Univariable and multivariable linear regression analyses of the association of childhood and adolescent/adult chronic household secondhand smoke exposure with echocardiographic measures of cardiac structure and function in The Echocardiographic Study of Latinos (Echo-SOL)
Childhood only (N=215) | Adolescent/adult only (N=86) | Childhood and adolescent/adult (N=314) | ||||||||||
Minimally adjusted β (SE) | P values | Fully adjusted β (SE) | P values | Minimally adjusted β (SE) | P values | Fully adjusted β (SE) | P values | Minimally adjusted β (SE) | P values | Fully adjusted β (SE) | P values | |
LV mass index, g/m2 | 1.1 (2.0) | 0.58 | 0.7 (2.0) | 0.73 | −1.0 (2.3) | 0.65 | −0.8 (2.3) | 0.73 | 1.7 (1.8) | 0.35 | 1.5 (1.7) | 0.38 |
LV end-systolic volume, mL | −1.1 (0.9) | 0.19 | −1.3 (0.8) | 0.12 | −2.0 (1.1) | 0.07 | −1.6 (1.1) | 0.16 | −0.4 (0.9) | 0.67 | −0.2 (0.8) | 0.81 |
LV end-diastolic volume, mL | −3.5 (1.8) | 0.053 | −3.5 (1.8) | 0.059 | −3.4 (2.4) | 0.15 | −2.8 (2.3) | 0.23 | −1.3 (2.0) | 0.51 | −0.9 (1.7) | 0.59 |
LVEF, % | −0.3 (0.5) | 0.64 | 0.008 (0.5) | 0.99 | 1.4 (0.6) | 0.02 | 1.2 (0.6) | 0.04 | −0.5 (0.5) | 0.91 | −0.06 (0.4) | 0.89 |
LV stroke volume, mL | −1.3 (1.5) | 0.41 | −0.6 (1.5) | 0.7 | −1.8 (2.1) | 0.38 | −2.3 (2.0) | 0.25 | 1.4 (1.7) | 0.42 | 1.5 (1.5) | 0.35 |
LV longitudinal strain (four-chamber), % | 0.6 (0.4) | 0.09 | 0.5 (0.4) | 0.15 | −0.8 (0.6) | 0.19 | −0.7 (0.6) | 0.25 | −0.2 (0.4) | 0.97 | −0.06 (0.3) | 0.84 |
LV longitudinal strain (two chamber), % | 0.5 (0.4) | 0.25 | 0.3 (0.4) | 0.38 | −0.08 (0.7) | 0.90 | −0.3 (0.7) | 0.73 | 0.8 (0.4) | 0.06 | 0.8 (0.4) | 0.049 |
LV longitudinal strain (average), % | 0.6 (0.3) | 0.09 | 0.5 (0.3) | 0.16 | −0.4 (0.6) | 0.5 | −0.4 (0.6) | 0.50 | 0.5 (0.3) | 0.15 | 0.4 (0.3) | 0.18 |
Medial E’ velocity, cm/s | −0.2 (0.2) | 0.24 | −0.08 (0.2) | 0.58 | −0.03 (0.2) | 0.91 | 0.0003 (0.2) | 0.999 | −0.1 (0.2) | 0.48 | −0.1 (0.1) | 0.43 |
Lateral E’ velocity, cm/s | −0.2 (0.3) | 0.45 | −0.1 (0.3) | 0.65 | 0.3 (0.4) | 0.43 | 0.5 (0.4) | 0.21 | −0.2 (0.2) | 0.43 | −0.2 (0.2) | 0.48 |
E/E’ | −0.2 (0.3) | 0.38 | −0.3 (0.3) | 0.29 | 0.07 (0.4) | 0.86 | −0.009 (0.4) | 0.98 | 0.3 (0.3) | 0.26 | 0.4 (0.3) | 0.14 |
E/A ratio | −0.07 (0.02) | 0.002 | −0.06 (0.02) | 0.008 | 0.01 (0.04) | 0.70 | 0.01 (0.04) | 0.75 | 0.02 (0.02) | 0.45 | 0.02 (0.02) | 0.47 |
Isovolumic relaxation time, s | 0.002 (0.001) | 0.08 | 0.002 (0.001) | 0.15 | −0.003 (0.002) | 0.06 | −0.003 (0.002) | 0.03 | 0.001 (0.002) | 0.56 | 0.001 (0.001) | 0.34 |
Peak RA/RV gradient, mm Hg | 0.4 (0.7) | 0.57 | 0.5 (0.7) | 0.46 | 0.02 (0.8) | 0.98 | 0.3 (0.8) | 0.69 | 0.2 (0.6) | 0.78 | 0.2 (0.6) | 0.7 |
TAPSE, cm | −0.04 (0.04) | 0.37 | −0.03 (0.04) | 0.55 | 0.05 (0.08) | 0.49 | 0.04 (0.08) | 0.57 | −0.04 (0.05) | 0.43 | −0.03 (0.05) | 0.53 |
RV fractional area change, % | −0.02 (0.01) | 0.09 | −0.02 (0.01) | 0.095 | −0.01 (0.03) | 0.68 | −0.004 (0.03) | 0.88 | −0.001 (0.01) | 0.93 | 0.003 (0.009) | 0.70 |
Left atrial volume index, mL/m2 | −0.7 (0.6) | 0.23 | −0.4 (0.6) | 0.48 | 1.8 (0.9) | 0.045 | 1.7 (0.8) | 0.04 | 0.5 (0.7) | 0.41 | 0.5 (0.6) | 0.40 |
Linear regression analyses adjusting for the following variables.
Minimally adjusted: age and sex.
Fully adjusted: age, sex, study site, alcohol use, physical activity and years of education.
Bold denotes p value <0.05.
Reference: participants who report no childhood or adolescent/adult chronic household exposure to secondhand tobacco smoke.
LV, left ventricular; LVEF, left ventricular ejection fraction; TAPSE, tricuspid annular plane systolic excursion.