High Carbon Monoxide Levels from Charcoal Combustion Mask Acute Endothelial Dysfunction Induced by Hookah (Waterpipe) Smoking in Young Adults

Autor: Rezk-Hanna, Mary, Mosenifar, Zab, Benowitz, Neal L, Rader, Florian, Rashid, Mohamad, Davoren, Katherine, Moy, Norma B, Doering, Lynn, Robbins, Wendie, Sarna, Linda, Li, Ning, Chang, L Cindy, Elashoff, Robert M, Victor, Ronald G
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Rezk-Hanna, Mary; Mosenifar, Zab; Benowitz, Neal L; Rader, Florian; Rashid, Mohamad; Davoren, Katherine; et al.(2019). High Carbon Monoxide Levels from Charcoal Combustion Mask Acute Endothelial Dysfunction Induced by Hookah (Waterpipe) Smoking in Young Adults.. Circulation, 139(19), 2215-2224. doi: 10.1161/circulationaha.118.037375. UC Office of the President: Research Grants Program Office (RGPO). Retrieved from: http://www.escholarship.org/uc/item/3745p27w
Circulation, vol 139, iss 19
ISSN: 0361-6002
Popis: BackgroundHookah smoking is marketed to youth as a harmless alternative to cigarettes. Although cigarette smoking acutely impairs endothelial function, the effect of smoking fruit-flavored hookah tobacco is unknown. Because charcoal traditionally is used to heat the hookah tobacco in the waterpipe, hookah smoke delivers tobacco toxicants and nicotine plus charcoal combustion products: not only carbon-rich nanoparticles, oxidants that may destroy nitric oxide and impair endothelial function, but also large amounts of carbon monoxide (CO), a putative vasodilator molecule.MethodsTo test the acute effect of hookah smoking on endothelial function, in young adult hookah smokers (n=30, age 26±1 years, mean±SE), we measured plasma nicotine, exhaled CO, and brachial artery flow-mediated dilation (FMD) before and after charcoal-heated hookah smoking. To remove the effect of charcoal combustion, the same measurements were performed when the same flavored hookah tobacco product was heated electrically (n=20). As a positive internal control, we studied age-matched cigarette smokers (n=15) who smoked 1 cigarette. To isolate the effect of the CO boost on FMD, hookah smokers (n=8) inhaled a 0.1% CO gas mixture to approximate their CO boost achieved with charcoal-heated hookah smoking.ResultsNicotine levels increased similarly with all types of smoking, whereas exhaled CO increased 9- to 10-fold more after charcoal-heated hookah than after either electrically heated hookah or cigarette smoking. FMD did not decrease after smoking charcoal-heated hookah but instead increased by +43±7% ( P
Databáze: OpenAIRE