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Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults
BACKGROUND: Heated tobacco products (HTPs) were designed to deliver nicotine by heating the tobacco instead of burning it. This study aimed to examine the acute health effects on the respiratory and cardiovascular systems during the use of HTPs and compare these effects with acute health effects evo...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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European Respiratory Society
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10227633/ https://www.ncbi.nlm.nih.gov/pubmed/37260463 http://dx.doi.org/10.1183/23120541.00595-2022 |
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author | Majek, Paulina Jankowski, Mateusz Brożek, Grzegorz Marek |
author_facet | Majek, Paulina Jankowski, Mateusz Brożek, Grzegorz Marek |
author_sort | Majek, Paulina |
collection | PubMed |
description | BACKGROUND: Heated tobacco products (HTPs) were designed to deliver nicotine by heating the tobacco instead of burning it. This study aimed to examine the acute health effects on the respiratory and cardiovascular systems during the use of HTPs and compare these effects with acute health effects evoked by cigarette smoking or electronic cigarettes (e-cigarettes). METHODS: The study group comprised 160 healthy young adults (age 23 years; quartile 1 (Q1) 21 years; quartile 3 (Q3) 26 years) with both sexes divided into groups according to their smoking status: 40 HTP users (H group), 40 traditional cigarette smokers (T group), 40 e-cigarette users (E group) and 40 non-smokers (C group). Heart rate, blood pressure, oxygen saturation, exhaled nitric oxide fraction (F(ENO)), carbon monoxide concentration, temperature of exhaled air and spirometry were measured three times: initially, immediately after the exposure, and after 30 min. The exposure differed depending on smoking status: heating HTP, smoking a cigarette, using an e-cigarette and simulation of smoking. RESULTS: After 5 min of exposure, a significant decrease in F(ENO) was observed in the H and E groups, from 12.8±5.5 ppb to 11.2±5.3 ppb in the H group and from 16.9±6.5 ppb to 14.2±6.8 ppb in the E group (p<0.01). A slight but statistically significant increase in the temperature of exhaled air after 30 min was observed in groups T and E, from 34.1°C (Q1 33.6°C; Q3 34.4°C) to 34.4°C (Q1 34.1°C; Q3 34.6°C) (p=0.02) in the T group and from 34.2°C (Q1 33.9°C; Q3 34.5°C) to 34.4°C (Q1 33.8°C; Q3 34.6°C) (p<0.01) in the E group. A significant increase in heart rate and blood pressure was observed in the T, E and H groups. Only cigarette smoking increased carbon monoxide levels (p<0.01). CONCLUSIONS: The use of HTPs elicits acute respiratory and cardiovascular health effects. |
format | Online Article Text |
id | pubmed-10227633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-102276332023-05-31 Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults Majek, Paulina Jankowski, Mateusz Brożek, Grzegorz Marek ERJ Open Res Original Research Articles BACKGROUND: Heated tobacco products (HTPs) were designed to deliver nicotine by heating the tobacco instead of burning it. This study aimed to examine the acute health effects on the respiratory and cardiovascular systems during the use of HTPs and compare these effects with acute health effects evoked by cigarette smoking or electronic cigarettes (e-cigarettes). METHODS: The study group comprised 160 healthy young adults (age 23 years; quartile 1 (Q1) 21 years; quartile 3 (Q3) 26 years) with both sexes divided into groups according to their smoking status: 40 HTP users (H group), 40 traditional cigarette smokers (T group), 40 e-cigarette users (E group) and 40 non-smokers (C group). Heart rate, blood pressure, oxygen saturation, exhaled nitric oxide fraction (F(ENO)), carbon monoxide concentration, temperature of exhaled air and spirometry were measured three times: initially, immediately after the exposure, and after 30 min. The exposure differed depending on smoking status: heating HTP, smoking a cigarette, using an e-cigarette and simulation of smoking. RESULTS: After 5 min of exposure, a significant decrease in F(ENO) was observed in the H and E groups, from 12.8±5.5 ppb to 11.2±5.3 ppb in the H group and from 16.9±6.5 ppb to 14.2±6.8 ppb in the E group (p<0.01). A slight but statistically significant increase in the temperature of exhaled air after 30 min was observed in groups T and E, from 34.1°C (Q1 33.6°C; Q3 34.4°C) to 34.4°C (Q1 34.1°C; Q3 34.6°C) (p=0.02) in the T group and from 34.2°C (Q1 33.9°C; Q3 34.5°C) to 34.4°C (Q1 33.8°C; Q3 34.6°C) (p<0.01) in the E group. A significant increase in heart rate and blood pressure was observed in the T, E and H groups. Only cigarette smoking increased carbon monoxide levels (p<0.01). CONCLUSIONS: The use of HTPs elicits acute respiratory and cardiovascular health effects. European Respiratory Society 2023-05-30 /pmc/articles/PMC10227633/ /pubmed/37260463 http://dx.doi.org/10.1183/23120541.00595-2022 Text en Copyright ©The authors 2023 https://creativecommons.org/licenses/by-nc/4.0/This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org (mailto:permissions@ersnet.org) |
spellingShingle | Original Research Articles Majek, Paulina Jankowski, Mateusz Brożek, Grzegorz Marek Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title | Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title_full | Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title_fullStr | Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title_full_unstemmed | Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title_short | Acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
title_sort | acute health effects of heated tobacco products: comparative analysis with traditional cigarettes and electronic cigarettes in young adults |
topic | Original Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10227633/ https://www.ncbi.nlm.nih.gov/pubmed/37260463 http://dx.doi.org/10.1183/23120541.00595-2022 |
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