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|Title:||Cigarette smoking and risk of celiac disease: A systematic review and meta-analysis|
Frank J. Lukens
University of Minnesota Twin Cities
Faculty of Medicine, Siriraj Hospital, Mahidol University
University of Mississippi Medical Center
Chiang Mai University
Bassett Medical Center
|Citation:||United European Gastroenterology Journal. Vol.6, No.9 (2018), 1285-1293|
|Abstract:||© Author(s) 2018. Background/Objectives: A negative association between cigarette smoking and celiac disease has been observed but results were inconsistent across the published studies. A meta-analysis was conducted with the aim to identify all studies that investigated this association and to summarize the results of those studies. Methods: A comprehensive literature review was conducted utilizing MEDLINE and Embase databases through March 2018 to identify all cohort studies and case-control studies that compared the risk of celiac disease among current and/or former smokers versus never-smokers. Effect estimates from each study were extracted and combined together using the random-effect, generic inverse variance method of DerSimonian and Laird. Results: A total of seven studies with 307,924 participants fulfilled the eligibility criteria and were included in the meta-analysis. The pooled analysis found a significantly decreased risk of celiac disease among current smokers compared with never-smokers with the pooled odds ratio (OR) of 0.52 (95% confidence interval (CI), 0.32–0.84; I 2 86%). However, the risk of celiac disease among former smokers was not significantly different from never-smokers with the pooled OR of 1.10 (95% CI, 0.76–1.60; I 2 of 73%). Conclusions: A significantly decreased risk of celiac disease among current smokers compared with never-smokers was demonstrated in this meta-analysis.|
|Appears in Collections:||Scopus 2018|
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