Evidence map›Paper›PMID 42577922›Full record

ReviewCureus2026

Physiologic Recovery After Smoking Cessation: A Systematic Review of Inflammatory and Cardiovascular Biomarker Changes.

Ahmad Mohammad, Uday Shree Akkala Shetty, Roland Asiwe, Hafiz H Zubair, Zaeem Ahmad, Aryan Raj, Daniel E Cook, Ahmad Sattar

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Ahmad MohammadInternal Medicine, Hurley Medical Center, Flint, USA.
Uday Shree Akkala ShettyInternal Medicine, Southern Regional Medical Center, Riverdale, USA.
Roland AsiweInternal Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.
Hafiz H ZubairInternal Medicine, Pilgrim Hospital Boston, Boston, GBR.
Zaeem AhmadInternal Medicine, Mayo Hospital, Lahore, PAK.
Aryan RajInternal Medicine, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, PAK.
Daniel E CookInternal Medicine, Avalon University School of Medicine, Willemstad, CUW.
Ahmad SattarInternal Medicine, Allama Iqbal Medical College, Lahore, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cigarette smoking remains a major modifiable contributor to cardiovascular morbidity and mortality through mechanisms involving systemic inflammation, oxidative stress, endothelial dysfunction, dyslipidemia, and hematologic abnormalities. Although the long-term cardiovascular benefits of smoking cessation are well-established, the temporal pattern of biologic recovery following cessation remains incompletely understood. This systematic review synthesized current evidence regarding the reversal of cardiovascular risk biomarkers after smoking cessation, with emphasis on the timing and magnitude of biomarker normalization. A comprehensive search of PubMed, Embase, Scopus, and Cochrane CENTRAL identified studies published between January 1990 and May 2024 evaluating biomarker changes following smoking abstinence. Eligible studies included randomized controlled trials, prospective clinical studies, and observational investigations involving adults who achieved smoking abstinence for at least seven days. Risk of bias was assessed using the Cochrane Risk of Bias 2 (RoB 2) tool and the Risk of Bias in Nonrandomized Studies-of Interventions (ROBINS-I) instrument, and findings were synthesized narratively because of methodological heterogeneity. Ten studies comprising 2,750 participants met the inclusion criteria. Biomarker recovery followed a staged temporal pattern, with oxidative stress markers improving within one to two weeks, inflammatory biomarkers declining over approximately two to 12 weeks, and lipid and hematologic parameters improving more gradually over three to eight months. However, substantial heterogeneity in study design, cessation interventions, biomarker selection, and follow-up duration limited direct cross-study comparability. Adjunctive interventions, including antioxidant supplementation and exercise, appeared to enhance biomarker recovery in selected populations. Overall, smoking cessation was associated with progressive improvement in multiple cardiovascular risk pathways, supporting its critical role in cardiovascular prevention and highlighting the potential value of biomarker-guided approaches in future risk-reduction strategies.

Indexed as

biomarkerscardiovascular riskc-reactive proteinendothelial dysfunctionf2-isoprostanesfibrinogeninflammationlipid profileoxidative stresssmoking cessation

Identifiers

PMID42577922
PMCPMC13456119

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.