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Effects of heat-not-burn tobacco on health are different from conventional cigarrette 热不燃烟草对健康的影响不同于传统香烟
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1727
Shin-ichi Hagiwara
Background: Heat-not-burn (HNB) tobacco is one of new tobacco products, but its effects on health remains to be unknown. In the present study, we examined and compared respiratory, circulatory and metabolic changes between HNB tobacco users and conventional tobacco users. Subjects and Methods: For two years from 2016 to 2017, in all smokers examined annual health check-up at our health care center, we divided them into two groups, one is those who continued smoking only conventional cigarrete (continuer), and the other has completely changed cigarette for HNB tobacco during this period (changer). In each group, we compared the changes of body weight, white blood cell count (WBC), the pulmonary function data (forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak flow, etc), cardiovascular factors (blood pressure, urinary albumin excretion), lipids (high and low density lipoproteins (HDL, LDL), and triglyceride). Results: All subjects are male. Number, average age, smoking history of continuer and changer are 292, 152, 42.4, 40.1 years old, 18.6, 14.9 pack year, respectively. Statistical significance were recognized only in changers. FEV1 (45ml, p Conclusions: Improvement of pulmonary functions and blood pressure elavations in changers suggest that HNB tobacco may have β agonistic like effects. WBC decrease was considered as the results of reduced systemic inflammation. HNB tobacco might be less harmful compared to cigarettes.
背景:加热不燃烧(HNB)烟草是一种新型烟草制品,但其对健康的影响尚不清楚。在本研究中,我们检查并比较了HNB烟草使用者和常规烟草使用者之间的呼吸、循环和代谢变化。对象与方法:2016 - 2017年两年间,我们将所有在我保健中心进行年度健康检查的吸烟者分为两组,一组是继续只吸传统卷烟的人(continuer),另一组是在此期间完全更换为HNB卷烟的人(changer)。在每组中,我们比较了体重、白细胞计数(WBC)、肺功能数据(用力肺活量(FVC)、用力呼气量(FEV1)、峰值流量等)、心血管因素(血压、尿白蛋白排泄)、脂质(高、低密度脂蛋白(HDL、LDL)和甘油三酯)的变化。结果:所有受试者均为男性。吸烟人数、平均年龄、吸烟史分别为292、152、42.4、40.1岁、18.6、14.9包年。只有在改变者中才有统计学意义。结论:改变者肺功能和血压升高的改善提示HNB烟草可能具有β受体激动样作用。白细胞减少被认为是全身炎症减少的结果。与香烟相比,高纯度烟草的危害可能更小。
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引用次数: 1
Passive exposure of COPD patients to e-cigarette vape - a double-blinded exposure chamber study 慢性阻塞性肺病患者被动暴露于电子烟-一项双盲暴露室研究
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1722
K. R. Laursen, Jakob Boenloekke, M. Bilde, M. Glasius, E. Bendstrup, P. Ravn, V. Schlünssen, S. Kjærgaard, T. Sigsgaard
Background: The use of e-cigarettes continues to grow worldwide. The assumption that e-cigarettes are less harmful than cigarettes has not been properly researched. In particular, studies on passive vaping by sensitive subgroups of the population are virtually non-existent. The aim of the present study was to investigate whether patients with chronic obstructive pulmonary disease (COPD) experience adverse effects of short-term passive exposure to e-cigarette vape. Here we present the results of preliminary statistical analyses performed before decoding exposures. Methods: In a climate chamber, we performed a double-blinded cross-over study with exposures lasting 3h to passive vaping or clean air among subjects with moderately severe COPD. We studied pulmonary function, exhaled NO and 28 self-reported symptoms before, during and after the exposures. Results: Sixteen patients (6 female; 10 male) with a mean age of 68 years recruited from an outpatient clinic completed the study. At entry the mean FEV1 was 1.43 L (53% of predicted), FVC was 2.53 L (74% of predicted) with a FEV1/FVC ratio of 0.57. FEV1 improved during the exposures and none of the exposures affected lung function negatively. The only symptom reported to be augmented during one compared with the other exposure was “current strength of smell” (p=0.038). Conclusion: Based on the preliminary analysis it appears that at the exposure levels in the present study, pulmonary function in patients with COPD was not affected by passive vaping. The study also suggests that blinding of e-cigarette vape exposure is difficult to obtain due to the odor. It also suggests that the odor itself did not affect lung function.
