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  • Research Article
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Relationship between environmental tobacco smoke and urinary cotinine levels in passive smokers at their residence

Abstract

Studies of the health effects of environmental tobacco smoke (ETS) using measured air concentrations are subject to bias. Cotinine, a nicotine metabolite detected in urine, has been recommended as a quantitative measure of nicotine intake and thus as a marker for ETS exposure in humans. The aim of this study was to correlate home indoor ETS levels with passive smokers’ urinary cotinine levels. The urinary cotinine concentrations of 57 non-smoking women who spend >19 h a day at home and the nicotine levels in their living room air were measured over a period of 24 h. Nicotine and urinary cotinine levels were analyzed using GC/MS and HPLC/UV, respectively. In addition, information was collected regarding the smoking habits of the subjects’ families. A significant correlation was found between the nicotine levels in indoor air and the urinary cotinine to creatinine ratio of the passive smokers. The smoking habits of the subjects’ family members were also correlated to the urinary cotinine levels of the passive smokers.

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References

  • Ashton H., Stepney R., and Thompson J.W. Should intake of carbon monoxide be used as a guide to intake of other smoke constituents? Br Med J 1981: 282: 10–13.

    Article  CAS  Google Scholar 

  • Baranowski J., Pochopieri G., and Baranowska I. Determination of nicotine, cotinine and caffeine in meconium using high-performance liquid chromatography. J Chromatogr B 1988: 707: 207–277.

    Google Scholar 

  • Benowitz N.L. Pharmacologic aspects of cigarette smoking and nicotine addiction. Clin Pharmacol Ther 1988: 34: 604–611.

    Article  Google Scholar 

  • Benowitz N.L., Jacob III P., and Denaro C. Stable isotope studies of nicotine kinetics and bioavailability. Clin Pharmacol Ther 1991: 49: 270–277.

    Article  CAS  Google Scholar 

  • Brownson R.C., Eriksen M.P., Davis R.M., and Warner K.E. Environmental tobacco smoke: health effect and policies to reduce exposure. Annu Rev Public Health 1997: 18: 163–185.

    Article  CAS  Google Scholar 

  • Butts W.C., Kuehneman M., and Widdowson G.M. Automated method for determining serum thiocyanate to distinguish smokers from nonsmokers. Clin Chem 1974: 20: 1344–1348.

    CAS  PubMed  Google Scholar 

  • Committee on Passive Smoking, Board of Environmental Studies and Toxicology, National Research Council. Environmental Tobacco Smoke: Measuring Exposures and Assessing Health Effects. National Academy Press, Washington, DC, 1986.

  • Coultas D.B., Samet J.M., and McCarthy J.F. A personal monitoring study to assess workplace exposure to environmental tobacco smoke. Am J Public Health 1990: 80: 988–990.

    Article  CAS  Google Scholar 

  • Etzel R.A. A review of the use of saliva cotinine as a marker of tobacco smoke exposure. Prev Med 1990: 19: 190–197.

    Article  CAS  Google Scholar 

  • Georg B.N., and Gerhard F.P. Gas chromatographic determination of trans-3′-hydroxycotinine, a major metabolite of nicotine in smokers. J Chromatogr B 1987: 415: 400–406.

    Article  Google Scholar 

  • Grimaldi F., Oddoze C., and Viala A. Determination of nicotine and its main metabolites in urine by high-performance liquid chromatography. J Chromatogr: Biomed Appl 1993: 612(2): 302–309.

    Article  Google Scholar 

  • Haddow J.E., Knight G.J., Palomaki G.E., Neveux L.M., and Chilmonczyk B.A. Replacing creatinine measurements with specific gravity values to adjust urine cotinine concentration. Clin Chem 1994: 40: 562–564.

    CAS  PubMed  Google Scholar 

  • Hansen A.M., Garde A.H., Christensen J.M., Eller N., Knudsen L.E., and Heinrich-Ramm R. Reference interval and subject variation in excretion of urinary metabolites of nicotine form non-smoking healthy subjects in Denmark. Clin Chim Acta 2001: 304: 125–132.

    Article  CAS  Google Scholar 

  • Hariharan M., Noord T.V., and Greden J.F. Liquid-chromatographic determination of nicotine and cotinine in urine from passive smokers: comparison with gas chromatography with a nitrogen-specific detector. Clin Chem 1991: 34: 724–729.

    Google Scholar 

  • Henderson F.W., Reid H.F., Morris R., Wang O.-L., Hu P.C., Helms R.W., Forehand L., Mumford J., Lewtas J., Haley N.J., and Hammond S.K. Home air nicotine levels and urinary cotinine excretion in preschool children. Am Rev Respir Dis 1989: 140: 197–201.

    Article  CAS  Google Scholar 

  • Iwase A., Aiba M., and Kira S. Respiratory nicotine absorption in non-smoking females during passive smoking. Int Arch Occup Environ Health 1991: 63: 139–143.

    Article  CAS  Google Scholar 

  • Jarvis M., Tunstall-Pedoe H., Feyerabend C., Vesey C., and Salloojee Y. Biochemical markers of smoke absorption and self-reported exposure to passive smoking. J Epidemiol Community Health 1984: 38: 335–339.

