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Cited by 270

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.

Cigarette Smoking Is Associated with Subclinical Parenchymal Lung Disease: The Multi-Ethnic Study of Atherosclerosis (MESA)–Lung Study

Open access
Lederer, David J., Enright, Paul L., Kawut, Steven M., Hoffman, Eric A., Hunninghake, Gary, van Beek, Edwin J. R., Austin, John H. M., Jiang, Rui, Lovasi, Gina S., Barr, R. Graham·2009·American Journal of Respiratory and Critical Care Medicine

Abstract

RATIONALE: Cigarette smoking is a risk factor for diffuse parenchymal lung disease. Risk factors for subclinical parenchymal lung disease have not been described. OBJECTIVES: To determine if cigarette smoking is associated with subclinical parenchymal lung disease, as measured by spirometric restriction and regions of high attenuation on computed tomography (CT) imaging. METHODS: We examined 2,563 adults without airflow obstruction or clinical cardiovascular disease in the Multi-Ethnic Study of Atherosclerosis, a population-based cohort sampled from six communities in the United States. Cumulative and current cigarette smoking were assessed by pack-years and urine cotinine, respectively. Spirometric restriction was defined as a forced vital capacity less than the lower limit of normal. High attenuation areas on the lung fields of cardiac CT scans were defined as regions having an attenuation between -600 and -250 Hounsfield units, reflecting ground-glass and reticular abnormalities. Generalized additive models were used to adjust for age, gender, race/ethnicity, smoking status, anthropometrics, center, and CT scan parameters. MEASUREMENTS AND MAIN RESULTS: The prevalence of spirometric restriction was 10.0% (95% confidence interval [CI], 8.9-11.2%) and increased relatively by 8% (95% CI, 3-12%) for each 10 cigarette pack-years in multivariate analysis. The median volume of high attenuation areas was 119 cm(3) (interquartile range, 100-143 cm(3)). The volume of high attenuation areas increased by 1.6 cm(3) (95% CI, 0.9-2.4 cm(3)) for each 10 cigarette pack-years in multivariate analysis. CONCLUSIONS: Smoking may cause subclinical parenchymal lung disease detectable by spirometry and CT imaging, even among a generally healthy cohort.

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Metadata

Authors
Lederer, D. J., Enright, P. L., Kawut, S. M., Hoffman, E. A., Hunninghake, G., van Beek, E. J. R., Austin, J. H. M., Jiang, R., Lovasi, G. S., & Barr, R. G.
Venue
American Journal of Respiratory and Critical Care Medicine
Published
2009-09-01
Volume
180
Issue
5
Pages
407-414
ISSN
  • 1073-449X (ISSN-L)
  • 1535-4970
OpenAlex
W2006750439
Cited by
270
References
44
FWCI
7.37
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Cigarette Smoking Is Associated with Subclinical Parenchymal Lung Disease: The Multi-Ethnic Study of Atherosclerosis (MESA)–Lung Study. https://app.cochat.ai/papers/10.1164/rccm.200812-1966oc
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Lederer, D. J., Enright, P. L., Kawut, S. M., Hoffman, E. A., Hunninghake, G., van Beek, E. J. R., Austin, J. H. M., Jiang, R., Lovasi, G. S., & Barr, R. G. (2009). Cigarette Smoking Is Associated with Subclinical Parenchymal Lung Disease: The Multi-Ethnic Study of Atherosclerosis (MESA)–Lung Study. American Journal of Respiratory and Critical Care Medicine. https://doi.org/10.1164/rccm.200812-1966oc

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