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Relationship Between Nicotine Dependence Scores and Nicotine, Cotinine, 3′-Hydroxycotinine and Nicotine Metabolite Ratio in Chinese Male Smokers Cover

Relationship Between Nicotine Dependence Scores and Nicotine, Cotinine, 3′-Hydroxycotinine and Nicotine Metabolite Ratio in Chinese Male Smokers

Open Access
|Dec 2020

Figures & Tables

Table 1

FTND score, nicotine, cotinine, 3HC concentration (ng/mg creatinine), and NMR according to general characteristics of the study population.

N (%)FTND mean (SD)P valueNicotine (ng/mg) mean (SD)P valueCotinine (ng/mg) mean (SD)P value3HC (ng/mg) mean (SD)P valueNMR mean (SD)P value
Total289 (100)3.2 (2.4)1282.7 (1344.4)1549.4 (1420.7)3859.1 (4174.3)2.8 (1.8)
Age0.002*0.007*0.3850.2450.736
18–3486 (29.8)2.4 (2.1)913.9 (993.8)1382.9 (1230.9)3379.4 (3449.1)2.7 (1.8)
35–49106 (36.7)3.3 (2.4)1374.0 (1544.5)1573.7 (1673.9)3754.6 (3544.6)2.9 (2.1)
≥ 5097 (33.6)3.6 (2.5)1510.1 (1324.9)1670.5 (1268.5)4398.6 (5242.7)2.7 (1.6)
BMI0.9880.048*0.040*0.2090.214
<18.513 (4.5)3.2 (2.0)1394.4 (1665.7)1669.1 (1191.3)3779.0 (2829.8)3.1 (2.4)
18.5–23.9144 (49.8)3.2 (2.3)1308.2 (1314.5)1623.8 (1398.2)4237.3 (4913.5)2.7 (1.8)
24.00–27.999 (34.3)3.1 (2.5)1430.3 (1482.7)1648.1 (1583.1)3759.6 (3528.3)2.6 (1.6)
≥2833 (11.4)3.2 (2.4)685.6 (573.4)881.5 (838.2)2538.7 (2309.5)3.3 (2.5)
Smoking years0.000*0.005*0.0590.1230.579
≤1591 (31.5)2.2 (2.1)908.8 (1244.2)1270.1 (1273.3)3118.1 (3651.7)2.6 (1.7)
16–30113 (39.1)3.3 (2.3)1469.2 (1340.6)1740.9 (1614.3)4195.9 (3605.5)2.8 (1.8)
>3185 (29.4)4.1 (2.5)1435.1 (1385.6)1593.7 (1254.1)4204.6 (5220.4)2.9 (2.1)
CPD0.000*0.002*0.001*0.000*0.103
≤1095 (32.9)1.2 (1.6)890.6 (904.9)1090.5 (1069.6)2435.0 (2741.7)2.6 (1.9)
11–20160 (55.4)3.9 (2.0)1490.6 (1470.4)1781.7 (1541.9)4394.7 (3836.0)2.7 (1.5)
≥2134 (11.8)5.3 (2.3)1400.2 (1535.5)1738.2 (1413.2)5317.6 (7094.9)3.4 (2.7)

* Significant at P < 0.05; FTND: Fagerström Test for Nicotine Dependence; 3HC: 3′-Hydroxycotinine; NMR: Nicotine metabolite ratio; BMI: Body Mass Index; CPD: Cigarettes smoked per day, SD: Standard deviation.

Table 2

Spearman correlation coefficients among measured biomarkers and variables obtained from questionnaires.

FTNDNicotineCotinine3HCCPDAgeSmoking yearsNMR
FTND1.0000.301**0.371**0.365**0.615**0.238**0.317**0.057
Nicotine0.301**1.0000.702**0.482**0.163**0.245**0.264**−0.204**
Cotinine0.371**0.702**1.0000.762**0.251**0.155**0.197**−0.153**
3HC0.365**0.482**0.762**1.0000.293**0.131*0.186**0.431**
CPD0.615**0.163**0.251**0.293**1.0000.228**0.278**0.075
Age0.238**0.245**0.155**0.131*0.228**1.0000.897**0.014
Smoking years0.317**0.264**0.197**0.186**0.278**0.897**1.0000.037
NMR0.057−0.204**−0.153**0.431**0.0750.0140.0371.000

* Significant at P < 0.05,

** Significant at P < 0.01; FTND: Fagerström Test for Nicotine Dependence; 3HC: 3′-Hydroxycotinine; NMR: Nicotine metabolite ratio.

Table 3

Nicotine, cotinine, 3HC concentration (ng/mg creatinine) and NMR according to FTND.

