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The frequency of smoking in fibromyalgia patients and its association with symptoms

Abstract

The objective of the study was to determine the frequency of smoking in fibromyalgia (FM) and rheumatoid arthritis (RA) patients and investigate its association with the symptoms of FM. We included age-matched 302 FM (289 F, 13 M), and 115 (105 F, 10 M) RA patients. All patients were questioned about smoking and the severity of their chronic widespread pain (CWP) and symptoms of FM by using a visual analog scale (VAS, 0–10) and FM impact questionnaire. In addition, patients were asked questions about depression and anxiety. The frequency of smoking in FM patients (77 subjects, 25.5%) tended to be higher than in RA patients (19 subjects, 16.5%) (P = 0.05). When the features of smoker FM patients were compared to others, it was observed that the frequencies of subjects with an education duration >9 years (P < 0.001) and subjects with an history of psychiatric therapy (P = 0.01) and alcohol consumption (P = 0.013) were higher. The mean age of FM patients with smoking (P = 0.002) was lower; the duration of FM (P = 0.024) was shorter; and the scores of CWP severity (P = 0.05), unrestorative sleepiness (P = 0.017), paresthesia (P = 0.038) and anxiety-depression (P = 0.007) were higher. An important proportion of FM patients, nearly one-fourth, were re-smokers. Smoker FM patients had higher education level, and the severity of their FM-related symptoms like CWP and their anxiety-depression scores were higher.

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References

  1. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172. doi:10.1002/art.1780330203

    PubMed  Article  CAS  Google Scholar 

  2. Vessey MP, Villard-Mackintosh L, Yeates D (1987) Oral contraceptives, cigarette smoking and other factors in relation to arthritis. Contraception 35:457–464. doi:10.1016/0010-7824(87)90082-5

    PubMed  Article  CAS  Google Scholar 

  3. Hernández Avila M, Liang MH, Willett WC, Stampfer MJ, Colditz GA, Rosner B et al (1990) Reproductive factors, smoking, and the risk for rheumatoid arthritis. Epidemiology 1:285–291. doi:10.1097/00001648-199003000-00008

    PubMed  Article  Google Scholar 

  4. Andersson H, Ejlertsson G, Leden I (1998) Widespread musculoskeletal chronic pain associated with smoking An epidemiological study in a general rural population. Scand J Rehabil Med 30:185–191. doi:10.1080/003655098444129

    PubMed  Article  CAS  Google Scholar 

  5. Ekberg K, Björkqvist B, Malm P, Bjerre-Kiely B, Karlsson M, Axelson O (1994) Case-control study of risk factors for disease in the neck and shoulder area. Occup Environ Med 51:262–266

    PubMed  Article  CAS  Google Scholar 

  6. Boshuizen HC, Verbeek JHAM, Broersen JPJ, Weel ANH (1993) Do smokers get more back pain? Spine 18:35–40. doi:10.1097/00007632-199301000-00007

    PubMed  Article  CAS  Google Scholar 

  7. Palmer KT, Syddall H, Cooper C, Coggon D (2003) Smoking and musculoskeletal disorders: findings from a British national survey. Ann Rheum Dis 62:33–36. doi:10.1136/ard.62.1.33

    PubMed  Article  CAS  Google Scholar 

  8. Yunus MB, Arslan S, Aldag JC (2002) Relationship between fibromyalgia features and smoking. Scand J Rheumatol 315:301–305. doi:10.1080/030097402760375214

    Article  Google Scholar 

  9. Gulec M, Bakir B, Ozer M, Ucar M, Kilic S, Hasde M (2005) Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res 134:281–286. doi:10.1016/j.psychres.2003.02.001

    PubMed  Article  Google Scholar 

  10. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324. doi:10.1002/art.1780310302

    PubMed  Article  CAS  Google Scholar 

  11. Parkerson GR Jr, Broadhead WE, Tse C-KJ (1996) Anxiety and depression symptom identification using the Duke health profile. J Clin Epidemiol 49:85–93. doi:10.1016/0895-4356(95)00037-2

    PubMed  Article  CAS  Google Scholar 

  12. Burckhardt CS, Clark SR, Bennett RM (1991) The fibromyalgia impact questionnaire: development and validation. J Rheumatol 18:728–733

    PubMed  CAS  Google Scholar 

  13. Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of the fibromyalgia impact questionnaire. Rheumatol Int 20:9–12. doi:10.1007/s002960000077

    PubMed  Article  CAS  Google Scholar 

  14. Brage S, Bjerkedal T (1996) Musculoskeletal pain and smoking in Norway. J Epidemiol Community Health 50:166–169

    PubMed  Article  CAS  Google Scholar 

  15. Scarinci IC, Thomas J, Brantley PJ, Jones GN (2002) Examination of the temporal relationship between smoking and major depressive disorder among low-income women in public primary care clinics. Am J Health Promot 16:323–330

    PubMed  Google Scholar 

  16. Tercyak KP, Goldman P, Smith A, Audrain J (2002) Interacting effects of depression and tobacco advertising receptivity on adolescent smoking. J Pediatr Psychol 27:145–154. doi:10.1093/jpepsy/27.2.145

    PubMed  Article  Google Scholar 

  17. Windle M, Windle RC (2001) Depressive symptoms and cigarette smoking among middle adolescents: prospective associations and intrapersonal and interpersonal influences. J Consult Clin Psychol 69:215–226. doi:10.1037/0022-006X.69.2.215

    PubMed  Article  CAS  Google Scholar 

  18. Hall R, Rappenport M, Hopkins H, Griffin R (1973) Tobacco and evoked potential. Science 180:212–214. doi:10.1126/science.180.4082.212

    PubMed  Article  CAS  Google Scholar 

  19. Papadopoulos NG, Alamanos Y, Voulgari PV, Epagelis EK, Tsifetaki N, Drosos AA (2005) Does cigarette smoking influence disease expression, activity and severity in early rheumatoid arthritis patients? Clin Exp Rheumatol 23:861–866

    PubMed  CAS  Google Scholar 

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Correspondence to Ömer Nuri Pamuk.

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Pamuk, Ö.N., Dönmez, S. & Çakır, N. The frequency of smoking in fibromyalgia patients and its association with symptoms. Rheumatol Int 29, 1311–1314 (2009). https://doi.org/10.1007/s00296-009-0851-5

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  • DOI: https://doi.org/10.1007/s00296-009-0851-5

Keywords

  • Fibromyalgia
  • Chronic widespread pain
  • Smoking
  • Rheumatoid arthritis