The impact of cigarette dependence severity on disease outcomes and depression in ankylosing spondylitis

Authors : Seyhan DÜLGER, İlknur AYKURT KARLIBEL, Tekin YILDIZ, Lale ALTAN, Özlem ŞENGÖREN DİKİŞ, Meliha KASAPOĞLU AKSOY

Pages : 374-380

Doi:10.18621/eurj.336935

View : 18 | Download : 4

Publication Date : 2018-10-04

Article Type : Research Paper

Abstract :Introduction: Ankylosing spondylitis insert ignore into journalissuearticles values(AS); is a chronic systemic inflammatory disease. Smoking plays a role in AS pathogenesis and causes difficulties in its treatment. The aim of this study is to investigate the association of disease activity, functional status, spinal mobility, depression, chest expansion, pain, fatigue, quality of life, respiratory function with cigarette dependence severity in patients with AS. Methods: The study included 71 patients diagnosed as AS. Patients were evaluated on questionnaires and examination scales specific to assessment of AS. The results were compared using the SPSS-23 software. Results: Out of the total 71 patients, 40 insert ignore into journalissuearticles values(56.3%); were smokers, 31 insert ignore into journalissuearticles values(43.7%); were non-smokers. There were no significant differences between the smokers and the non-smokers with respect to the median values in Bath Ankylosing Spondylitis Disease Activity Index, Bath Ankylosing Spondylitis Metrology Index insert ignore into journalissuearticles values(BASMI);, Bath Ankylosing Spondylitis Functional Index, Ankylosing Spondylitis Quality of Life questionnaire, Short Form 36 insert ignore into journalissuearticles values(SF-36);, chest expansion, the fingertip-to-floor test and Beck Depression Inventory insert ignore into journalissuearticles values( p > 0.05);. However, there were significant differences when comparing the median scores on BASMI insert ignore into journalissuearticles values( p = 0.036);, SF-36 physical role strength insert ignore into journalissuearticles values( p = 0.004); and the chest expansion insert ignore into journalissuearticles values( p = 0.015); of the smoker patients placed in the three Fagerström Test for Nicotine Dependence insert ignore into journalissuearticles values(FTND); subgrouping. Conclusion: AS patients with smoking have elevated FTND scores and worse values for test of disease activity and quality of life.
Keywords : Smoking, ankylosing spondylitis, life quality