KMID : 0384320020230010080
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Korean Journal of Family Medicine 2002 Volume.23 No. 1 p.80 ~ p.86
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Difference in hemoglobin between smokers and non-smokers
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Yun Suk-Hyun
Choi Young-Ho Moon Yoo-Sun Ahn Sung-Hun Kim Tae-Gyun
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Abstract
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Background: The hemoglobin is a basic tool in diagnosing anemia. Not many studies compared hemoglobin between non-smokers and smokers in Korea and they did not differentiate hemoglobin between males and females. This study was conducted to show the difference of hemoglobin between non-smokers and smokers in male population and factors affecting hemoglobin.
Methods: We gathered 313 men who underwent periodic health examination from May to July 2001 in a general hospital. The relationship between cigarette smoking and hemoglobin concentration was examined by comparing the means of hemoglobin between two groups and through multiple regression analysis. Results: The mean of hemoglobin was significantly higher in smokers than in non-smokers, especially in smokers with more than 1 pack per day. The factors that influence the hemoglobin level were age, the amount per day, and the total amount they smoked in the past(pack-year). Daily cigarette smoking seemed to cause a general upwared shift of hemoglobin distribution curve, while age and pack-year on the opposite.
Conclusion: This study suggests that hemoglobin cutoff values should be adjusted for smokers and one must consider the patient¡¯s age to compensate for
masking effect of smoking and aging on detection of anemia.
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KEYWORD
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cigarette smoking, hemoglobin, anemia
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