Effect of shisha vs. cigarette smoking on endothelial function by brachial artery duplex ultrasonography: an observational study

Selim, Ghada; Elia, Remon Zaher; Bohey, Ayman S. El; Meniawy, Khalid A. El

doi:10.5152/akd.2013.4499

Cited by 13 publications

(21 citation statements)

References 30 publications

(25 reference statements)

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“…Flow-mediated dilation was lowest in otherwise healthy WP smokers followed by age-matched and sex-matched cigarette smokers and non-smokers, suggesting a higher degree of endothelial dysfunction. 32 Reduced HR variability (referred to above) and increased oxidative stress, the latter persisting after 2 weeks of sustained smoking, 33 are other possible mechanisms. Finally, enhanced thrombosis and oxidation of cholesterol are other potential mechanisms that were implicated in cigarette smoking 34 but have not been evaluated in WPS.…”

Section: Resultsmentioning

confidence: 99%

Health effects associated with waterpipe smoking

2015

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ObjectiveIt is widely held that waterpipe smoking (WPS) is not associated with health hazards. However, several studies have documented the uptake of several toxicants and carcinogens during WPS that is strongly associated with harmful health effects. This paper reviews the literature on the health effects of WPS.Data sourcesThree databases-PubMed, MEDLINE and EMBASE-were searched until August 2014 for the acute and long-term health effects of WPS using the terms ‘waterpipe’ and its synonyms (hookah, shisha, goza, narghileh, arghileh and hubble-bubble) in various spellings.Study selectionWe included original clinical studies, case reports and systematic reviews and focused on clinical human studies. ∼10% of the identified studies met the selection criteria.Data extractionData were abstracted by all three authors and summarised into tables. Abstracted data included study type, results and methodological limitations and were analysed jointly by all three authors.Data synthesisWPS acutely leads to increased heart rate, blood pressure, impaired pulmonary function and carbon monoxide intoxication. Chronic bronchitis, emphysema and coronary artery disease are serious complications of long-term use. Lung, gastric and oesophageal cancer are associated with WPS as well as periodontal disease, obstetrical complications, osteoporosis and mental health problems.ConclusionsContrary to the widely held misconception, WPS is associated with a variety of adverse short-term and long-term health effects that should reinforce the need for stronger regulation. In addition, this review highlights the limitations of the published work, which is mostly cross-sectional or retrospective. Prospective studies should be undertaken to assess the full spectrum of health effects of WPS, particularly in view of its growing popularity and attractiveness to youth.

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Section: Resultsmentioning

confidence: 99%

Health effects associated with waterpipe smoking

2015

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“…10 Multiple health dangers are associated with waterpipe smoking, such as heart disease, lung and oral cancers, respiratory diseases and low birth weight. 2,4,7,11,12 Shisha smoking thus imposes a significant burden on health care systems worldwide. 6,[13][14][15][16][17] Compared to cigarette smoking, shisha smoking exposes individuals to 6.5 times more carbon monoxide, 1.7 times more nicotine and 46 times more tar, along with other lung carcinogens and heavy metals.…”

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confidence: 99%

Perception and intentions to quit among waterpipe smokers in Qatar: a cross-sectional survey

Jaam

Al-Marridi

Fares

et al. 2016

public health action

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“…Recently, it has been shown that one session of WPS resulted in significant increases in carboxyhemoglobin concentrations, systolic and diastolic blood pressure, and heart and respiratory rates [9]. WPS has also been reported to have more hazardous effects on brachial artery endothelial- dependent flow mediated vasodilation compared to CS [10]. …”

Section: Introductionmentioning

confidence: 99%

Short-Term Nose-Only Water-Pipe (Shisha) Smoking Exposure Accelerates Coagulation and Causes Cardiac Inflammation and Oxidative Stress in Mice

Yuvaraju

Beegam

Ali

2015

Cell Physiol Biochem

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Background/Aim: Water-pipe smoking (WPS) has acquired worldwide popularity, and is disseminating particularly rapidly in Europe and North America. However, little is known about the short-term cardiovascular effects of WPS. Methods: Presently, we assessed the short-term cardiovascular effects of nose-only exposure to mainstream WPS in BALB/c mice for 30 min/day for 5 consecutive days. Control mice were exposed to air. At the end of the exposure period, several cardiovascular endpoints were measured. Results: WPS did not affect the number of leukocytes and the plasma concentrations of C-reactive protein, tumor necrosis factor α (TNFα) and interleukin-6 (IL-6). Likewise, plasma levels of lipid peroxidation (LPO), reduced glutathione (GSH) and catalase were not affected by WPS. By contrast, WPS aggravated in vivo thrombosis by shortening the thrombotic occlusion time in pial arterioles and venules. The number of circulating platelets was reduced by WPS suggesting the occurrence of platelet aggregation in vivo. Elevated concentrations of fibrinogen and plasminogen activator inhibitor-1 were seen after the exposure to WPS. Blood samples taken from mice exposed to WPS and exposed to adenosine diphosphate showed more platelet aggregation. The heart concentrations of IL-6 and TNFα were augmented by WPS. Likewise, heart levels of LPO, reactive oxygen species and the antioxidants catalase and GSH were increased by WPS. However, the systolic blood pressure and heart rate were not affected by WPS. Conclusion: It can be concluded that short-term exposure to WPS exerts procoagulatory effects and induce cardiac inflammation and oxidative stress. At the time point investigated, there was no evidence for blood inflammation or oxidative stress.

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Effect of shisha vs. cigarette smoking on endothelial function by brachial artery duplex ultrasonography: an observational study

Cited by 13 publications

References 30 publications

Health effects associated with waterpipe smoking

Health effects associated with waterpipe smoking

Perception and intentions to quit among waterpipe smokers in Qatar: a cross-sectional survey

Short-Term Nose-Only Water-Pipe (Shisha) Smoking Exposure Accelerates Coagulation and Causes Cardiac Inflammation and Oxidative Stress in Mice

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