Heated tobacco product use and abnormal glucose metabolism: a working population-based study

Hu, Huan; Miyamoto, Toshiaki; Okazaki, Hiroko; Eguchi, M.; Shirasaka, Taiki; Kochi, Takeshi; Kabe, Isamu; Tomizawa, Aki; Nakagawa, Tohru; Honda, Takeshi; Yamamoto, S.; Miki, Takako; Fukunaga, Ami; Yamamoto, Shohei; Inoue, Yosuke; Miyake, Haruka; Konishi, Maki; Dohi, Seitaro; Mizoue, Tetsuya

doi:10.1007/s00592-022-02009-4

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…Consequently, we excluded e-cigarette users (n=116) from our analysis. The remaining participants were divided into five groups: never smokers, former smokers, exclusive HTP users, dual users of cigarettes and HTPs, and exclusive cigarette smokers, as in previous publications 13 , 14 .…”

Section: Methodsmentioning

confidence: 99%

Association of conventional cigarette smoking, heated tobacco product use, and dual use with hearing loss: A working population-based study

Hu,

Miyake,

Kochi

et al. 2024

Tob. Induc. Dis.

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INTRODUCTION Although conventional cigarette smoking has been linked to an increased risk of hearing loss, the association between heated tobacco products (HTPs) and hearing loss is unknown. The objective of this study was to investigate the association between cigarette and HTP use and hearing loss. METHODS This cross-sectional study examined the data of 7769 employees from five companies (Study I) and 34404 employees from a large company (Study II), all participants in the Japan Epidemiology Collaboration on Occupational Health Study. The participants were categorized into five groups based on their self-reported tobacco use: never smokers, former smokers, exclusive cigarette smokers, exclusive users of HTPs, and those who used both cigarettes and HTPs. Hearing levels were measured using pure-tone audiometry at 1 and 4 kHz frequencies. Separate analyses were carried out for each study, and the results were then combined using fixed-effect models to pool the estimates. RESULTS The analysis included 42173 participants, with a prevalence of 12.9% for exclusive cigarette smoking, 9.8% for exclusive HTP use, and 5.5% for dual use. The pooled adjusted odds ratios with 95% confidence intervals for unilateral hearing loss at 4 kHz were 1.21 (95% CI: 1.10–1.33) for former smokers, 1.83 (95% CI: 1.64–2.05) for exclusive cigarette smokers,1.46 (95% CI: 1.28–1.67) for exclusive HTP users, and 1.66 (95% CI: 1.41–1.96) for dual users, compared to never smokers. Additionally, the adjusted odds ratios for hearing loss at 4 kHz among exclusive cigarette smokers, exclusive HTP users, and dual users increased with the intensity of cigarette/HTP consumption (all p for trend <0.001). No significant associations were found between exclusive HTP use, dual use, and hearing loss at 1 kHz, apart from exclusive cigarette smoking. CONCLUSIONS In this cross-sectional study, associations were found between exclusive cigarette smoking, exclusive HTP use, dual use, and hearing loss, particularly at 4 kHz. Further research is needed to confirm these findings.

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Section: Methodsmentioning

confidence: 99%

Association of conventional cigarette smoking, heated tobacco product use, and dual use with hearing loss: A working population-based study

Hu,

Miyake,

Kochi

et al. 2024

Tob. Induc. Dis.

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“…As part of the Japan Epidemiology Collaboration on Occupational Health Study (J-ECOH) [ 23 , 24 ], an ongoing epidemiological study examining the health determinants of Japanese workers, a health survey including the above diet questionnaire was performed in 2018–2021 in five participating companies [ 25 ], which also provided information on the results of a health check-up. Of the 12,847 participants in the questionnaire survey (response rate: 75.2%), we excluded those without information on the frequency of food item intake ( n = 87).…”

Section: Methodsmentioning

confidence: 99%

Development of the Scores for Traditional and Modified Japanese Diets

et al. 2023

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Increasing attention is being paid to the role of diet quality in the prevention and management of non-communicable diseases. We developed a scoring system for the traditional Japanese diet and its modified version considering the dietary culture in Japan, dietary guidelines for the Japanese, and updated evidence for disease prevention. The traditional Japanese diet comprises white rice, miso soup, soybean products, vegetables, mushrooms, seaweeds, fish and shellfish, high-sodium foods, and green tea. In the modified Japanese diet, unprocessed or minimally refined rice and raw vegetables, milk and dairy products, and fruits were additionally considered, while salty food was reverse-scored. The cutoff for the intake frequency of each food/food group was determined with reference to a health survey of >12,000 workers. Among the participants in the validation study, we confirmed the nutritional gradient with increasing scores in the expected direction. The scores were closely correlated with the respondents’ backgrounds, including occupational factors. This simple scoring system can be used for diet quality assessments and epidemiological research.

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“…The second study aimed to assess the association between HTP use and the incidence of prediabetes and diabetes [ 137 ]. The study investigated a separate cohort of participants (n=8,950) from the J-ECOH study that was previously investigated by the same group [ 136 ].…”

Section: Reviewmentioning

confidence: 99%

The Product Science of Electrically Heated Tobacco Products: An Updated Narrative Review of the Scientific Literature

Cordery,

Thompson,

Stevenson

et al. 2024

Cureus

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Heated tobacco products represent a novel category of tobacco products in which a tobacco consumable is heated to a temperature that releases nicotine from the tobacco leaf but not to a temperature sufficient to cause combustion. Heated tobacco products may therefore have the potential to be a less harmful alternative for adult smokers who would otherwise continue to smoke cigarettes, as their use should result in exposure to substantially fewer and lower levels of toxicants. This update represents a two-year extension to our previous narrative review, which covered peer-reviewed journal articles published up to August 31, 2021. The scientific evidence published between 2021 and 2023 continues to indicate that aerosols produced from heated tobacco products contain fewer and substantially lower levels of harmful and potentially harmful constituents and that these observed reductions consistently translate to reduced biological effects in both in vitro and in vivo toxicological studies. Biomarker and clinical data from studies in which product use is controlled within a clinical setting continue to suggest changes in levels of biomarkers of exposure, biomarkers of potential harm, and clinical endpoints indicating the potential for reduced harm with switching to exclusive use of heated tobacco products in adult smokers. Overall, the available peer-reviewed scientific evidence continues to indicate that heated tobacco products offer promise as a potentially less harmful alternative to cigarettes, and as such, the conclusions of our original narrative review remain valid.

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Heated tobacco product use and abnormal glucose metabolism: a working population-based study

Cited by 3 publications

References 22 publications

Association of conventional cigarette smoking, heated tobacco product use, and dual use with hearing loss: A working population-based study

Association of conventional cigarette smoking, heated tobacco product use, and dual use with hearing loss: A working population-based study

Development of the Scores for Traditional and Modified Japanese Diets

The Product Science of Electrically Heated Tobacco Products: An Updated Narrative Review of the Scientific Literature

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