title: Cigarette smoking lowers blood pressure in adolescents: the Irbid-TRY.
abstract: OBJECTIVE
  Tobacco consumption adversely affects cardiovascular (CV) disease (CVD) and risk profile, including hypertension. The long-term effect of cigarette smoking on blood pressure (BP) in adolescents is still, however, equivocal. Thus, the current study examined the CV indices in male adolescent cigarette smokers versus nonsmokers.
  
  
  METHODS
  Resting heart rate, systolic BP (SBP) and diastolic BP (DBP), mean arterial pressure (MAP), pulse pressure (PP) and rate pressure products (RPP) were examined using automatic oscillatory method, while smoking status was determined with Youth Risk Behavior Survey.
  
  
  RESULTS
  After controlling for cofactors, the ANCOVA showed that CV measures in the male adolescent smokers were lower (p < 0.05) than nonsmokers. Additionally, regression showed that smoking status explained 20.6% of SBP, 5.0% of DBP, 13.4% of MAP, 7.5% of PP and 13.4% of RPP.
  
  
  CONCLUSIONS
  The results suggest that cigarette smoking lowers CV measures in adolescents. However, more studies are needed to describe the mechanism(s) for lowering CV measures and explain the relationship of adolescent smoking with adulthood CVDs.
authors.affiliation: a Division of Physical Therapy, Department of Rehabilitation Sciences , Jordan University of Science and Technology , Irbid , Jordan .
authors.forename: Mahmoud A
authors.initials: MA
authors.lastname: Alomari
authors.affiliation: b Maternal and Child Health Department , Faculty of Nursing, Jordan University of Science and Technology , Irbid , Jordan .|c Charles Perkins Centre and Faculty of Nursing and Midwifery, The University of Sydney , Sydney , Australia.
authors.forename: Nihaya A
authors.initials: NA
authors.lastname: Al-Sheyab
mesh_terms: D000293:Adolescent; D001794:Blood Pressure; D015992:Body Mass Index; D049628:Body Size; D006339:Heart Rate; D006801:Humans; D007597:Jordan; D008297:Male; D012907:Smoking / Q000503:physiopathology*
keywords: Adolescents; blood pressure; cardiovascular; cigarettes; smoking; tobacco