{"id":2014,"date":"2023-05-04T11:12:49","date_gmt":"2023-05-04T09:12:49","guid":{"rendered":"https:\/\/vsm.vivoptim-solutions.com\/?p=2014"},"modified":"2024-09-10T16:20:40","modified_gmt":"2024-09-10T14:20:40","slug":"tabac-un-facteur-de-risque","status":"publish","type":"post","link":"https:\/\/vsm.vivoptim-solutions.com\/?p=2014","title":{"rendered":"Tabac, un facteur de risque ?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2014\" class=\"elementor elementor-2014\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45faa29 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45faa29\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d99e035\" data-id=\"d99e035\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5aa4d72 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"5aa4d72\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tabac, un facteur de risque ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-afd8b97 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"afd8b97\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7b8fe6c\" data-id=\"7b8fe6c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bf100dd elementor-widget elementor-widget-text-editor\" data-id=\"bf100dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div id=\"expert\" style=\"box-shadow: #49aad6 -1px 2px 3px 1px; padding: 2vw; margin: 2% auto 10% auto;\"><div class=\"row\"><p class=\"col-lg-4 col-md-6 col-sm-8 col-xl-4 col-xs-8\"><img decoding=\"async\" class=\"size-full wp-image-2016 alignleft\" src=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot.png\" alt=\"\" width=\"194\" height=\"194\" srcset=\"https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot.png 194w, https:\/\/vsm.vivoptim-solutions.com\/wp-content\/uploads\/2023\/05\/pr_chabot-150x150.png 150w\" sizes=\"(max-width: 194px) 100vw, 194px\" \/><\/p><p class=\"col-lg-8 col-md-6 col-sm-12 col-xl-8 col-xs-12\" style=\"text-align: left;\"><span style=\"color: #16a085;\"><strong>\u00a0\u00a0\u00a0 Notre Expert : Pr Jean-Michel CHABOT<\/strong><\/span><\/p><p>Jean-Michel Chabot est m\u00e9decin et Professeur de sant\u00e9 publique. De 2010 \u00e0 2017, il a \u00e9t\u00e9 conseiller m\u00e9dical de la Pr\u00e9sidence de la HAS et membre de la Commission nationale des \u00e9tudes de sant\u00e9 (CNES). De 2002 \u00e0 2004, il avait \u00e9t\u00e9 conseiller au cabinet du ministre de la Sant\u00e9 Jean-Fran\u00e7ois Matt\u00e9i apr\u00e8s avoir \u00e9t\u00e9 secr\u00e9taire de la conf\u00e9rence des Doyens de m\u00e9decine de 1998 \u00e0 2002. Actuellement, il poursuit son activit\u00e9 aux comit\u00e9s de r\u00e9daction de la Revue du Praticien et du Concours Pluripro.<\/p><\/div><\/div><p>Ceux d\u2019entre nous \u00e2g\u00e9s de moins de cinquante ans pourraient, pour la plupart, \u00eatre surpris par cette interrogation. Et cependant, il suffit de se rappeler ce qu\u2019\u00e9taient les ann\u00e9es 60 et 70, en revoyant par exemple les films de ces ann\u00e9es-l\u00e0 (et leurs principales vedettes \u2013principalement masculines) pour se rendre compte du tabagisme qui s\u00e9vissait alors. Fort heureusement, une \u00e9tude parue dans le Bulletin \u00e9pid\u00e9miologique hebdomadaire (BEH), publi\u00e9 par Sant\u00e9 Publique France, \u00e0 partir de donn\u00e9es du \u00ab\u00a0Barom\u00e8tre sant\u00e9 France 2019\u00a0\u00bb fait un point tr\u00e8s utile sur la question.<\/p><p>Plus de 5000 sujets adultes (entre 18 et 85 ans) repr\u00e9sentatifs de la population g\u00e9n\u00e9rale ont \u00e9t\u00e9 ainsi interrog\u00e9s sur leur perception du risque de maladie cardiovasculaires li\u00e9 au tabac\u00a0; une telle enqu\u00eate n\u2019avait plus \u00e9t\u00e9 r\u00e9alis\u00e9e en France depuis pr\u00e8s de vingt ans (!) alors que pr\u00e8s d\u2019un fran\u00e7ais sur quatre fume encore quotidiennement.<\/p><p>Ce risque de maladies cardiovasculaires (MCV) est bien connu pour pr\u00e8s de 9 fran\u00e7ais sur 10\u00a0; globalement ce sont les r\u00e9pondants de moins de 65 ans et\/ou ayant un niveau d\u2019\u00e9ducation sup\u00e9rieure qui sont les mieux sensibilis\u00e9s. Cependant,<strong> le risque de MCV<\/strong> est associ\u00e9 \u00e0 un tabagisme important et reste <strong>plut\u00f4t m\u00e9connu ou encore sous-estim\u00e9 pour des consommations mod\u00e9r\u00e9es ou bien r\u00e9centes <\/strong>(moins de 10 cigarettes\/jour ou bien moins de 10 ann\u00e9es de tabagisme). Pourtant, il est d\u00e9sormais bien d\u00e9montr\u00e9 que \u00ab\u00a0la toxicit\u00e9 cardiovasculaire du tabagisme suit une relation dose-effet non lin\u00e9aire pour laquelle <strong>il n\u2019y a pas de seuil de consommation au-dessous duquel le risque est nul\u00a0<\/strong>\u00bb. C\u2019est pourquoi, il faut sans cesse rappeler que les effets peuvent \u00eatre pr\u00e9coces et pour une tr\u00e8s faible consommation de tabac (ou m\u00eame une simple exposition \u00ab\u00a0passive\u00a0\u00bb \u00e0 la fum\u00e9e). En effet, la connaissance des risques sur la sant\u00e9, associ\u00e9s au tabagisme peut influer positivement sur les comportements.<\/p><p>Pour finir, on peut rappeler qu\u2019en\u00a01993 une \u00e9tude rapportait que seulement 63 % des cardiologues fran\u00e7ais citaient le tabac comme un facteur de risque de maladie coronaire et 16 % pour l\u2019AVC, alors qu\u2019ils \u00e9taient presque 90 % \u00e0 citer le tabac comme un facteur de risque de\u00a0cancer du poumon.<\/p><p>Pr Jean-Michel Chabot<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a5522a0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a5522a0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e0bc0e1\" data-id=\"e0bc0e1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Addiction<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"categories":[12],"tags":[],"class_list":["post-2014","post","type-post","status-publish","format-standard","hentry","category-addiction"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false},"uagb_author_info":{"display_name":"wkhaloui@Vivoptim-solutions.com","author_link":"https:\/\/vsm.vivoptim-solutions.com\/author\/wkhalouivivoptim-solutions-com"},"uagb_comment_info":0,"uagb_excerpt":"Addiction","_links":{"self":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2014","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2014"}],"version-history":[{"count":5,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2014\/revisions"}],"predecessor-version":[{"id":3988,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=\/wp\/v2\/posts\/2014\/revisions\/3988"}],"wp:attachment":[{"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2014"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2014"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vsm.vivoptim-solutions.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2014"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}