Health effects associated with waterpipe smoking.

Health effects associated with waterpipe smoking.
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DOI:
10.1136/tobaccocontrol-2014-051908
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发表时间:
2015-03
期刊:
影响因子:
5.2
通讯作者:
Zaatari GS
Zaatari GS
中科院分区:
医学2区
文献类型:
--
作者:
El-Zaatari ZM;Chami HA;Zaatari GS

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人们普遍认为,水烟斗吸烟(WPS)与健康危害无关。然而,一些研究已经证明了WPS期间几种有毒物质和致癌物质的摄入与有害健康影响密切相关。本文回顾了WPS对健康影响的文献。在2014年8月之前,使用术语"水管"及其同义词(水烟、水烟、goza、narghileh、arghileh和hubble-bubble)检索了三个数据库-PubMed、MEDLINE和EMBASE,以了解WPS的急性和长期健康影响。我们纳入了原始临床研究、病例报告和系统综述,并侧重于临床人体研究。确定的研究中,约10%符合选择标准。所有三位作者均提取了数据,并汇总到表格中。摘要数据包括研究类型、结果和方法学限制,并由所有三位作者共同分析。WPS急性导致心率加快、血压升高、肺功能受损和一氧化碳中毒。慢性支气管炎、肺气肿和冠状动脉疾病是长期使用的严重并发症。肺、胃和食管癌与WPS以及牙周病、产科并发症、骨质疏松症和精神健康问题有关。与广泛持有的误解相反,WPS与各种短期和长期的不利健康影响有关,应加强加强监管的必要性。此外,这篇综述强调了已发表的工作的局限性,这些工作大多是横截面的或回顾性的。应进行前瞻性研究,以评估WPS对健康的全面影响,特别是考虑到它对青年的日益普及和吸引力。
It is widely held that waterpipe smoking (WPS) is not associated with health hazards. However, several studies have documented the uptake of several toxicants and carcinogens during WPS that is strongly associated with harmful health effects. This paper reviews the literature on the health effects of WPS. Three databases-PubMed, MEDLINE and EMBASE-were searched until August 2014 for the acute and long-term health effects of WPS using the terms ‘waterpipe’ and its synonyms (hookah, shisha, goza, narghileh, arghileh and hubble-bubble) in various spellings. We included original clinical studies, case reports and systematic reviews and focused on clinical human studies. ∼10% of the identified studies met the selection criteria. Data were abstracted by all three authors and summarised into tables. Abstracted data included study type, results and methodological limitations and were analysed jointly by all three authors. WPS acutely leads to increased heart rate, blood pressure, impaired pulmonary function and carbon monoxide intoxication. Chronic bronchitis, emphysema and coronary artery disease are serious complications of long-term use. Lung, gastric and oesophageal cancer are associated with WPS as well as periodontal disease, obstetrical complications, osteoporosis and mental health problems. Contrary to the widely held misconception, WPS is associated with a variety of adverse short-term and long-term health effects that should reinforce the need for stronger regulation. In addition, this review highlights the limitations of the published work, which is mostly cross-sectional or retrospective. Prospective studies should be undertaken to assess the full spectrum of health effects of WPS, particularly in view of its growing popularity and attractiveness to youth.
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