Use of Electronic Cigarettes with Conventional Tobacco Is Associated with Decreased Sleep Quality in Women

Boddu, Shreyes; Bojanowski, C.M.; Lam, Michael T.; Advani, I.N.; Scholten, Eric L.; Sun, Xiaoying; Montgrain, Philippe R.; Malhotra, Atul; Jain, Sonia; Alexander, Laura E. Crotty

doi:10.1164/rccm.201904-0890le

Cited by 20 publications

(16 citation statements)

References 13 publications

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“…Electronic cigarette use is complex and often involves dual use [26][27][28]. The synergistic effect of electronic cigarettes and conventional tobacco use (dual use) can be much greater than using only one inhalant [34]. The authors provided additional analyses on dual use to address this limitation.…”

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confidence: 99%

The Association of Sleep Duration and the Use of Electronic Cigarettes, NHANES, 2015-2016

et al. 2020

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Introduction. The unknown effects of electronic cigarettes are public health concerns. One potential effect of electronic cigarette fluid constituents, such as nicotine, may influence sleep. The purpose of this study is to determine if there is an association between sleep duration and electronic cigarette use. Methods. A retrospective, cross-sectional study was conducted using National Health and Nutrition Examination Survey (NHANES) 2015-2016. Variables of interest included responses to questions concerning electronic cigarette use, hours of sleep, and other variables associated with sleep. Data analyses were conducted with the Rao-Scott chi square test and logistic regression. Results. This study was conducted on 2889 participants, aged 18-65 years, of whom 50.7% were female. Using a bivariate analyses of electronic cigarette usage and sleep duration, participants who never used an electronic cigarette were more likely to have appropriate sleep durations as compared with participants who were currently using electronic cigarettes (P<0.0001). After adjusting for sociodemographic variables and cigarette smoking, current electronic cigarette use was associated with higher odds of less sleep duration (adjusted odds ratio=1.82; 95% CI: 1.18, 2.79; P=0.0075). Conclusions. Participants currently using electronic cigarettes are more likely to have less sleep as compared to participants who have never used electronic cigarettes. Implications. With sleep time duration being a major factor for proper body function and repair, this study can serve as confirmation that the use of electronic cigarettes is not a harmless health behavior.

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confidence: 99%

The Association of Sleep Duration and the Use of Electronic Cigarettes, NHANES, 2015-2016

et al. 2020

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“…Researchers have been racing to acquire data on e-cigarette effects on lung function and inflammation (Crotty Alexander et al 2018), addiction (Alasmari et al 2017), sleep (Boddu et al 2019), renal disease (Crotty Alexander et al 2018) and host defences (Hwang et al 2016;Ghosh et al 2019;Madison et al 2019;Corriden et al 2020), but unfortunately more work is needed before we will be able to draw definitive conclusions about the long-term effects on human health. Because e-devices have evolved rapidly and human use patterns have shifted every 12-24 months in response to the introduction of new devices, new flavours and aggressive marketing, research on vaping has been challenging (Kaisar et al 2016;Hawk & Colbert Maresso, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…2017), sleep (Boddu et al . 2019), renal disease (Crotty Alexander et al . 2018) and host defences (Hwang et al .…”

Section: Introductionmentioning

confidence: 99%

Effects of e‐cigarettes and vaping devices on cardiac and pulmonary physiology

Tsai

Byun

Shin

et al. 2020

The Journal of Physiology

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Short term • Increased flow resistance • Increased airway reactivity Long term • Emphysema • Higher airway resistance • Airway onstruction • Airway inflammation Short term • Increased heart rate • Increased blood pressure • Increased aortic stiffness Long term • Increased atherosclerosis • Increased aortic stiffness Abstract E-cigarette aerosols are exceedingly different from conventional tobacco smoke, containing dozens of chemicals not found in cigarette smoke. It is highly likely that chronic use of e-cigarettes will induce pathological changes in both the heart and lungs. Here we review human and animal studies published to date and summarize the cardiopulmonary physiological changes

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“…Limited work has evaluated the potential multiplicative effect of concurrent dual use on sleep, but one study found dual‐product users to have the greatest odds of sleep‐related complaints compared with single‐product users and nonusers 29 . Boddu et al 30 observed worse overall sleep quality and increased sleep onset latency among dual users relative to e‐cigarette users, combustible smokers, and nonusers, though this pattern was restricted to females. Collectively, emerging literature highlights the potential for dual combustible and e‐cigarette use to confer worse health outcomes compared with exclusive single‐product use, a pattern that has been only preliminarily extended to sleep outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…Despite emerging work on e‐cigarette use and dual use on important behavioral health outcomes, including sleep, some limitations are notable. First, prior studies have used participants who either generally identified as users 30 or quantified frequency of “ever” use 25 . A key assumption is that nicotine disrupts the sleep/wake cycle through its stimulating properties; thus, there is a need to understand the nuanced association between frequency of nicotine intake and sleep health.…”

Section: Introductionmentioning

confidence: 99%

Main and Interactive Effects of Nicotine Product Type on Sleep Health Among Dual Combustible and E‐Cigarette Users

Meers

Alfano

et al. 2020

American J Addict

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Background and Objectives E‐cigarette use is associated with concurrent use of combustible cigarettes among adults and may increase the risk of future combustible cigarette use in adolescents and young adults. Detrimental effects of combustible cigarette use on sleep health are well documented, but little is known about the additive effects of concurrent e‐cigarette use. The current study examined the main and interactive effects of daily nicotine product frequency on various components of sleep health. Methods Two hundred and twenty‐seven dual‐product users (54.2% female, Mage = 36.89, SD = 10.17) completed questionnaires regarding demographic information, average number of cigarettes smoked per day, average number of times e‐cigarettes used per day, and sleep health. Results Combustible cigarette frequency uniquely predicted shorter sleep duration, whereas e‐cigarette frequency uniquely predicted increased daytime dysfunction due to sleepiness. Further, there was an interactive effect of combustible and electronic cigarettes on the use of sleeping medications. Discussion and Conclusions Findings may suggest differential adverse effects on sleep, depending on the type of nicotine product used, and highlight potential intervention targets for users. Future work should examine these associations prospectively and/or use objective measurements of sleep and nicotine use to further elucidate the nature of these relationships. Scientific Significance This is the first study to explore the main and interactive effects of dual‐product use on various dimensions of subjective sleep quality. This is important to investigate, given that dual nicotine users are at greater risk for physical health problems as well as the adverse effects of nicotine on sleep health. (Am J Addict 2020;00:00–00)

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Use of Electronic Cigarettes with Conventional Tobacco Is Associated with Decreased Sleep Quality in Women

Cited by 20 publications

References 13 publications

The Association of Sleep Duration and the Use of Electronic Cigarettes, NHANES, 2015-2016

The Association of Sleep Duration and the Use of Electronic Cigarettes, NHANES, 2015-2016

Effects of e‐cigarettes and vaping devices on cardiac and pulmonary physiology

Main and Interactive Effects of Nicotine Product Type on Sleep Health Among Dual Combustible and E‐Cigarette Users

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