    Article  CAS  Google Scholar 

  • John H.B. Tobacco. In: Wilson T.D. (Ed.). Harrison's Principles of Internal Medicine. MC Graw-Hill, New York, 1991, pp. 2158–2161.

    Google Scholar 

  • Kannel W.B. Update on the role of cigarette smoking in coronary artery disease. Am Heart J 1981: 101: 319–328.

    Article  CAS  Google Scholar 

  • Lee P.N. “Marriage to a smoker” may not be valid marker of exposure in studies relating environmental tobacco smoke to risk of lung cancer in Japanese non-smoking women. Int Arch Occup Environ Health 1995: 67: 287–294.

    Article  CAS  Google Scholar 

  • Luepker R.V., Pechack T.F., and Murray D.M. Saliva thiocyanate: a chemical indicator of cigarette smoking in adolescents. Am J Public Health 1981: 71: 1320–1324.

    Article  CAS  Google Scholar 

  • Marbury M.C., Hammond S.K., and Haley N.J. Measuring exposure to environmental tobacco smoke in studies of acute health effects. Am J Epidemiol 1993: 137: 1089–1097.

    Article  CAS  Google Scholar 

  • Oddoze C., Dubus J.C., Bandier M., Thirion X., Pauli A.M., Pastor J., and Bruguerolle B. Urinary cotinine and exposure to parental smoking in a population of children with asthma. Clin Chem 1999: 54(4): 505–509.

    Google Scholar 

  • Oddoze C., Pauli A.M., and Paster J. Rapid and sensitive high-performance liquid chromatographic determination of nicotine and cotinine in nonsmoker human and rat. J Chromatogr B 1998: 708: 95–101.

    Article  CAS  Google Scholar 

  • Odgen M.W., Heavner D.L., Foster T.L., Maiolo K.C., Cash S.L., Richardson J.D., Martin P., Simmons P.S., Conrad F.W., and Nelson P.R. Personal monitoring system for measuring environmental tobacco smoke exposure. Environ Technol 1996: 17: 239–250.

    Article  Google Scholar 

  • Parviainen M.T., and Barlow R.D. Assessment of exposure to environmental tobacco smoke using a high-performance liquid chromatographic method for the simultaneous determination of nicotine and two of its metabolites in urine. J Chromatogr 1988: 431: 216–221.

    Article  CAS  Google Scholar 

  • Rosenberg J., Benowitz N.L., Jacob P., and Wilson K.M. Disposition kinetics and effects of intravenous nicotine. Clin Pharmacol Ther 1980: 28: 517–522.

    Article  CAS  Google Scholar 

  • Rothberg M., Heloma A., Svinhufvud J., Kahkonen E., and Reijula K. Measurement and analysis of nicotine and other VOCs in indoor air as an indicator of passive smoking. Ann Occup Hyg 1998: 42: 129–134.

    Article  CAS  Google Scholar 

  • Sillett R.W., Wilson M.B., Malcolm R.E., and Ball K.P. Deception among smokers. Br Med J 1978: 2: 1185–1186.

    Article  CAS  Google Scholar 

  • Tietz N.W. Textbook of Clinical Chemistry. W.B. Sanders, Philadelphia, 1986.

    Google Scholar 

  • Thompsom S.G., Stone R., and Nanchahal K. Relation of urinary cotinine concentrations to cigarette smoking and to exposure to other people’s smoke. Thorax 1990: 45: 356–361.

    Article  Google Scholar 

  • US Department of Health, Education, and Welfare. Smoking and Health. A Report of the Surgeon General. Public Health Service, Office on Smoking and Health. DHEW Publication No. (PHS) 79-50066, 1997.

  • US Environmental Protection Agency. Federal Register: Rules and regulations, October 26 1984: 49: 209.

  • Wakefield M., Banham D., Martin J., Ruffin R., McCaul K., and Badcock N. Restrictions on smoking at home and urinary cotinine levels among children with asthma. Am J Prev Med 2000: 19(3): 188–192.

    Article  CAS  Google Scholar 

  • Willers S., Axmon A., Feyerabend C., Nielsen J., Skarping G., and Skerfving S. Assessment of environmental tobacco smoke exposure in children with asthmatic symptoms by questionnaire and cotinine concentrations in plasma, saliva, and urine. J Clin Epidemiol 2000: 53: 715–721.

    Article  CAS  Google Scholar 

  • Yoon Y.H. A study on environmental tobacco smoke in indoor and outdoor of urban area. The Graduate School of Environmental Studies, Hanyang University, Seoul, Korea,, 1995.

  • Zmirou D., Blatier J.F., Andre E., Ferley J.P., Balducci F., Rossum F., and Delormas P. Passive smoking respiratory risk. A quantitative synthesis of the literature. Rev Mal Resp 1990: 7: 361–371.

    CAS  Google Scholar 

Download references

Acknowledgements

This study was supported by a grant (HMP-99-M-09-0006) from the 1999 Good Health R&D Project, at the Ministry of Health & Welfare, Korea.

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Correspondence to Dongchun Shin.

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Kim, H., Lim, Y., Lee, S. et al. Relationship between environmental tobacco smoke and urinary cotinine levels in passive smokers at their residence. J Expo Sci Environ Epidemiol 14 (Suppl 1), S65–S70 (2004). https://doi.org/10.1038/sj.jea.7500360

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