Current perspective on e-cigarette use and respiratory outcomes: mechanisms and messaging.

Autor: Wills TA; Cancer Prevention in the Pacific Program, University of Hawaii Cancer Center, Honolulu, HI, USA., Maziak W; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA., Asfar T; Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA., Roy S; Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, USA.
Jazyk: angličtina
Zdroj: Expert review of respiratory medicine [Expert Rev Respir Med] 2024 Aug; Vol. 18 (8), pp. 597-609. Date of Electronic Publication: 2024 Aug 11.
DOI: 10.1080/17476348.2024.2387090
Abstrakt: Introduction: There has been an increasing amount of research on the consequences of e-cigarette use for respiratory outcomes, which is significant for public health and respiratory medicine. We discuss recent findings and lay out implications for prevention and treatment.
Areas Covered: Based on literature searches using several databases (PubMed, Web of Science, Google Scholar) for keywords, including synonyms, 'e-cigarettes,' with 'pulmonary function,' 'oxidative stress,' and 'inflammation,' we review studies on acute effects of e-cigarette use for measures of pulmonary function and discuss selected laboratory studies on mechanisms of effect, focusing on processes with known relation to respiratory disease; oxidative stress and inflammation. We discuss available studies that have tested the effectiveness of communication strategies for prevention of e-cigarette use oriented to different audiences, including nonsmoking adolescents and adult smokers.
Expert Opinion: We conclude that the evidence presents a mixed picture. Evidence is found for adverse consequences of e-cigarette use on measures of lung function and two disease-related biological processes, sometimes but not always less than for cigarette smoking. How to best communicate these results to a complex audience of users, from younger susceptible adolescents to long-term adult smokers interested in quitting, is a question of significant interest and empirically validated communication strategies are greatly needed.
Databáze: MEDLINE