2018
DOI: 10.1080/08958378.2018.1500663
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Plasma and saliva levels of three metals in waterpipe smokers: a case control study

Abstract: In this case-control study, the influence of waterpipe tobacco smoking on the plasma and saliva levels of cadmium, lead, and zinc was examined in participants who were waterpipe tobacco smokers (WS) or never-smokers (NS). The concentration of metals was higher in WS relative to NS. The mean (SEM) cadmium concentration in plasma was 3.3 (0.18)μg/dL in WS versus 0.82 (0.09)μg/L in NS (P < 0.001) and in saliva was 5.1 (0.36)μg/L in WS versus 0.64 (0.2)μg/L in NS (P < 0.001). The mean (SEM) lead concentration in p… Show more

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Cited by 19 publications
(10 citation statements)
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“…This is somewhat in contradiction with a previous observation that commercial charcoals can be the source of metals in waterpipe tobacco aerosols [ 18 ]. It should be noted that a previous study reported higher concentrations of Cd, Zn, and Pb in the body fluids of waterpipe tobacco consumers than in never smokers [ 35 ].…”
Section: Resultsmentioning
confidence: 99%
“…This is somewhat in contradiction with a previous observation that commercial charcoals can be the source of metals in waterpipe tobacco aerosols [ 18 ]. It should be noted that a previous study reported higher concentrations of Cd, Zn, and Pb in the body fluids of waterpipe tobacco consumers than in never smokers [ 35 ].…”
Section: Resultsmentioning
confidence: 99%
“…According to one study, long-term exposure to hookah smoke leads to increased plasma and salivary levels of toxic metals, namely cadmium, copper, and zinc (19), which can contribute to cancer development. In a metaanalysis, the odds ratio for the association between hookah smoking and heart disease was reported to be 1.67 (95% CI = 1.25, 2.24), confirming the hypothesis that hookah is indeed harmful to the cardiovascular system (4).…”
Section: Relationship Between Exposure To Hookah Smoke and Lung Capac...mentioning
confidence: 99%
“…High levels of cadmium are naturally present in the air, soil, and water in certain regions of the world, which may enhance the risk of exposure. For the general public, contaminated food and cigarette smoke are the most common routes of cadmium exposure [13][14][15]. Cadmium could be transferred into the human body via contaminated air, food, and water, accumulated in various vital organs, and produce adverse health effects.…”
Section: Introductionmentioning
confidence: 99%