Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk A Scientific Statement From the American Heart Association
Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk A Scientific Statement From the American Heart Association
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DOI：
10.1161/cir.0000000000000671
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发表时间：
2019-05-07
期刊：
影响因子：
37.8
通讯作者：
Rezk-Hanna, Mary
中科院分区：
文献类型：
--
作者：
Bhatnagar, Aruni;Maziak, Wasim;Rezk-Hanna, Mary
用水烟管或水烟袋吸烟在全球范围内正在增加。全球有数百万水管吸烟者，在美国，青少年和年轻人使用水管的情况比成年人更常见。水烟的传播受到调味烟草的营销，促进水烟的社交媒体环境以及对这种形式的烟草使用的成瘾潜力和潜在不良健康影响的误解的怂恿。越来越多的证据表明，水烟会在短期内影响心率、血压调节、压力反射敏感性、组织氧合和血管功能。长期使用水管与冠状动脉疾病的风险增加有关。香烟烟雾中存在的几种有害或潜在有害物质也存在于水烟中，其含量通常超过香烟烟雾中的含量。水烟筒吸烟者比从不吸烟者有更高的开始吸烟的风险。未来的研究重点是间歇性使用水管烟草对健康的长期不良影响，这对于加强证据基础和为水管产品和使用的监管提供信息至关重要。本声明的目的是描述水管的设计和操作及其使用模式，识别水管烟雾中的有害和潜在有害成分，记录水管使用的心血管风险，审查当前的水管戒烟方法，并为医疗保健提供者提供指导，以识别和治疗使用水管吸烟的个人。
Tobacco smoking with a water pipe or hookah is increasing globally. There are millions of water pipe tobacco smokers worldwide, and in the United States, water pipe use is more common among youth and young adults than among adults. The spread of water pipe tobacco smoking has been abetted by the marketing of flavored tobacco, a social media environment that promotes water pipe smoking, and misperceptions about the addictive potential and potential adverse health effects of this form of tobacco use. There is growing evidence that water pipe tobacco smoking affects heart rate, blood pressure regulation, baroreflex sensitivity, tissue oxygenation, and vascular function over the short term. Long-term water pipe use is associated with increased risk of coronary artery disease. Several harmful or potentially harmful substances present in cigarette smoke are also present in water pipe smoke, often at levels exceeding those found in cigarette smoke. Water pipe tobacco smokers have a higher risk of initiation of cigarette smoking than never smokers. Future studies that focus on the long-term adverse health effects of intermittent water pipe tobacco use are critical to strengthen the evidence base and to inform the regulation of water pipe products and use. The objectives of this statement are to describe the design and operation of water pipes and their use patterns, to identify harmful and potentially harmful constituents in water pipe smoke, to document the cardiovascular risks of water pipe use, to review current approaches to water pipe smoking cessation, and to offer guidance to healthcare providers for the identification and treatment of individuals who smoke tobacco using water pipes.