Document Type
Article
Publication Title
Tobacco Induced Diseases
Abstract
Introduction:
Electronic cigarette (e-cigarette) use is gaining popularity among adults. Monitoring e-cigarette-induced respiratory symptoms is crucial for both clinical and regulatory purposes. We systematically reviewed the current literature to understand the prevalence of respiratory symptoms among exclusive e-cigarette users, dual users, and former smokers.
Methods:
Databases searched included PubMed, CINAHL, Cochrane Library, Embase, and Scopus. We included all English-language, empirical quantitative articles that explored the prevalence of e-cigarette-related respiratory symptoms. Random-effects models were utilized in conducting the meta-analyses. The quality of identified studies was evaluated using the NIH Study Quality Assessment Tools. This study is registered with PROSPERO(#CRD42020165973).
Results:
The literature search identified 1240 references. After removing duplicates and screening for eligibility, 168 studies were included in the final review. The majority of included studies reported a wide range of adverse respiratory symptoms. The respiratory symptoms were prevalent among the exclusive e-cigarette users, dual users, and those who switched from combustible cigarettes to e-cigarettes. Further, out of the RCT studies, 5 were rated as good quality, while 3 were rated as fair. Among the observational studies, 24 were rated as good quality, and 9 were rated as fair. The two experimental studies were both rated as fair quality.
Conclusions:
Continued monitoring of respiratory symptoms among e-cigarette users is warranted. Due to the heterogeneity and inconsistencies among studies, which limit result interpretation and highlight the need for studies assessing causal inference, further research using robust study designs is essential. This will provide clinicians with comprehensive knowledge about the potential respiratory risks of e-cigarette use.
DOI
https://doi.org/10.18332/tid/174660
Publication Date
12-14-2023
PubMed ID
PMID: 38098748; PMCID: PMC10720266
College or School
School of Public Health
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Supplemental Associated Link
https://www.tobaccoinduceddiseases.org/E-cigarette-use-and-respiratory-symptoms-in-adults-nA-systematic-review-and-meta,174660,0,2.html
Recommended Citation
Alqahtani MM, Alenezi FK, Almeshari MA, Alanazi AM, Taleb ZB, Kalan MEE, Martinasek MP, McNab RJ, Culbreth R, Alotaibi M, Aljohani H, Goodfellow LT, Ismaeil TT, Algarni SS, Alotaibi TF, Alqahtani MK, Al-Ajel H, Alwadeai KS, Almutairi NS, Ford E. E-cigarette use and respiratory symptoms in adults: A systematic review and meta-analysis. Tob Induc Dis. 2023 Dec 14;21:168. doi: 10.18332/tid/174660. PMID: 38098748; PMCID: PMC10720266.
Supplemental Data
Comments
APC Fund Awardee:
Dr. Eric Ford, Professor
UAB School of Public Health
Award Amount: $2,000.00