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DC Field | Value | Language |
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dc.contributor.author | Camilleri, Terence | - |
dc.contributor.author | Camilleri, Liberato | - |
dc.contributor.author | Midolo, Yvonne | - |
dc.contributor.author | Papanas, Nikolaos | - |
dc.contributor.author | Gatt, Alfred | - |
dc.contributor.author | Formosa, Cynthia | - |
dc.date.accessioned | 2020-09-17T07:08:29Z | - |
dc.date.available | 2020-09-17T07:08:29Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Camilleri, T., Camilleri, L., Midolo, Y., Papanas, N., Gatt, A., & Formosa, C. (2020) Empowering patients living with diabetes mellitus to cease smoking will improve lower limb perfusion. Journal of Addictive Diseases. DOI:10.1080/10550887.2020.1818019 | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/60539 | - |
dc.description.abstract | Background: To evaluate the effect of smoking on arterial perfusion and to determine whether smoking cessation would result in a significant improvement on the circulation of persons living with type 2 diabetes mellitus (T2DM). Methods: A nonexperimental comparative quantitative research was conducted amongst 32 participants with type 2 diabetes mellitus (T2DM) and controlled hyperlipidemia [smokers (n 1⁄4 11), past smokers (n 1⁄4 11), and non-smokers (n 1⁄4 10); aged 40 & 85 years]. Participants were matched for age, body mass index, estimated glomerular filtration rate, packet years, duration of diabetes mellitus, and glycated hemoglobin levels (HbA1c, %) utilizing frequency distribution matching. Peripheral arterial disease (PAD) was assessed utilizing the toe brachial pressure index (TBPI). TBPI value of 0.7 was suggestive of PAD while >0.7 was considered normal. Results: Sixty-four limbs were included for analyses. One-way ANOVA showed significant difference in the TBPI scores between the three categories (p < 0.05), with the current smokers demonstrating the lowest TBPI means (0.544), followed by past smokers (0.649) and non-smokers having the highest TBPI (0.781). Tukey’s post-hoc analysis confirmed significant difference in TBPI between current and nonsmokers (p 1⁄4 0.024). Linear regression of risk predictors identified packet years as the best predictor (p 1⁄4 0.004), followed by HbA1c (0.019). Conclusions: Results suggest that smoking has a significant effect on PAD in T2DM and that improved perfusion is found in past smokers. Empowering patients to cease smoking will result in better limb perfusion. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Taylor & Francis Group | en_GB |
dc.rights | info:eu-repo/semantics/restrictedAccess | en_GB |
dc.subject | Diabetes -- Diagnosis | en_GB |
dc.subject | Subclavian steal syndrome | en_GB |
dc.subject | Smoking cessation | en_GB |
dc.subject | Peripheral vascular diseases | en_GB |
dc.title | Empowering patients living with diabetes mellitus to cease smoking will improve lower limb perfusion | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1080/10550887.2020.1818019 | - |
dc.publication.title | Journal of Addictive Diseases | en_GB |
Appears in Collections: | Scholarly Works - FacSciSOR |
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