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Relationship with Smoking and Dyslipidemia in Korean Adults
J Korean Soc Res Nicotine Tob 2017; 8(2): 73-79
Published online December 15, 2017
© 2017 The Korean Society for Research on Nicotine and Tobacco.

Dong Youl Shin1, Young Keun Jang1*, Jae Hoon Lee1, Jeong Hoon Wee1, Dong Ho Chun2

1Department of Family Medicine, Hyosung Hospital, Cheongju, 2Department of Family Medicine, Green Hospital, Seoul, Korea
Correspondence to: 옣쁺洹
슚꽦蹂묒썝 媛젙쓽븰怨 異⑸턿 泥二쇱떆 뇿궡濡 16 (슦)28736
Tel: 043-221-5000 Fax: 043-221-0510 E-mail:
Received April 17, 2017; Revised September 12, 2017; Accepted September 13, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: Both cigarette smoking and dyslipidemia are well-established major risk factor for cardiovascular disease. The purpose of this study is to examine the relationship between cigarette smoking and dyslipidemia, using urinary cotinine level. Methods: This was a cross-sectional study conducted in 5072 korean adults aged 돟19 years. We compared the lipid profile of smokers and non-smokers, using data from the sixth Korea National Health and Nutrition Examination Survey (2014-2015). Dyslipidemia was defined as any lipid profile abnormalities or current intake of cholesterol-lowering medication and smokers were defined as someone who are urine cotinine level 돟250 ng/ml. Results: Male smokers revealed an increased risk for low HDL cholesterol (OR 1.46; 95% CI 1.19-1.80), high triglyceride (OR 1.41; 95% CI 1.13-1.75) and high LDL cholesterol (OR 1.71; 95% CI 1.18-2.48) compared with non-smokers, significantly. Female smokers showed increased risk for high total cholesterol (OR 1.96; 95% CI 1.19-3.23), high triglyceride (OR 2.40; 95% CI 1.48-3.90) and high LDL cholesterol (OR 3.21; 95% CI 1.75-5.90) compared with non-smokers, significantly. Conclusion: Cigarette smoking is associated with dyslipidemia, especially in high triglyceride and LDL cholesterol in both sexes and the risk of high triglyceride and LDL cholesterol is more higher in female than male.
Keywords : Smoking; Dyslipidemia; Korean adults; Urinary cotinine