Epilepsy and tobacco smoking: a cross-sectional study

Article Article scientifique Article Epilepsy and tobacco smoking: a cross-sectional study eng 2016 author Torriani Omar Silvio 636943 author Vuilleumier Frédéric 631388 author Perneger Thomas 28462 author Despland Paul-Andre author Maeder Malin author Heritier Barras Anne-Chantal 27107 author Vulliemoz Serge 0000-0002-1877-8625 712268 author Seeck Margitta 133679 author Rossetti Andrea O author Picard Fabienne 123049 2057-2064 10.1007/s00415-016-8228-7 27416858 0340-5354 There is little data concerning the prevalence of smoking in the population of people with epilepsy. The present study addresses this aspect in a sample of 429 unselected adults with epilepsy living in French-speaking Switzerland. The criterion of at least one cigarette per day for the past 6 months was used to define the status of "current" smoker. The questionnaires included questions about the type of epilepsy and tobacco consumption and were prospectively filled by attending neurologists in the presence of their patient, ensuring a reliable diagnosis of epilepsy. Data were compared with those of the "Tabakmonitoring" data collection, which gives annually detailed information about tobacco use habits in the Switzerland's population according to the different linguistic regions. Among patients suffering from epilepsy, the prevalence of current smoking was 32.1 % (28.8 % among women and 35 % among men), while the prevalence of smoking was 19.0 % in the general population in French-speaking Switzerland in the same period [OR 2.0, confidence interval (CI) 1.6-2.5, p < 0.001]. The subgroup of patients with epilepsy suffering from idiopathic (genetic) generalized epilepsy had the highest prevalence of smoking: 44.3 versus 27.8 % in the other types of epilepsy-p = 0.03. Epilepsy appears significantly correlated to smoking. The possible causal relationship, such as common genetic susceptibility to epilepsy and to nicotine addiction, indirect comorbidity through stress or depression associated with epilepsy, beneficial effect of nicotine on epilepsy, still remains unclear and deserves further studies. Dewey 613 Dewey 616.8 61 Département des neurosciences cliniques 226 64 Département de santé et médecine communautaires 22A false 88 Epidémiologie clinique 115 119 Epilepsie et Chirurgie 149 1279 Epilepsie et réseaux cérébraux 1002 Journal of neurology 263 10 63cb1a65-a82a-4f04-b841-755272f435bd Article (Published version) Restricted art_10.1007_s00415-016-8228-7.pdf 281118 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques Faculté de médecine / Section de médecine clinique / Département de santé et médecine communautaires

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Epilepsy and tobacco smoking: a cross-sectional study	Journal of neurology			2016	651	0

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Torriani, Omar Silvio