ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title The Use of Waterpipe Smoking Can Produce Short-Term and Long-Term Effects on Cardiovascular Function
Clinical Question For individuals who are waterpipe smokers, is there an effect on cardiovascular function?
Clinical Bottom Line Studies have found adverse short-term and long-term effects on different aspects of cardiovascular functions, for individuals who are waterpipe smokers.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 25130679Fakhreddine/2014321 articles/ Waterpipe smokersSystematic review of reviews, case reports and research studies
Key resultsWaterpipe smoking (WPS) was associated with short-term effects such as an increase in blood pressure (systolic 12-16mmHg/diastolic 2-8 mmHg), heart rate (6-15 bpm) and respiratory rate (2 bpm) at about thirty minutes of smoking. Waterpipe smoking is also associated with other long-term effects. A study of 110 waterpipe smokers reported a restrictive lung disease rate of 14% for WPS. Another study of 2174 WPS in the Middle East and Africa indicated the “development of productive cough (OR = 1.29, p = 0.007), dyspnea (OR = 1.18, p = 0.018) and chronic bronchitis (OR = 1.42, p = 0.026).” WPS are also “three times more likely to have metabolic syndrome (OR = 3.21, 95% CI 2.38–4.33)” when compared with non-smokers.
Evidence Search (waterpipe[Title/Abstract]) OR water pipe [Title/Abstract]) AND cardiovascular [Title/Abstract]
Comments on
The Evidence
Validity: This study included a systematic review of 321 articles from reviews, case reports and research studies where the majority were of epidemiological nature. The authors used 32 different names for waterpipe smoking and 19 different names for tobacco when searching for articles. Perspective: This comprehensive review investigated the health effects of waterpipe smoking and indicated the effects of waterpipe smoking on the cardiovascular system. However, it did not provide a total number of trials or number of patients included in the review.
Applicability The review included populations from all over the world with results that could be applied to any WPS. Clinician encountering patients, who are WPS, are advised to discuss the short and long-term effects of waterpipe smoking on their cardiovascular functions.
Specialty/Discipline (Public Health)
Keywords Waterpipe smoking, hookah, cardiovascular
ID# 2992
Date of submission: 02/27/2016spacer
E-mail mathewsn@livemail.uthscsa.edu
Author Natasha Mathews
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Moshtagh Farokhi, DDS, MPH
Faculty mentor/Co-author e-mail farokhi@uthscsa.edu
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