Association between secondhand smoke and peripheral arterial disease: a meta-analysis of cross-sectional studies

Purpose The association between secondhand smoke (SHS) and peripheral arterial disease (PAD) was inconsistent and the studies were relatively scarce, hence, we conducted a meta-analysis of the association between SHS and PAD. Materials and methods We systematically searched three electronic database...

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Bibliographic Details
Published in:International archives of occupational and environmental health 2022-07, Vol.95 (5), p.1091-1101
Main Authors: Wu, Chih-Wei, Chuang, Hung-Yi, Watanabe, Kazuhiro, Wu, Pei-Shan, Pan, Hui-Chen, Wang, Chao-Ling, Yang, Chen-Cheng, Hung, Chih-Hsing, Dai, Chia-Yen, Ho, Chi-Kung, Kawakami, Norito
Format: Article
Language:English
Subjects:
Confidence intervals
Cross-sectional studies
Earth and Environmental Science
Environment
Environmental Health
Exposure
Meta-analysis
Occupational Medicine/Industrial Medicine
Original Article
Passive smoking
Rehabilitation
Standard error
Subgroups
Tobacco smoke
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Summary:Purpose The association between secondhand smoke (SHS) and peripheral arterial disease (PAD) was inconsistent and the studies were relatively scarce, hence, we conducted a meta-analysis of the association between SHS and PAD. Materials and methods We systematically searched three electronic databases (PubMed, EMBASE, and Web of Science), and calculated the pooled prevalence risk ratio (RR) and estimated standard error by random effect model from the meta-analysis. Furthermore, we performed a subgroup meta-analysis according to the location of SHS exposure. Results We initially identified 502 articles from the electronic database, and 6 articles, cross-sectional data from 4 cross-sectional studies and 2 prospective cohort studies, were included in the meta-analysis. Among these six articles, two studies showed a significant correlation between SHS exposure and PAD, whereas no study showed a negative correlation between SHS exposure and PAD. In the meta-analysis, pooled prevalence showed a significant association between SHS exposure and PAD (RR = 1.23; 95% confidence interval [CI] 1.08–1.41; z  = 3.02, p  = 0.003). In the subgroup analysis based on location of SHS exposure, the prevalence RR of PAD at home was 1.30 (95% CI 1.14–1.49, Z -3.99, p  
ISSN:0340-0131
1432-1246
DOI:10.1007/s00420-022-01837-9