Vaping for weight control: A cross-sectional population study in England

Jackson, Sarah E; Brown, Jamie; Aveyard, Paul; Dobbie, Fiona; Uny, Isabelle; West, Robert; Bauld, Linda

doi:10.1016/j.addbeh.2019.04.007

Cited by 20 publications

(21 citation statements)

References 34 publications

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“…Additionally, EC use was believed to aid weight control among the respondents in our study, and no significant differences were found between dual and single users in the appetite/weight control scale. This is similar to the findings of several studies, including a study in the United Kingdom which reported that e-cigarettes are often used to replace a meal or a snack [ 41 – 44 ].…”

Section: Discussionsupporting

confidence: 89%

Perceptions, symptoms, and practices of electronic cigarette users: Descriptive analysis and validation of Arabic short form vaping consequences questionnaire

et al. 2021

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Background E-cigarette (EC) use is increasing worldwide. Understanding the practices and perceptions of e-cigarette users and profiling the symptoms they experience is essential for regulating the use of such products. This study aims to investigate the practices and perceptions of e-cigarette users in Jordan and examine the symptoms (e.g. respiratory) they associate with e-cigarette use. Methods A cross-sectional online survey was conducted to assess EC use and tobacco smoking behaviors and the corresponding health symptoms among EC users in Jordan. EC use expectancies were also assessed using the Short Form Vaping Consequences Questionnaire, which was first translated into Arabic and tested for validity and reliability. Results Out of the 400 EC users surveyed, 95.5% were male, 76.2% used nicotine-containing juice, and 56.8% were concurrent tobacco smokers. Further, the participants had a mean age of 28.9 years (±10.2). Among dual EC/cigarette users, 88.6% reported that they tried to quit cigarette smoking, with e-cigarette use being the most commonly tried method of smoking cessation. The smoking-related symptoms reported by regular cigarette smokers mainly included sputum production (77.5%). The participants reported that using e-cigarettes instead of tobacco cigarettes had led to improvements in their sputum production (60.8%), breathing (59%), and general wellbeing (52%). Pleasant taste, enjoyable taste sensation, and flavor were significantly stronger (P-value < 0.05) among e-cigarette users compared to dual users. Dual EC/cigarette users reported stronger perceptions in the negative consequences scale, particularly with regards to the hazardous effects of smoking on health (P-value < 0.05). Conclusion Dual daily use of e-cigarettes and regular cigarettes is a common practice among EC users. We recommend that further research is conducted on dual EC/cigarette use and the potential health risks this may have (e.g. higher nicotine intake as compared to the single use of either products).

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Section: Discussionsupporting

confidence: 89%

Perceptions, symptoms, and practices of electronic cigarette users: Descriptive analysis and validation of Arabic short form vaping consequences questionnaire

et al. 2021

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“…21,31 This concern also involves whether e-cigarette use is gateway for people seeking to control their weight. 19,32 Given this interest, it is essential to emphasize that nicotine has many deleterious effects on health in addition to its possible effects on weight. High nicotine concentrations can cause acute toxicity, increasing the risk of disease by activating multiple biological pathways.…”

Section: Discussionmentioning

confidence: 99%

“…Massive public health campaigns have addressed the need for smoking cessation and proposed pharmacological and behavioral interventions that help smokers to quit. However, an enduring concern of smokers is weight gain after abstaining from cigarettes, 19 especially among females 20 . Thus, some studies have reported e‐cigarettes may serve as a smoking cessation aid 21,22 .…”

Section: Introductionmentioning

confidence: 99%

Electronic cigarette use is negatively associated with body mass index: An observational study of electronic medical records

