and response to antismoking advice. BMJ. 1991 Oct 19;303(6808):947–950. doi: 10.1136/bmj.303.6808.947. [DOI] [PMC free article] [PubMed] [Google Scholar]

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