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Main arrow Archive of previous Issues arrow 3 2017 (55) arrow OVERVIEW OF CURRENT SITUATION WITH BAD HABITS AS A RISK FACTOR FOR PANCREATITIS
OVERVIEW OF CURRENT SITUATION WITH BAD HABITS AS A RISK FACTOR FOR PANCREATITIS Print
Friday, 23 June 2017

DOI: 10.21045/2071-5021-2017-55-3-8

Lazarenko V.A., Antonov A.E.
Kursk State Medical University, Kursk, Russia

Contacts: Andrey E. Antonov, This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Lazarenko V.A., http://orcid.org/0000-0002-2069-7701
Antonov A.E., http://orcid.org/0000-0001-5745-3586
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance of studying bad habits as a risk factor for pancreatitis is substantiated by high morbidity with a tendency towards further growing both in Russia and throughout the world; high lethality in case of destructive forms of the disease as well as rapidly changing living conditions of the modern society.

The purpose of the work was to study the current situation with tobacco smoking and alcohol abuse as risk factors for pancreatitis and specify relevant measures for prevention.

Methods. The study is based on applying methods of descriptive statistics, correlation and regression analysis of data collected on 167 patients undergoing in-patient treatment in hospitals of the city of Kursk for acute and chronic pancreatitis.

Results. The obtained correlation values demonstrate that duration of smoking has a greater effect on the severity at admission and duration of the disease (ηxy = 0.28, p <0.05 and ηxy = 0.61, p <0.001, respectively) in comparison with duration of alcohol abuse (ηxy = 0.24, p> 0.05 and ηxy = 0.49, p <0.001).

The age of onset of smoking has also a greater impact on the severity at admission and duration of the disease (ηxy = 0.43, p<0.001 and ηxy = 0.26, p<0.05) in comparison with the similar parameter characterizing alcohol abuse (ηxy = 0.25, p <0.01 and ηxy = 0.24, p <0.01, respectively).

The regression analysis results let us assume that duration of smoking demonstrates a double effect on quantitative parameters of health a cumulative and an indirect one via progressive increase in the number of cigarettes smoked per day.

Conclusions. 1. Significant prevalence of bad habits was identified in patients with pancreatitis. 70.3% (m = 5.31) of male and 19.4% (m= 4.1) of female patients abused alcohol, while smoking was confirmed in 79.7% (m = 4.7) of men and 8.6 % (m = 2.9) of women.

2. The greatest impact on the severity level at admission was associated with the following factors: age of onset of smoking ηxy = 0.43 (p <0.001), and duration of smoking ηxy = 0.28 (p <0.05). Tobacco smoking prevention as a set of measures for controlling pancreatitis and its consequences is mostly expedient in boys, adolescent girls and adults aged 2023 years and over.

Scope of application. The study results can be used for developing preventive measures aimed at braking bad habits to be implemented by health and education facilities.

Keywords. Pancreatitis; abdominal surgery; risk factors; smoking; alcohol abuse; bad habits.

References

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