Alqahtani

Alanazi

Almutairi

et al. 2020

Obesity Science & Practice

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Objective: Vaping is advertised as a method to mitigate weight gain after smoking cessation; however, while there is an established inverse association between conventional tobacco use and body mass index (BMI), there is little research on the relationship between e-cigarettes and BMI. This research tested whether e-cigarette use was associated with BMI. Methods:A secondary data analysis of 207,117 electronic medical records from the UAB was conducted. Patient data from 1 September 2017 through 1 June 2018 were extracted. To be included in the analysis, a patient's record had to include measures of e-cigarette use and key sociodemographic information. Ordinary least squares regression was used to test the association between e-cigarette use and BMI, controlling for covariates; unconditional quantile regression was used to determine whether the association varied by BMI quantile. For comparison with tobacco smoking, the association between current tobacco smoking and BMI was estimated in a sample from the same population.Results: Respondents in the sample had an average BMI of 30.8 and average age of 50.0 years when BMI was measured. The sample was 51% female, 49.7% white, 46.7% black, and 1.0% Hispanic; 16.4% of the sample had less than a college education and approximately 5% reported currently using e-cigarettes. Individuals who reported using e-cigarettes had, on average, a lower BMI compared to those who did not report currently using e-cigarettes; results indicated that this association did not significantly vary by BMI quantile. Individuals who reported being current smokers had a lower BMI, on average. Conclusion:These findings suggest that using e-cigarettes is associated with a lower BMI in a population of individuals seeking health care, consistent with the association between conventional tobacco use and BMI. This study is a springboard for Mohammed M. Alqahtani presented a version of this paper in obesity week conference, held November 4-7, 2018, in Obesity Week 2018 in Nashville, TN. The abstract was selected for a presentation as one of the late-breaking abstract(s).This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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“…Recent surveys show that many quitters are not aware of potential weight benefits with use of nicotine e-cigarettes [53,63]. The quit rate especially in people with diabetes is low, and whether the awareness of weight benefit could improve quit rates remains to be shown.…”

Section: E-cigarette Smokingmentioning

confidence: 99%

“…The quit rate especially in people with diabetes is low, and whether the awareness of weight benefit could improve quit rates remains to be shown. A survey of English smokers concluded that one in eight people would stop smoking if they were convinced that vaping prevented gain weight [63]. Several studies on vaping in regards its weight benefit are ongoing, and some researchers discuss nicotine vaping as intervention for the management of obesity per se [63][64][65].…”

Section: E-cigarette Smokingmentioning

confidence: 99%

Cardiometabolic Morbidity and Mortality with Smoking Cessation, Review of Recommendations for People with Diabetes and Obesity

Kos

2020

Curr Diab Rep

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Purpose of Review Obesity is closely linked with the pathogenesis of type 2 diabetes (T2DM) and cardiovascular disease (CVD), and whilst smoking cessation is associated with weight gain, there are concerns that this weight gain may offset the benefit of CVD risk reduction especially in those with considerable post-cessation weight gain. The aim of this narrative review is to evaluate recent evidence on smoking cessation and cardiometabolic outcomes and discuss limitations of current knowledge and studies. Recent Findings Nicotine is a key player in modulating energy balance by influencing lipid storage in adipose tissue by affecting lipolysis, energy input by modulating appetite and energy output by increasing sympathetic drive and thermogenesis. It also increases insulin resistance and promotes abdominal obesity. The CVD risk and mortality associated with cigarette smoking potentiate the CVD risks in patients with diabetes. Evidence supports the benefit of quitting cigarette smoking regardless of any subsequent weight gain. Data suggests that the cardiometabolic risk is limited to the first few years and that cardiovascular health and mortality benefit of smoking cessation outweighs the harm related to weight gain. This weight gain can be limited by nicotine replacement of which e-cigarettes (vaping) are increasingly popular if it is not an alternative to cigarette smoking. However, long-term health data on e-cigarettes is needed prior to formal recommendation for its use in smoking cessation. Summary The recommendation for cessation of cigarette smoking is justified for those at high risk of weight gain and diabetes. However, for most benefit, consideration should be given for personalized weight management to limit weight gain. Awareness of a ‘lean paradox’ by which lower weight is associated with increased CVD risk may help to improve motivation and insight into the bias of smoking, health and body composition otherwise known to epidemiologists as the ‘obesity paradox’.

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Vaping for weight control: A cross-sectional population study in England

Cited by 20 publications

References 34 publications

Perceptions, symptoms, and practices of electronic cigarette users: Descriptive analysis and validation of Arabic short form vaping consequences questionnaire

Perceptions, symptoms, and practices of electronic cigarette users: Descriptive analysis and validation of Arabic short form vaping consequences questionnaire

Electronic cigarette use is negatively associated with body mass index: An observational study of electronic medical records

Cardiometabolic Morbidity and Mortality with Smoking Cessation, Review of Recommendations for People with Diabetes and Obesity

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