背景:电子烟的使用在世界范围内持续增长。电子烟比香烟危害小的假设还没有得到适当的研究。特别是,对敏感人群被动吸电子烟的研究几乎不存在。本研究的目的是调查慢性阻塞性肺疾病(COPD)患者是否会因短期被动接触电子烟而产生不良影响。在这里,我们提出了解码暴露之前进行的初步统计分析的结果。方法:在一个气候室中,我们对中重度COPD患者进行了一项双盲交叉研究,受试者持续暴露于被动电子烟或清洁空气中3小时。我们研究了暴露前、暴露期间和暴露后的肺功能、呼出一氧化氮和28种自我报告的症状。结果:16例患者(女性6例;10名男性),平均年龄68岁,从门诊诊所招募完成研究。进入时平均FEV1为1.43 L(预测的53%),FVC为2.53 L(预测的74%),FEV1/FVC比值为0.57。FEV1在暴露期间有所改善,并且没有任何暴露对肺功能产生负面影响。与另一种暴露相比,报告的唯一症状是“当前气味强度”(p=0.038)。结论:根据初步分析,在本研究的暴露水平下,被动电子烟对COPD患者的肺功能没有影响。该研究还表明,由于电子烟的气味,接触电子烟的致盲性很难获得。研究还表明,气味本身并不影响肺功能。
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引用次数: 0
The influence of peer smoking in smoking behaviour of adolescents 同伴吸烟对青少年吸烟行为的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa4568
Dimitra Mpousiou, Dimitra Lamprou, Michael Toumpis, M. Andritsou, Areti Karathanasi, D. Fouskakis, Theodora Katsaounou, E. Zervas, P. Katsaounou
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引用次数: 1
A national-wide survey of tobacco control curricula in medical schools 一项关于医学院烟草控制课程的全国性调查
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4560
S. Ravara, V. Afreixo, C. Albuquerque, Mónica Condinho, M. Rua, P. Aguiar, J. Bonito
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引用次数: 0
Smoking in a tertiary hospital 在三级医院吸烟
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4540
Virginia Almadana Pacheco, J. Delgado, S. Cedeño, P. Rodriguez, S. Monserrat, A. Valido
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引用次数: 0
The effect of Smoking on the body composition according to bioimpedance the indigenous inhabitants of the Arctic zone of Western Siberia 吸烟对西伯利亚西部北极地区土著居民身体成分的生物阻抗影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA1254
I. Protasova, A. Popov, A. Lobanov, S. Andronov, R. Kochkin, E. Bogdanova
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引用次数: 0
Smoking and severe persistent asthma 吸烟和严重的持续性哮喘
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa1230
P. Katsaounou, M. Odemyr, O. Spranger, A. Lindberg, M. Hyland, Μatthias Gasser, M. Larbig, I. Kottakis, X. Jaumont, I. Kasujee
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引用次数: 1
The prevalence of e-cigarette and cigarette smoking among students in Central and Eastern Europe - preliminary results of YUPESS study. 中欧和东欧学生中电子烟和吸烟的流行- YUPESS研究的初步结果。
Pub Date : 2018-09-15 DOI: 10.1183/13993003.CONGRESS-2018.PA4543
G. Brożek, Mateusz Jankowski, A. Shpakou, Michał Poznański, Ludmila Klimackaya, Jelena Loginovič, Justína Gereová, M. Rachel, I. Naumau, Kamil Kornicki, Z. Krištúfková, Krzysztof Bielewicz, J. Zejda
Introduction: The prevalence of e-cigarette and cigarette smoking among the young adults pose a very significant epidemiological issue. Aim: The aim of the study was to assess the prevalence of e-cigarette and cigarette smoking usage among students in Europe. Methods: The study was carried out as a part of international multi-centre cross-sectional study - YoUng People E-Smoking Study (YUPESS). A population based survey was performed among students from five countries: Belarus (B), Lithuania (L), Poland (P), Russia (R) and Slovakia (S). We used previously validated, created for the purpose of the study, questionnaire focused on e-cigarette and cigarette smoking habits. Results: The study population were 11974 students (6797 medical, 5177 non-medical) aged 20.7±2.4 y-rs: the response rate was 73%. Ever e-cigarette use declared 43.1% of the respondents (B:42.7%; L:56.7%; P:44.1%; R:33.4%; S:34.4%; p Conclusions: Among students cigarettes are more popular than e-cigarettes. The highest prevalence of e-cigarette usage was observed in Russia and Lithuania. The frequency of using e-cigarettes requires constant monitoring.
电子烟和吸烟在年轻人中的流行构成了一个非常重要的流行病学问题。目的:该研究的目的是评估欧洲学生中电子烟和吸烟的流行程度。方法:本研究作为国际多中心横断面研究-青少年电子烟研究(YUPESS)的一部分进行。在来自五个国家的学生中进行了一项基于人口的调查:白俄罗斯(B),立陶宛(L),波兰(P),俄罗斯(R)和斯洛伐克(S)。我们使用了先前经过验证的,为研究目的而创建的问卷,重点关注电子烟和吸烟习惯。结果:研究对象为学生11974人(医学6797人,非医学5177人),年龄20.7±2.4 y-rs,有效率为73%。43.1%的受访者表示曾经吸过电子烟(B:42.7%;李:56.7%;P: 44.1%;接待员:33.4%;S: 34.4%;p结论:在学生中,香烟比电子烟更受欢迎。俄罗斯和立陶宛的电子烟使用率最高。使用电子烟的频率需要持续监测。
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引用次数: 4
Effect of passive cigarette smoke inhalation on college students 被动吸烟对大学生的影响
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa4564
Daryna Semotyuk, K. Volnytska, O. Tolokh, Taras Semotiuk
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引用次数: 0
Smoking cessation among COPD and asthma patients: burden vs. motivation 慢性阻塞性肺病和哮喘患者的戒烟:负担与动机
Pub Date : 2018-09-15 DOI: 10.1183/13993003.congress-2018.pa1232
T. Kovačević, B. Zarić, D. Bokan, M. Drvenica, S. Hromis, B. Zvezdin, I. Andrijević, I. Kopitović, B. Perin, P. Bamidis
{"title":"Smoking cessation among COPD and asthma patients: burden vs. motivation","authors":"T. Kovačević, B. Zarić, D. Bokan, M. Drvenica, S. Hromis, B. Zvezdin, I. Andrijević, I. Kopitović, B. Perin, P. Bamidis","doi":"10.1183/13993003.congress-2018.pa1232","DOIUrl":"https://doi.org/10.1183/13993003.congress-2018.pa1232","url":null,"abstract":"","PeriodicalId":212819,"journal":{"name":"Tobacco, smoking control and health education","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116193359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Tobacco, smoking control and health education
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