UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
2014-04-22
Document Type
Article
Disciplines
Epidemiology | Nervous System Diseases | Substance Abuse and Addiction | Women's Health
Abstract
Background. In multiple sclerosis (MS), symptom management and improved health-related quality of life (HrQOL) may be modified by smoking.
Objective. To evaluate the extent to which smoking is associated with worsened health outcomes and HrQOL for postmenopausal women with MS.
Methods. We identified 251 Women's Health Initiative Observational Study participants with a self-reported MS diagnosis. Using a linear model, we estimated changes from baseline to 3 years for activities of daily living, total metabolic equivalent tasks (MET) hours per week, mental and physical component scales (MCS, PCS) of the SF-36, and menopausal symptoms adjusting for years since menopause and other confounders.
Results. Nine percent were current and 50% past smokers. Age at smoking initiation was associated with significant changes in MCS during menopause. PCS scores were unchanged. While women who had ever smoked experienced an increase in physical activity during menopause, the physical activity levels of women who never smoked declined. Residual confounding may explain this finding. Smoking was not associated with change in menopausal symptoms during the 3-year follow-up.
Conclusion. Smoking was not associated with health outcomes among post-menopausal women with MS.
Rights and Permissions
Copyright © 2014 Rachel Jawahar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI of Published Version
10.1155/2014/686045
Source
Mult Scler Int. 2014;2014:686045. doi: 10.1155/2014/686045. Epub 2014 Apr 22. Link to article on publisher's site
Journal/Book/Conference Title
Multiple sclerosis international
Related Resources
PubMed ID
24860668
Repository Citation
Jawahar, Rachel; Oh, Unsong; Eaton, Charles; Wright, Nicole; Tindle, Hilary; and Lapane, Kate L., "Association between Smoking and Health Outcomes in Postmenopausal Women Living with Multiple Sclerosis" (2014). Open Access Articles. 2528.
https://escholarship.umassmed.edu/oapubs/2528
Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.
Included in
Epidemiology Commons, Nervous System Diseases Commons, Substance Abuse and Addiction Commons, Women's Health Commons