The Impact of E-Cigarettes and Tobacco Heating Systems on Health: A Review of Current Research
DOI:
https://doi.org/10.12775/QS.2024.20.53680Keywords
e-cigarettes, tobacco heating systems, heated tobacco products, nicotine, addictionsAbstract
Introduction: The growing popularity of e-cigarettes (EC) and tobacco heating systems (THS) raises concerns about their impact on the health of users and passive smokers. These products are attractive to young people due to their lack of unpleasant odor and easy availability, even though they contain addictive nicotine and harmful substances.
Materialtrial and Methods of Research: China's first e-cigarette was developed in 2003. The WHO, a leading global health organization, has been actively involved in regulating the advertising and use of EC. They initially allowed the advertising of EC as a healthier cigarette alternative but later banned it due to a lack of scientific evidence. In Poland, the sale of EC to persons under 18 is prohibited, but this law needs to be better enforced. ECs heat a liquid containing nicotine, creating an aerosol with toxic substances such as acetone, glycerol, acrolein, and formaldehyde.
Studies show that EC use leads to adverse health effects such as headaches, nausea, contact allergies, increased blood pressure, irregular heart rhythm, thrombosis, and cancer risk. ECs also affect oral health and the respiratory system, increasing the risk of asthma and chronic obstructive pulmonary disease (COPD).
THS, introduced in 2019, heats tobacco to 300°C, producing an aerosol containing carcinogenic and toxic substances. These products negatively affect the cardiovascular and respiratory systems, increasing the number of pro-inflammatory cells in the lungs and potentially producing hepatotoxic effects.
Conclusion: The increasing use of EC and THS among adolescents raises serious health concerns. These products, although perceived as less harmful, contain toxic substances and addictive nicotine.
Further research is needed on their long-term effects to increase patient awareness and limit the availability of these products to minors.
References
Zdrojewicz Z, Pypno D, Bugaj B, et al. Elektroniczne papierosy: wpływ na zdrowie, nikotynowa terapia zastępcza,regulacje prawne. Pediatr Med Rodz. 2017;13(1):63–71.
https://doi.org/10.15557/PiMR.2017.0006
Stępniowska A, Kowalczyk M, Cholewińska E, et al. E-papierosy – pomoc w rzuceniu palenia czy zagrożenie? HYG. 2017;52(2):86–95.
Gacoń, E. K., Kotusiewicz, W., Siekierko, N., Żołnierek, M., Zembala, J., Lewandowski, M. M. (2023). E-cigarettes and tobacco heaters – a healthier alternative or another threat. Literature review. Med Srod., 26(1-2), 39-42.
https://doi.org/10.26444/ms/170831
Kucharska M, Wesołowski W, Czerczak S, et al. Badanie składu płynów do e-papierosów – deklaracje producenta a stan rzeczywisty w wybranej serii wyrobów. Med Pr. 2016;67(2):239–253.
https://doi.org/10.13075/ mp.5893.00365
Zielonka T. A Debate: Can We Recommend Electronic Cigarettes to
Our Patients? Opinion 1. Adv Respir Med. 2017;85:3539.
https://doi.org/10.5603/ARM.2017.0007
Holliday R, Chaffee BW, Jakubovics NS, et al. Electronic Cigarettes and Oral Health. J Dent Res. 2021;100(9):906–913.
https://doi. org/10.1177/00220345211002116
Gordon T, Karey E, Rebuli M, et al. E-Cigarette Toxicology. Annu Rev Pharmacol Toxicol. 2022;6(62):301–322.
https://doi.org/10.1146/ annurev-pharmtox-042921-084202
Fried N, Gardner J. Heat-not-burn tobacco products: an emerging threat to cardiovascular health. Am J Physiol – Heart Circ. 2020;319(6):1234– 1239. https://doi.org/10.1152/ajpheart.00708.2020
Bhat T, Kalathil S, Leigh N, et al. Acute Effects of Heated Tobacco Product (IQOS) Aerosol Inhalation on Lung Tissue Damage and Inflammatory Changes in the Lungs. Nicotine Tob Res. 2021;23(7):1160–1167.
https://doi.org/10.1093/ntr/ntaa267
Pataka A, Kotoulas S, Chatzopoulos E, et al. Acute Effects of a Heat-Not- -Burn Tobacco Product on Pulmonary Function. Medicina (Kaunas). 2020;56(6):292. https://doi.org/10.3390/medicina56060292
Leigh N, Tran P, O’Connor R, et al. Cytotoxic effects of heated tobacco products (HTP) on human bronchial epithelial cells. Tob Control. 2018;27:26–29. https://doi.org/10.1136/tobaccocontrol-2018-054317
Chun L, Moazed F, Carolyn C, et al. Possible hepatotoxicity of IQOS. Tob Control. 2018;27:39–40.
http://dx.doi.org/10.1136/tobaccocontrol-2018-054320
Pagano S, Negri P, Coniglio M, et al. Heat-not-burn tobacco (IQOS), oral fibroblasts and keratinocytes: cytotoxicity, morphological analysis, apoptosis and cellular cycle. An in vitro study. J Periodontal Res. 2021;56(5):917–928.
https://doi.org/10.1111/jre.12888
Jones, K., & Salzman, G. A. (2020). The Vaping Epidemic in Adolescents. Missouri Medicine, 117(1), 56–58.
Auer R, Concha-Lozano N, Jacot-Sadowski I, et al. Heat-Not- -Burn Tobacco Cigarettes: Smoke by Any Other Name. JAMA Intern Med. 2017;177(7):1050–1052. https://doi.org/10.1001/jamainternmed.2017.1419
Uguna C, Snape C. Should IQOS Emissions Be Considered as Smoke and Harmful to Health? A Review of the Chemical Evidence. ACS Omega. 2022;7(26):22111–22124. https://doi.org/10.1021/acsomega.2c01527
Dunbar M, Seelem R, Tucker J, et al. Correlates of Awareness and Use of Heated Tobacco Products in a Sample of US Young Adults in 2018–2019. Nicotine Tob Res. 2020;22(12):2178–2187.
https://doi. org/10.1093/ntr/ntaa007
Li J, Hui X, Fu J, et al. Electronic cigarettes versus nicotine-replacement therapy for smoking cessation: A systematic review and meta-analysis of randomized controlled trials. Tob Induc Dis. 2022;20:90.
https://doi. org/10.18332/tid/154075
Jha P, Ramasundarahettige C, Landsman V, et al. 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med. 2013;368:341–350. https://doi.org/10.1056/NEJMsa1211128
Gacoń, Ewa & Kotusiewicz, Wiktoria & Siekierko, Nikola & Żołnierek, Maja & Zembala, Julita & Lewandowski, Mateusz. (2023). E-cigarettes and tobacco heaters – a healthier alternative or another threat. Literature review. Environmental Medicine. 26. https://doi.org/10.26444/ms/170831
Brown J, Beard E, Kotz D, et al. Real-world effectiveness of e-cigarettes when used to aid smoking cessation: a cross-sectional population study. Addiction. 2014;109(9):1531–1540.
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Copyright (c) 2024 Jakub Plizga, Agnieszka Głuszczyk, Aleksandra Makłowicz, Ewelina Kopczyńska, Angelika Szpulak, Agata Frańczuk, Michalina Grzelka, Julia Głoskowska, Katarzyna Kuleta, Katarzyna Słychan
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