Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown

ObjectivesThis cross-sectional study aims to investigate health-related behaviors including tobacco consumption among patients with cardiovascular diseases (CVD), during the first COVID-19-related lockdown.MethodsAfter 5 weeks of COVID-19 lockdown, 220 patients with chronic coronary syndromes (CCS)...

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Main Authors: Frédéric Chagué, Mathieu Boulin, Jean-Christophe Eicher, Florence Bichat, Maïlis Saint-Jalmes, Amélie Cransac, Agnès Soudry, Nicolas Danchin, Gabriel Laurent, Yves Cottin, Marianne Zeller
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.845439/full
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author Frédéric Chagué
Frédéric Chagué
Mathieu Boulin
Jean-Christophe Eicher
Florence Bichat
Maïlis Saint-Jalmes
Amélie Cransac
Agnès Soudry
Nicolas Danchin
Gabriel Laurent
Yves Cottin
Marianne Zeller
Marianne Zeller
author_facet Frédéric Chagué
Frédéric Chagué
Mathieu Boulin
Jean-Christophe Eicher
Florence Bichat
Maïlis Saint-Jalmes
Amélie Cransac
Agnès Soudry
Nicolas Danchin
Gabriel Laurent
Yves Cottin
Marianne Zeller
Marianne Zeller
author_sort Frédéric Chagué
collection DOAJ
description ObjectivesThis cross-sectional study aims to investigate health-related behaviors including tobacco consumption among patients with cardiovascular diseases (CVD), during the first COVID-19-related lockdown.MethodsAfter 5 weeks of COVID-19 lockdown, 220 patients with chronic coronary syndromes (CCS) and 124 with congestive heart failure (CHF) answered a phone questionnaire.ResultsAmong these 344 patients, 43 (12.5%) were current smokers, and none had quit during the lockdown. When compared with non-smokers, smokers were 15 years younger, more often diabetic, more likely to live in an urban than a rural lockdown location, and more often in the CCS cohort (p = 0.011). Smokers described greater psychological impairment, but their rates of decrease in physical activity and of increase in screen time were similar to non-smokers. More than one-third (13/43) increased their tobacco consumption, which was mainly related to stress or boredom, but not driven by media messages on a protective effect of nicotine.ConclusionsDuring the first COVID-19 lockdown, we found a decrease in favorable lifestyle behaviors among patients with CVD. Strikingly, one-third of smokers with CCS or CHF increased their tobacco consumption. Given the major impact of persistent smoking in patients with CVD, this highlights the need for targeted prevention strategies, in particular during such periods.
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spelling doaj.art-fcc40e0195084a8aa1b0740badb8edaf2022-12-22T02:20:33ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-04-01910.3389/fcvm.2022.845439845439Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 LockdownFrédéric Chagué0Frédéric Chagué1Mathieu Boulin2Jean-Christophe Eicher3Florence Bichat4Maïlis Saint-Jalmes5Amélie Cransac6Agnès Soudry7Nicolas Danchin8Gabriel Laurent9Yves Cottin10Marianne Zeller11Marianne Zeller12Service de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceRéseau Français d'Excellence de Recherche sur le tabac, la nicotine et les produits connexes, Paris, FranceDépartement de Pharmacie, Centre Hospitalier Universitaire, Dijon, FranceService de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceService de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceService de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceDépartement de Pharmacie, Centre Hospitalier Universitaire, Dijon, FranceDépartement de Recherche Clinique, Centre Hospitalier Universitaire, Dijon, FranceService de Cardiologie, Hôpital Européen Georges Pompidou, Paris, FranceService de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceService de Cardiologie, Centre Hospitalier Universitaire, Dijon, FranceRéseau Français d'Excellence de Recherche sur le tabac, la nicotine et les produits connexes, Paris, FrancePEC2, EA 7460, Université Bourgogne Franche-Comté, Dijon, FranceObjectivesThis cross-sectional study aims to investigate health-related behaviors including tobacco consumption among patients with cardiovascular diseases (CVD), during the first COVID-19-related lockdown.MethodsAfter 5 weeks of COVID-19 lockdown, 220 patients with chronic coronary syndromes (CCS) and 124 with congestive heart failure (CHF) answered a phone questionnaire.ResultsAmong these 344 patients, 43 (12.5%) were current smokers, and none had quit during the lockdown. When compared with non-smokers, smokers were 15 years younger, more often diabetic, more likely to live in an urban than a rural lockdown location, and more often in the CCS cohort (p = 0.011). Smokers described greater psychological impairment, but their rates of decrease in physical activity and of increase in screen time were similar to non-smokers. More than one-third (13/43) increased their tobacco consumption, which was mainly related to stress or boredom, but not driven by media messages on a protective effect of nicotine.ConclusionsDuring the first COVID-19 lockdown, we found a decrease in favorable lifestyle behaviors among patients with CVD. Strikingly, one-third of smokers with CCS or CHF increased their tobacco consumption. Given the major impact of persistent smoking in patients with CVD, this highlights the need for targeted prevention strategies, in particular during such periods.https://www.frontiersin.org/articles/10.3389/fcvm.2022.845439/fullsmokingCOVID-19lockdownchronic coronary syndromecongestive heart failure (CHF)
spellingShingle Frédéric Chagué
Frédéric Chagué
Mathieu Boulin
Jean-Christophe Eicher
Florence Bichat
Maïlis Saint-Jalmes
Amélie Cransac
Agnès Soudry
Nicolas Danchin
Gabriel Laurent
Yves Cottin
Marianne Zeller
Marianne Zeller
Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
Frontiers in Cardiovascular Medicine
smoking
COVID-19
lockdown
chronic coronary syndrome
congestive heart failure (CHF)
title Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
title_full Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
title_fullStr Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
title_full_unstemmed Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
title_short Smoking in Patients With Chronic Cardiovascular Disease During COVID-19 Lockdown
title_sort smoking in patients with chronic cardiovascular disease during covid 19 lockdown
topic smoking
COVID-19
lockdown
chronic coronary syndrome
congestive heart failure (CHF)
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.845439/full
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