2022
DOI: 10.1038/s41598-022-22337-3
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Heated tobacco products and circulating high-density lipoprotein cholesterol concentrations

Abstract: We aimed to assess the association between heated tobacco product (HTP) use and high-density lipoprotein cholesterol (HDL-C) concentration. Our study included 12,268 workers from five companies (Study I) and 36,503 workers from another large company (Study II). Participants were categorized into five groups: never smokers, past smokers, exclusive HTP users, dual users of cigarettes and HTPs, and exclusive cigarette smokers. We analyzed the data of Studies I and II separately and then pooled these estimates usi… Show more

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Cited by 5 publications
(5 citation statements)
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“…In randomized studies, HNB products, like traditional cigarettes or e-cigarettes, increase oxidative stress; however, the dysfunction of the vascular endothelium they cause is significantly lower than in the case of the former [16]. Heated tobacco products users have a lower HDL-C cholesterol concentration, which is lower than in people who have never smoked, but higher than in smokers of traditional cigarettes [17].…”
Section: Discussionmentioning
confidence: 97%
“…In randomized studies, HNB products, like traditional cigarettes or e-cigarettes, increase oxidative stress; however, the dysfunction of the vascular endothelium they cause is significantly lower than in the case of the former [16]. Heated tobacco products users have a lower HDL-C cholesterol concentration, which is lower than in people who have never smoked, but higher than in smokers of traditional cigarettes [17].…”
Section: Discussionmentioning
confidence: 97%
“…16 Furthermore, they have an increased likelihood, ranging between 25% (OR: 1.25; 95% CI: 1.09-1.43) and 80% (aOR: 1.80; 95% CI: 1.45-2.23), of having significantly lower HDL concentration than never smokers. 16,53 Finally, ecigarette use is associated with an approximately 2.05 (95% CI: 1.03-4.08) likelihood of high BP, as well as abdominal obesity. 16,50 Collectively, the above reveal the detrimental long-term impacts of e-cigarette use on cardiometabolic health, which are mediated by changes in peripheral and central hemodynamics, BP, carotid-femoral pulse-wave velocity, and thrombotic events, and may ultimately increase the long-term risk of CVD such as peripheral arterial disease and/ or other thrombotic-related outcomes.…”
Section: Discussionmentioning
confidence: 99%
“…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%