2012
DOI: 10.1016/j.toxlet.2012.09.026
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Acute toxicant exposure and cardiac autonomic dysfunction from smoking a single narghile waterpipe with tobacco and with a “healthy” tobacco-free alternative

Abstract: Tobacco smoking using a waterpipe (narghile, hookah, shisha) has become a global epidemic. Unlike cigarette smoking, little is known about the health effects of waterpipe use. One acute effect of cigarette smoke inhalation is dysfunction in autonomic regulation of the cardiac cycle, as indicated by reduction in heart rate variability (HRV). Reduced HRV is implicated in adverse cardiovascular health outcomes, and is associated with inhalation exposure-induced oxidative stress. Using a 32 participant cross-over … Show more

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Cited by 99 publications
(99 citation statements)
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“…This may reflect the impact of narghile smoking on the activity of the sinus node during walking. 26 To the best of our knowledge, the present study is the first to determine such chronic effects of narghile use on submaximal aerobic capacity.…”
Section: Outcomementioning
confidence: 79%
See 2 more Smart Citations
“…This may reflect the impact of narghile smoking on the activity of the sinus node during walking. 26 To the best of our knowledge, the present study is the first to determine such chronic effects of narghile use on submaximal aerobic capacity.…”
Section: Outcomementioning
confidence: 79%
“…10,[25][26][27][28][29][30][31] An example of an acute effect is that a single 30-min session of narghile smoking (10 g of double apple-flavored tabamel) by 45 volunteers induced a significant increase in SBP (from 120 Ϯ 12 to 132 Ϯ 18 mm Hg), DBP (from 75 Ϯ 8 to 83 Ϯ 13 mm Hg), and heart rate (from 80 Ϯ 10 to 96 Ϯ 17 beats/min). 31 An example of a chronic effect is that the resting heart rate and resting SBP of the 22 ENS with a Ͼ 5 narghile-year history were significantly higher than those of the HNS group (93 Ϯ 4 vs 78 Ϯ 4 beats/min and 141 Ϯ 4 vs 131 Ϯ 3 mm Hg, respectively).…”
Section: Effects Of Resting Spirometric Datamentioning
confidence: 99%
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“…However, previous studies have suggested that hookah pipe and cigarette smoking share similar health risks, with more carbon monoxide, similar nicotine and more smoke exposure during a session of hookah pipe smoking. [6,7] It is concerning that the health effects of hookah pipe smoking are unclear.…”
Section: Knowledge and Attitudesmentioning
confidence: 99%
“…[6,7] Studies investigating the acute and long-term effects of hookah pipe smoking show that it is a risk factor for lung cancer, periodontal diseases, cardiovascular disease and adverse pregnancy outcomes. [8] It also poses the risks of transmission of acute and chronic infections, such as tuberculosis and hepatitis, with sharing of the hookah pipe mouthpiece.…”
mentioning
confidence: 99%