The Effect of Electronic Cigarettes on Voice Quality

Tuhanioğlu, Birgül; Erkan, Sanem Okşan; Özdaş, Talih; Derici, Mustafa Çağrı; Tüzün, Kemal; Şenkal, Özgül Akın

doi:10.1016/j.jvoice.2018.03.015

Cited by 22 publications

(18 citation statements)

References 17 publications

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“…Alzahrani et al analyzed data from the 2014 and 2016 National Health Interview Surveys and found that daily e-cigarette use resulted in an increased odds of myocardial infarction, suggesting that switching to e-cigarettes may not alleviate risk of cardiovascular disease 130 . In contrast, studies have suggested that switching from tobacco cigarettes to e-cigarettes may improve oral health [131][132][133][134][135][136] as well as improving blood pressure, HR, eCo, eNO and voice shimmer [137][138][139][140] . However, it should be noted that in the majority of the studies where healthy controls were compared to e-cigarette users, these markers were higher than non-smoking, highlighting that long term switching to e-cigarettes instead of smoking may not be superior to smoking cessation using NRT (Supplementary Table 3).…”

Section: Case Report N =mentioning

confidence: 96%

The Evolving Landscape of e-Cigarettes

Bozier

Chivers

Chapman

et al. 2020

Chest

132

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Smoking continues to be a burden to economies and healthcare systems across the world. One proposed solution to the problem has been e-cigarettes; however, as a relatively new product in the market, little is known about their potential health impacts. Furthermore, e-cigarettes continue to evolve at a rapid rate, making it necessary to regularly review and synthesize available studies. Whilst e-cigarettes are marketed as a smoking cessation tool by some span style="font-family:'Times New Roman'">manufacturers, the reality is that many non-smokers, including youth, are using them. In this review we focus on two major demographics -smokers and non-smokers, and evaluate the most recent data (2018-2019) regarding the potential health effects of e-cigarettes. We assessed peer-reviewed studies on health impacts of e-cigarettes with particular focus on common questions asked by policy makers, clinicians, and scientists: 1. What are the effects of e-cigarettes compared with air/not-smoking?; 2. Is there any direct evidence of harm or benefit to humans?; 3. Is there a risk from second-hand exposure?; 4. What are the risks and/or benefits of e-cigarettes compared with tobacco cigarette use?; 5. Are there risks or benefits to specific populations -people with COPD or asthma, and pregnant women (and their offspring)?; 6. What are the effects of flavoring chemicals?; 7.

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Section: Case Report N =mentioning

confidence: 96%

The Evolving Landscape of e-Cigarettes

Bozier

Chivers

Chapman

et al. 2020

Chest

132

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“…It was also confirmed that persisted smoking could cause a vocal cord disease such as laryngitis, Rheinke's edema, and leukoplakia 1 . It was also found that smokers have a risk of various cancers such as oral cancer, pharyngeal cancer, and laryngeal cancer than non-smokers 1,4 .Secondly, smoking is known to change voice characteristics [8][9][10][11] . Smoking induces acoustical changes such as fundamental frequency, jitter, shimmer, and NHR, which determines the quality of voice 12-14 .…”

mentioning

confidence: 99%

“…Secondly, smoking is known to change voice characteristics [8][9][10][11] . Smoking induces acoustical changes such as fundamental frequency, jitter, shimmer, and NHR, which determines the quality of voice 12-14 .…”

