{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:32:52Z","timestamp":1787761972311,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Smoking has been found to have a profound effect on mortality and cause-specific cardiovascular events in hypertension with significant interactions between the effects of smoking and hypertension and diabetes. Nevertheless, smoking is a major modifiable risk factor for cardiovascular disease (CVD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>The present study was conducted on the patients visiting the medical Out Patient Department, Government Medical College (OPD GMC), Anantnag, for consultation with an aim to find whether smoking can be linked with CVD as a cause. A total of 304 patients were observed during this period for health check-ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The result reveals that 90% of male subjects across the age groups formulated in this study were in habit of smoking. In addition, 75% of female subjects across all age groups were also found to be in the habit of smoking. The majority of subjects including male subjects were potentially susceptible to CVD. The present prospective study was carried out to assess the role of smoking in causing hypertension and thereby various CVDs among the south Kashmiri population with high blood pressure levels in presence of high smoking rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussions:<\/jats:title>\n                    <jats:p>Smoking acutely exerts a hypertensive effect, mainly through the stimulation of the sympathetic nervous system. Chronic smoking affecting arterial stiffness and wave reflection has greater detrimental effect on central blood pressure, which is more closely related to target organ damage than brachial blood pressure. Hypertensive smokers are more likely to develop severe forms of hypertension, including malignant and renovascular hypertension, an effect likely due to accelerated atherosclerosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Smoking is potentially a leading cause of CVD among the South Kashmiri Population with high blood pressure levels in presence of high-smoking rates. Therefore, imperative measures regarding cessation of smoking are essential to prevent CVD which in line with clinical practice guidelines and policies should be emphasized to treat nicotine addiction in smokers by incorporating multicomponent and multilevel approaches for the better management of BP among the population studied.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_2023_22","type":"journal-article","created":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T03:00:15Z","timestamp":1685329215000},"page":"958-961","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Relationship between hypertension and smoking: A preliminary study in South Kashmiri population of J&amp;K"],"prefix":"10.4103","volume":"12","author":[{"given":"Gowher A.","family":"Wagai","sequence":"first","affiliation":[{"name":"Consulting Physician-Diabetologist (M.O) Department of Medicine, Associated Hospital GMC-Anantnag, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ubaid","family":"Jeelani","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology, GMC, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mashkoor Ahmad","family":"Beg","sequence":"additional","affiliation":[{"name":"Department of Medicine, GMC, Anantnag, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghulam Jeelani","family":"Romshoo","sequence":"additional","affiliation":[{"name":"Department of Medicine, GMC, Anantnag, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1161\/CIRCULATIONAHA.115.018912","article-title":"Global disparities of hypertension prevalence and control:A systematic analysis of population-based studies from 90 countries","volume":"134","author":"Mills","year":"2016","journal-title":"Circulation"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/HJH.0b013e32834d9eda","article-title":"Hypertension prevalence, awareness, treatment and control among older people in Latin America, India and China:A 10\/66 cross-sectional population-based survey","volume":"30","author":"Prince","year":"2012","journal-title":"J Hypertens"},{"key":"R3-20240828","first-page":"e1002801","article-title":"Hypertension screening, awareness, treatment, and control in India:A nationallyrepresentative cross-sectional study amongindividuals aged 15 to 49 years PLoS Med","volume":"16","author":"Prenissl","year":"2019"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/S0140-6736(05)17741-1","article-title":"Global burden of hypertension:Analysis of worldwide data","volume":"365","author":"Kearney","year":"2005","journal-title":"Lancet"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1038\/nrcardio.2017.138","article-title":"Cardiovascular disease in the eastern Mediterranean region:Epidemiology and risk factor burden","volume":"15","author":"Turk-Adawi","year":"2018","journal-title":"Nat Rev Cardiol"},{"key":"R8-20240828","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1080\/13814788.2017.1398318","article-title":"Cardiovascular disease patients have