FTND items:N (%)NicotineCotinine3HCNMR
Mean (SD)PMean (SD)PMean (SD)PMean (SD)P
(1) Time to first cigarette0.000*0.000*0.000*0.763
  After 60 min (0 points)107 (37.0)850.2 (875.0)1029.4 (935.2)2457.2 (2579.9)2.7 (1.8)
  31–60min (1 point)61 (21.1)1298.2 (1490.4)1476.6 (1137.5)3771.0(3390.6)2.9 (1.8)
  6–30min (2 points)53 (18.3)1487.7 (1299.1)2002.0 (1754.2)5329.7(6596.0)2.6 (1.7)
  Within 5 min (3 points)68 (23.5)1789.8 (1632.7)2078.0 (1691.6)4997.8 (3760.0)2.9 (2.0)
(2) Difficult to refrain from smoking0.080.2970.8000.721
  No (0 points)223 (77.2)1207.5 (1228.1)1501.9 (1284.1)3893.1 (4374.4)2.8 (1.7)
  Yes (1 point)66 (22.8)1536.9 (1665.0)1710.0 (1810.1)3744.2 (3440.0)2.7 (2.2)
(3) Hating most to give up smoking0.002*0.000*0.010*0.729
  All others (0 points)200 (69.2)1121.4 (1303.9)1316.3 (1225.0)3440.0 (4370.7)2.8 (1.9)
  The first one in the morning (1 point)89 (30.8)1645.3 (1370.6)2073.2 (1676.8)4800.9 (3540.0)2.7 (1.7)
(4) Cigarettes per day0.005*0.002*0.000*0.034
  10 or fewer (0 points)97 (33.6)893.3 (902.0)1098.0 (1065.4)2415.6 (2721.3)2.6 (1.9)
  11–20 (1 point)153 (52.9)1508.3 (1490.3)1800.5 (1577.4)4443.1 (3911.3)2.7 (1.6)
  21–30 (2 points)28 (9.7)1403.1 (1655.7)1690.8 (1249.3)5319.7 (7599.2)2.9 (1.7)
  31 or more (3 points)11 (3.8)1273.0 (889.6)1677.3 (1478.8)4747.4 (3164.9)4.3 (3.7)
(5) Smoking more in the first hours0.033*0.038*0.1310.158
  No (0 points)244 (84.4)1210.5 (1311.6)1475.1 (1362.5)3700.0 (4278.5)2.7 (1.6)
  Yes (1 point)45 (15.6)1674.2 (1464.0)1952.1 (1662.2)4722.8 (3471.3)3.1 (2.7)
(6) Smoking when ill0.006*0.005*0.000*0.353
  No (0 points)189 (65.4)1125.7 (1188.8)1377.9 (1302.0)3176.5 (2832.8)2.7 (1.8)
  Yes (1 point)100 (34.6)1579.6 (1561.5)1873.6 (1578.2)5149.2 (5734.1)2.8 (2.0)

* Significant at P < 0.05; FTND: Fagerström Test for Nicotine Dependence; 3HC: 3′-Hydroxycotinine; NMR: Nicotine metabolite ratio;

Figure 1

Comparison of cotinine, nicotine and 3HC levels in human urine by the FTND scores. Nicotine dependence groups (low, FTND score = 0 – 4; high, FTND score = 5 – 10); FTND: Fagerström Test for Nicotine Dependence; 3HC: 3′-Hydroxycotinine; * Significant at P < 0.05.

Table 4

Relationship between the FTND scores and cotinine, nicotine and 3HC levels in human urine.

Cotininelow1314.0 ± 1115.1 ng/mg creatinine
high1813.61 ± 1262.2 ng/mg creatinine
3HClow3086.9 ± 2899.6 ng/mg creatinine
high4930.3 ± 4033.8 ng/mg creatinine
Nicotinelow1062.9 ± 1072.6 ng/mg creatinine
high1670.2 ± 1545.9 ng/mg creatinine
DOI: https://doi.org/10.2478/cttr-2020-0012 | Journal eISSN: 2719-9509 (formerly 1612-9237)
Language: English, French, German
Page range: 136 - 144
Submitted on: May 6, 2020
Accepted on: Oct 16, 2020
Published on: Dec 31, 2020
Published by: Beiträge zur Tabakforschung GmbH
In partnership with: Paradigm Publishing Services

© 2020 Junwei Zhao, Ge Zhao, Chenfeng Hua, Xiang Li, Pingping Shang, Sheng Wang, Kejian Liu, Guochang Hu, Yipeng Wang, Yunzhen Jia, Huimin Liu, Fuwei Xie, published by Beiträge zur Tabakforschung GmbH
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