2019
DOI: 10.1186/s12199-019-0811-y
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The effects of hookah/waterpipe smoking on general health and the cardiovascular system

Abstract: Hookah or waterpipe smoking or use is an emerging trend in the US population, especially among the youth. The misperception of hookah being less harmful than cigarettes and the availability of different but “appealing” flavors are considered among the main reasons for this trend. Hookah users however are exposed to many of the same toxic compounds/by-products as cigarette users, but at dramatically higher levels, which might lead to more severe negative health effects. In fact, hookah users are at risks of inf… Show more

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citations
Cited by 99 publications
(84 citation statements)
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References 195 publications
(209 reference statements)
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“…The device works by burning charcoal that then burns a tobacco mixture, as well as heats the water. Smoking of the charcoal helps move the tobacco through the water and hose and up to the mouthpiece [40]. This study provides a general idea about the differences in the prevalence of Water pipe smoking among university students from Palestine, Jordan, and Turkey.…”
Section: Prevalence and Patterns Of Water Pipe Smokingmentioning
confidence: 86%
See 1 more Smart Citation
“…The device works by burning charcoal that then burns a tobacco mixture, as well as heats the water. Smoking of the charcoal helps move the tobacco through the water and hose and up to the mouthpiece [40]. This study provides a general idea about the differences in the prevalence of Water pipe smoking among university students from Palestine, Jordan, and Turkey.…”
Section: Prevalence and Patterns Of Water Pipe Smokingmentioning
confidence: 86%
“…These results indicate the need for a health warning for university students about the harmful effects of Water pipe. The water in Water pipe does not filter these components [40]. Nicotine is a moodaltering ingredient of Water pipe that reaches the brain of the Water pipe smokers in mere seconds and makes them feel recognized for a while.…”
Section: Prevalence and Patterns Of Water Pipe Smokingmentioning
confidence: 99%
“…Several toxicants have been found in waterpipe smoke including nicotine, carbon monoxide, furanic and phenolic compounds, aldehydes, particulate matter, heavy metals, and ammonia. The amounts of these toxicants may be different in waterpipe compared with cigarette smoke due to different heating process and charcoal combustion [10].…”
Section: Toxicological Profilementioning
confidence: 99%
“…Furthermore, nitrosamine compounds, which feature a nitroso Group, were found in cigarettes, in the urine of hookah smokers, in children who were exposed to its smoke [31] and in fertilisers that are commonly used in Syria [32]. Moreover, hookah was found to have many carcinogens and risks that were discussed in literature reviews and meta-analyses [33,34], which can even affect children and pregnant women.…”
Section: Tobacco and Dietmentioning
confidence: 99%