mentioning

confidence: 99%

Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach

Byeon

Cha

2020

Sci Rep

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The objectives of this study were to identify the effects of smoking on the voice of smokers and present the baseline data for establishing the basis for preventing voice disorders. This study was evaluated using a meta-analysis from studies published between Jan 1, 2000, and Nov 15, 2018. As a result, the final meta-analysis was conducted using nine papers. The standard mean difference was analyzed after dividing the effects of smoking on voice into the pitch (F0), sound quality (jitter, shimmer, and noise to harmonic ratio; NHR), Maximum Phonation Time (MPT), and subjective voice problem. The results showed that there was a significant difference in F0 and MPT. On the other hand, the jitter, shimmer, NHR, and Voice Handicap Index (VHI) had different mean effect size but they were not significantly different. The analysis by sub-function of VHI results showed that the mean effect size was significantly different only in VHI-P (Physical). This study evaluated the effects of smoking on voice using metaanalysis. It was confirmed that smoking had significant and moderate effects on the F0 of voice, MPT, VHI, and physical functions. It is necessary for future meta-analysis studies to conduct randomized controlled experiments or longitudinal studies to confirm the effect sizes of variables.The physiology of healthy voice production it is affected by a range of factors such as the strength, quality, soundness, and fluidity of sound 1 . However, the changes in the anatomical structure of the larynx can cause functional problems and, as a result, it can negatively affect the voice production to result in voice disorders. It is widely known that voice disorder has a very high reoccurrence rate. A Lyberg-Åhlander et al. 2 evaluated the voice disorders in Sweden and reported that 16.9% of adults (≥18 years old) experienced a voice disorder. Moreover, it was found that 21.9% of adults in the US also experienced a voice disorder in their lifetime 3 . Also, 73.3% of them suffered from the voice disorder multiple times 3 . Particularly, even if voice rehabilitation (e.g., vocal hygiene) is performed after the occurrence of a voice disorder, the risk of a voice disorder reoccurrence is even higher unless the risk factor negatively affecting voice is removed. Although many studies have identified a relationship between chronic smoking and laryngeal pathology, there is still insufficient evidence of the effects of smoking on voice.Previous studies on the effects of smoking on voice health can be divided into three major groups. First, smoking has been reported as a representative risk factor of voice health 4 . For example, smoking can cause a g laryngeal disease 5 . Previous studies evaluating the effects of smoking on the larynx using rats and pigs showed that smoking directly caused the anatomical changes of the larynx 6,7 . Moreover, smokers had a higher risk to have a laryngeal disease than non-smokers 4,5 . It was also confirmed that persisted smoking could cause a vocal cord disease such as laryngitis, Rheinke's edema, and ...

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“…Table 8 below provides a summary of the strengths and the weaknesses of these main voice features that have been evaluated in relation to smoking. In addition, there is research to suggest a degree of specificity in detecting active versus passive smoking 51 , and traditional cigarettes versus e-cigarettes, non-combustible tobacco, and water pip smoking 57,71,72 . assessment, able to be performed remotely, reducing analysis cost and time, and readily integrated into screening and remote health monitoring applications.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, in another study 55 , the shimmer was significantly higher for female smokers who smoked more than 10 years than for either non-smokers and smokers who smoked less than 10 years (0. In a study with 81 men, 21 of whom were former cigarette smokers that had been using e-cigarettes for one to three years, 30 were users of conventional cigarettes with a smoking history of one to five years, and 30 were non-smokers 57 , the absolute shimmer was significantly different between conventional cigarette smokers and ecigarette smokers and non-smokers, with increased shimmer in the conventional cigarette users (0.34 dB conventional cigarette vs 0.22 dB e-cigarette smokers vs 0.22 dB non-smokers), however, there was no significant difference between groups for F0 or jitter.…”

Section: Shimmermentioning

confidence: 99%

Towards the Objective Speech Assessment of Smoking Status based on Voice Features: A Review of the Literature

Bullen

Chu

et al. 2023

Journal of Voice

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Background and Objective: In smoking cessation clinical research and practice, objective validation of self-reported smoking status is crucial for ensuring the reliability of the primary outcome, that is, smoking abstinence. Speech signals convey important information about a speaker, such as age, gender, body size, emotional state, and health state. We investigated (1) if smoking could measurably alter voice features, (2) if smoking cessation could lead to changes in voice, and therefore (3) if the voice-based smoking status assessment has the potential to be used as an objective smoking cessation validation method.Methods: A systematic review of the scientific literature was conducted to compile studies on smoking status assessment based on voice features. We searched nine scientific databases for original studies involving the effects of smoking on voice features, the effects of smoking cessation on voice features.Results: A total of 34 studies were identified for review. We found that fundamental frequency, jitter, shimmer, harmonics to noise ratio, and other voice features are affected by smoking and could be used to assess smoking status. Conclusion:Speech assessment of smoking status based on voice features has potential as a smoking status validation method, as it is simple, reliable, and less time-consuming. Furthermore, this study provides recommendations for future research on the objective speech assessment of smoking status based on voice features.

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The Effect of Electronic Cigarettes on Voice Quality

Cited by 22 publications

References 17 publications

The Evolving Landscape of e-Cigarettes

The Evolving Landscape of e-Cigarettes

Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach

Towards the Objective Speech Assessment of Smoking Status based on Voice Features: A Review of the Literature

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