increased risk for comorbidity:A cross-sectional study in the Netherlands","volume":"24","author":"Kendir","year":"2018","journal-title":"Eur J Gen Pract"},{"key":"R11-20240828","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1161\/01.CIR.97.6.596","article-title":"Emerging epidemic of cardiovascular disease in developing countries","volume":"97","author":"Reddy","year":"1998","journal-title":"Circulation"},{"key":"R12-20240828","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.1186\/s12889-019-7390-0","article-title":"Smoking habits and incidence of cardiovascular diseases in men and women:Findings of a 12 year follow up among an urban Eastern-Mediterranean population","volume":"19","author":"Amiri","year":"2019","journal-title":"BMC Public Health"},{"key":"R13-20240828","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1016\/S0140-6736(03)14338-3","article-title":"Estimates of global mortality attributable to smoking in 2000","volume":"362","author":"Ezzati","year":"2003","journal-title":"Lancet"},{"key":"R14-20240828"},{"key":"R15-20240828","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1056\/NEJMsa0707719","article-title":"A nationally representative case-control study of smoking and death in India","volume":"358","author":"Jha","year":"2008","journal-title":"N Engl J Med"},{"key":"R16-20240828","doi-asserted-by":"crossref","first-page":"3329","DOI":"10.1038\/s41598-018-20601-z","article-title":"Winter burst of pristine kashmirvalley air","volume":"8","author":"Hakim","year":"2018","journal-title":"Sci Rep"},{"key":"R17-20240828","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1097\/HJH.0000000000000146","article-title":"Hypertension in India:A systematic review and meta-analysis of prevalence, awareness and control of hypertension","volume":"32","author":"Anchala","year":"2014","journal-title":"J Hypertens"},{"key":"R18-20240828","first-page":"301","article-title":"Cigarette smoking and cardiovascular risk in young women with polycystic ovary syndrome","volume":"7","author":"Morotti","year":"2014","journal-title":"Int J Fertil Steril"},{"key":"R19-20240828","doi-asserted-by":"crossref","first-page":"1260","DOI":"10.1016\/S0140-6736(17)32130-X","article-title":"Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries andterritories, 1990\u20132016:A systematic analysis for the Global Burden of Disease Study 2016","volume":"390","year":"2017","journal-title":"Lancet"},{"key":"R20-20240828","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0140-6736(06)68967-8","article-title":"Relation between age and cardiovascular disease in men and women with diabetes compared with non-diabetic people:A population-based retrospective cohort study","volume":"368","author":"Booth","year":"2006","journal-title":"Lancet"},{"key":"R21-20240828","first-page":"S9","article-title":"Smoking and cardiovascular disease in the general population in Japan","volume":"8","author":"Kiyohara","year":"1990","journal-title":"J Hypertens"},{"key":"R22-20240828","first-page":"99","article-title":"Smoking as cardiovascular risk factor in low cholesterol population:The Hisayama study","volume":"14","author":"Fujishima","year":"1992","journal-title":"Clin Exp Hypertens"},{"key":"R23-20240828","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1016\/j.jclinepi.2005.02.019","article-title":"In a prospective study in young people, associations between changes in smoking behaviour and risk factors for cardiovascular disease were complex","volume":"58","author":"Bernaards","year":"2005","journal-title":"J Clin Epidemiol"},{"key":"R24-20240828","first-page":"304","article-title":"Evaluating causes of death and morbidity in Iran, global burden of diseases, injuries, and risk factors study 2010","volume":"17","author":"Forouzanfar","year":"2014","journal-title":"Arch Iran Med"},{"key":"R25-20240828","doi-asserted-by":"crossref","first-page":"407","DOI":"10.2337\/diacare.27.2.407","article-title":"Health-related quality of life and health-adjusted life expectancy of people with diabetes mellitus in Ontario, Canada 1996\/97","volume":"27","author":"Manuel","year":"2004","journal-title":"Diabetes Care"},{"key":"R26-20240828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2017.04.052","article-title":"Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015","volume":"70","author":"Roth","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"R27-20240828","doi-asserted-by":"crossref","first-page":"1263","DOI":"10.1185\/03007995.2013.827566","article-title":"Effect of tobacco smoking and smoking cessation on plasma lipoproteins and associated major cardiovascular risk factors:A narrative review","volume":"29","author":"Athyros","year":"2013","journal-title":"Curr Med Res Opin"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2023_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:09:39Z","timestamp":1787760579000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_2023_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_2023_22","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5]]},"assertion":[{"value":"2022-10-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}