Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above

ObjectiveTo investigate the relationship between e-cigarette use and subjective cognitive decline.MethodsThis study included survey participants aged ≥45 years from the US Behavioral Risk Factor Surveillance System. The prevalence of subjective cognitive decline in people with different tobacco use...

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Main Authors: LIANG Zhisheng, ZHANG Zhenyu
Format: Article
Language:zho
Published: Shanghai Preventive Medicine Association 2023-10-01
Series:Shanghai yufang yixue
Subjects:
Online Access:http://www.sjpm.org.cn/cn/article/doi/10.19428/j.cnki.sjpm.2023.22944
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author LIANG Zhisheng
ZHANG Zhenyu
author_facet LIANG Zhisheng
ZHANG Zhenyu
author_sort LIANG Zhisheng
collection DOAJ
description ObjectiveTo investigate the relationship between e-cigarette use and subjective cognitive decline.MethodsThis study included survey participants aged ≥45 years from the US Behavioral Risk Factor Surveillance System. The prevalence of subjective cognitive decline in people with different tobacco use conditions was estimated. Multivariate logistic regression was employed to determine the relationship between e-cigarette use and subjective cognitive decline, as well as the relationship between co-use of e-cigarette and combustible tobacco and subjective cognitive decline.ResultsA total of 204 032 participants were included in the study. The total prevalence of subjective cognitive decline was 11.46%, whereas among current e-cigarette users, the prevalence was 19.92%. After accounting for confounding factors, current e-cigarette use was identified as a risk factor for subjective cognitive decline compared to individuals who had never used e-cigarettes, with an OR of 1.46 (95%CI: 1.20‒1.77). Meanwhile, occasional e-cigarette use showed a higher risk, with an OR of 1.54 (95%CI: 1.22‒1.95). The highest risk was observed with the co-use of e-cigarette and combustible tobacco, with an OR of 1.69 (95%CI: 1.32‒2.16), followed by current e-cigarette use and former combustible tobacco use, with an OR value of 1.38 (95%CI: 1.08‒1.78).ConclusionThe use of e-cigarettes increases the risk of subjective cognitive decline, with occasional use demonstrating a more pronounced negative impact. In general, the risk of cognitive decline is greater among e-cigarette users compared to combustible tobacco users. Controlling the use of combustible tobacco, especially e-cigarette, will help reduce the incidence of subjective cognitive decline. Individuals currently using combustible tobacco are advised to explore smoking cessation methods other than transitioning to e-cigarettes.
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spelling doaj.art-9579155a951f4bee9adcead2e53faf0f2023-12-26T03:32:30ZzhoShanghai Preventive Medicine AssociationShanghai yufang yixue1004-92312023-10-01351096396910.19428/j.cnki.sjpm.2023.229441004-9231(2023)10-0963-07Association between e-cigarette use and subjective cognitive decline among adults aged 45 and aboveLIANG ZhishengZHANG ZhenyuObjectiveTo investigate the relationship between e-cigarette use and subjective cognitive decline.MethodsThis study included survey participants aged ≥45 years from the US Behavioral Risk Factor Surveillance System. The prevalence of subjective cognitive decline in people with different tobacco use conditions was estimated. Multivariate logistic regression was employed to determine the relationship between e-cigarette use and subjective cognitive decline, as well as the relationship between co-use of e-cigarette and combustible tobacco and subjective cognitive decline.ResultsA total of 204 032 participants were included in the study. The total prevalence of subjective cognitive decline was 11.46%, whereas among current e-cigarette users, the prevalence was 19.92%. After accounting for confounding factors, current e-cigarette use was identified as a risk factor for subjective cognitive decline compared to individuals who had never used e-cigarettes, with an OR of 1.46 (95%CI: 1.20‒1.77). Meanwhile, occasional e-cigarette use showed a higher risk, with an OR of 1.54 (95%CI: 1.22‒1.95). The highest risk was observed with the co-use of e-cigarette and combustible tobacco, with an OR of 1.69 (95%CI: 1.32‒2.16), followed by current e-cigarette use and former combustible tobacco use, with an OR value of 1.38 (95%CI: 1.08‒1.78).ConclusionThe use of e-cigarettes increases the risk of subjective cognitive decline, with occasional use demonstrating a more pronounced negative impact. In general, the risk of cognitive decline is greater among e-cigarette users compared to combustible tobacco users. Controlling the use of combustible tobacco, especially e-cigarette, will help reduce the incidence of subjective cognitive decline. Individuals currently using combustible tobacco are advised to explore smoking cessation methods other than transitioning to e-cigarettes.http://www.sjpm.org.cn/cn/article/doi/10.19428/j.cnki.sjpm.2023.22944e-cigarettecognitive declinelogistic regressionadults aged ≥45american
spellingShingle LIANG Zhisheng
ZHANG Zhenyu
Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
Shanghai yufang yixue
e-cigarette
cognitive decline
logistic regression
adults aged ≥45
american
title Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
title_full Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
title_fullStr Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
title_full_unstemmed Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
title_short Association between e-cigarette use and subjective cognitive decline among adults aged 45 and above
title_sort association between e cigarette use and subjective cognitive decline among adults aged 45 and above
topic e-cigarette
cognitive decline
logistic regression
adults aged ≥45
american
url http://www.sjpm.org.cn/cn/article/doi/10.19428/j.cnki.sjpm.2023.22944
work_keys_str_mv AT liangzhisheng associationbetweenecigaretteuseandsubjectivecognitivedeclineamongadultsaged45andabove
AT zhangzhenyu associationbetweenecigaretteuseandsubjectivecognitivedeclineamongadultsaged45andabove