In a new study, researchers found that smoke-free policies have been associated with lower systolic (top number) blood pressure readings among non-smokers.
While smoke-free policies – laws that prohibit smoking in public places like bars and restaurants – have been linked to reduced rates of hospitalization for heart disease, previous studies have not examined changes in blood pressure.
In this new analysis, the researchers linked data from the Coronary Artery Risk Development in Young Adults (CARDIA, 1995-2011) study to state, county, and local smoke-free policies in restaurants, bars and workplaces.
The CARDIA study enrolled 5,115 black and white adults (age 18 to 30) in 1985-86 from four U.S. cities: Birmingham, Alabama, Chicago, Minneapolis and Oakland, California.
Follow-up exams were conducted up to 30 years later.
The researchers analyzed data drawn from years 10-25 (1995-2011) to align with the timing of smoke-free policies and excluded participants who didn’t have at least two blood pressure readings during that period.
A total of 2,606 CARDIA participants were used for this study.
At each exam, participants living in areas with smoke-free policies affecting public places had lower systolic blood pressure on average than those in areas without smoke-free policies, and the difference increased over time.
By year 25, participants in smoke-free areas had systolic blood pressure values on average 1.14 mm Hg to 1.52 mm Hg lower than those in areas without smoke-free environments, depending on the locations covered by the law (restaurants, bars, or workplaces).
They found that nonsmoking adults in the study who lived in areas with smoke-free laws in restaurants, bars or workplaces had lower systolic blood pressure by the end of the follow-up period compared to those who lived in areas without smoke-free laws.
Smoke-free laws were linked to reduced systolic blood pressure, but surprisingly not with reductions in diastolic blood pressure or high blood pressure.
It’s not entirely certain why this was the case, but it’s possible that the scientists are detecting effects on systolic blood pressure that are below the threshold for hypertension.
Higher systolic blood pressure increases the risk of cardiovascular disease even when they are below the hypertension threshold.
The reductions in systolic blood pressure seen in this study suggest a potentially meaningful effect on population-level risk.
Also, when the team looked at differences in blood pressure over time within individuals, comparing years when they lived in an area with a smoke-free law to years when they didn’t, systolic blood pressure was lower on average when they lived in an area with smoke-free laws.
While the magnitude of associations was small at the individual level, the researchers said the results point to a potential mechanism through which reductions in secondhand smoke due to smoke-free policies may improve population-level heart health.
Stephanie Mayne, Ph.D. is the study lead author and research scientist at PolicyLab and the Center for Pediatric Clinical Effectiveness at Children’s Hospital of Philadelphia.
The new research in the Journal of the American Heart Association.
Copyright © 2018 Knowridge Science Report. All rights reserved.
Source: Journal of the American Heart Association.