Waterpipe Smoking and Dependence are Associated with Chronic
Obstructive Pulmonary Disease: A Case-Control Study

Salameh, Pascale; Waked, Mirna; Khayat, Georges; Dramaix, Michèle

doi:10.2174/1874297101205010036

Cited by 18 publications

(19 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The factors we found were well-known sources of CO [2,8,10,12]; waterpipe smoking association with CO has also been previously reported by ourselves [11] and others [27]. Several of those factors are also known risk factors for COPD: ciga rette smoking [28,29], waterpipe smoking [26], male gender [25], biomass fuel combustion [30], and passive smoking [31,32]. Thus, we were able to confirm the close relationship between the CO level, its predictors, and COPD.…”

Section: Resultssupporting

confidence: 83%

Validation of the respiratory toxics exposure score (RTES) for chronic obstructive pulmonary disease screening

Salameh¹,

Khayat²,

Waked³

2011

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Objective: Our aim is to evaluate the validity of exhaled carbon monoxide (CO) and of a newly-created score as markers of Chronic Obstructive Pulmonary Disease (COPD). Materials and Methods: The CO level was measured in a derivation subsample of a cross-sectional study and linked to COPD diagnosis; its predictors were evaluated, and a scale was constructed. It was evaluated in a validation subsample and in a clinical setting. Results: Individuals with COPD had higher CO levels than healthy individuals. CO level significant predictors were cigarettes per day, waterpipes per week, lower age, male gender, living close to diesel exhaust, heating home with the use of diesel, and having indoor family smokers. A score composed of CO predictors was able to significantly predict COPD (Ora = 4-7.5). Conclusions: Coupled with the clinical judgment of physicians, this scale would be an excellent low-cost tool for screening COPD, in absence of spirometry.

show abstract

Section: Resultssupporting

confidence: 83%

Validation of the respiratory toxics exposure score (RTES) for chronic obstructive pulmonary disease screening

Salameh¹,

Khayat²,

Waked³

2011

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

show abstract

“…Nevertheless, the chemical composition of waterpipe smoke, which seems to contain toxicants in quantities similar or even higher than cigarette smoke, may give biological plausibility for the associations we found [32][33][34][35][36]. Moreover, waterpipe active smoking was shown to be a cause of several respiratory diseases and cancers [37][38][39]. schools (OR = 1.67; p < 0.001), higher age categories (p < 0.001), male sex (OR = 1.36; p < 0.001), and a father and a mother's lower education (p < 0.001) were associated with higher odds of probable asthma, defined as physician diagnosed asthma or asthma symptoms (all wheezing) ( Table 1).…”

Section: Discussionmentioning

confidence: 96%

Maternal waterpipe smoke exposure and the risk of asthma and allergic diseases in childhood: A post hoc analysis

Waked

Salameh

2015

Int J Occup Med Environ Health

View full text Add to dashboard Cite

Objectives: This analysis was conducted with the objective of evaluating association between waterpipe passive smoking exposure and asthma, and allergies among Lebanese children. Material and Methods: Data were taken from a crosssectional study on children from public and private schools. A sample of 22 schools participated in the study, where standardized written core questionnaires were distributed. From 5 to 12-year-old students filled in the questionnaires at home, while 13-14-year-old students filled it in in the class. In total, 5522 children were evaluated for the prevalence of asthma, allergic rhinitis and atopic eczema, and their associated factors, including waterpipe exposure due to parents' smoking. Results: The descriptive results of parental smoking were, as follows: among mothers: 1609 (29%) mothers smoked cigarettes, 385 (7%) smoked waterpipe and 98 (1.8%) smoked both; among fathers: 2449 (44.2%) smoked cigarettes, 573 (10.3%) smoked waterpipe and 197 (3.5%) smoked both. Maternal waterpipe smoking was significantly and moderately associated with allergic diseases (p < 0.001; OR a = 1.71), including probable asthma, rhinitis and dermatitis (p < 0.001 for all). Quite on the opposite, father's waterpipe smoking was not associated with any of the diseases. Parental cigarette smoking demonstrated some positive effects: father's cigarette smoking did not show association with dermatitis or asthma diagnosed by a physician, while mother's cigarette smoking showed a positive association only with probable asthma. Moreover, no interactions between cigarette and waterpipe smoking were observed. Conclusions: Maternal waterpipe smoking should be regarded as a high risk behavior; however, additional studies are necessary to confirm this finding.

show abstract

“…Passive smoking also increases severity and risk of asthma and respiratory symptoms [8][9][10], as well as a significant impairment of lung function [11,12]. Nowadays, in Lebanon, as in many other countries, waterpipe smoking constitutes a trend; waterpipe active smoking seems to cause several respiratory symptoms and chronic diseases, such as chronic bronchitis, chronic obstructive pulmonary disease, and others [13][14][15]. However, few studies were carried out to evaluate the effect of its associated SHS: the observed indoor air pollution by various harmful elements during a waterpipe session is substantial, and the exposure is likely to constitute a serious health hazard [16].…”

Section: Introductionmentioning

confidence: 99%

Carbon monoxide and respiratory symptoms in young adult passive smokers: A pilot study comparing waterpipe to cigarette

Zeidan¹,

Rachidi²,

Awada³

et al. 2014

International Journal of Occupational Medicine and Environmental Health

View full text Add to dashboard Cite

Objectives: Studies have correlated second hand smoke (SHS) with many diseases, especially respiratory effects. The goal of this study was to measure the impact of SHS on the respiratory symptoms and exhaled carbon monoxide. Material and Methods: The study population consisted of 50 young workers in restaurants serving waterpipes, 48 university students who sit frequently in the university cafeteria where cigarette smoking is allowed and 49 university students spending time in places where smoking is not allowed. Subjects completed questionnaires on socio-demographic characteristics, respiratory symptoms and exposure to SHS. Exhaled carbon monoxide levels were measured. ANOVA and Chi-square tests were used when applicable as well as linear and logistic regression analysis. Results: Exposure to cigarette smoke in university (adjusted odds ratio (ORa) = 6.06) and occupational exposure to waterpipe smoke (ORa = 7.08) were predictors of chronic cough. Being married (ORa = 6.40), living near a heavy traffic road (ORa = 9.49) or near a local power generator (ORa = 7.54) appeared responsible for chronic sputum production. Moreover, predictors of chronic allergies were: being male (ORa = 7.81), living near a local power generator (ORa = 5.52) and having a family history of chronic respiratory diseases (ORa = 17.01). Carbon monoxide levels were augmented by the number of weekly hours of occupational exposure to waterpipe smoke (β = 1.46) and the number of daily hours of exposure to cigarette smoke (β = 1.14). Conclusions: In summary, young non-smoker subjects demonstrated more chronic cough and elevated carbon monoxide levels when exposed to SHS while the effect of waterpipe was even more evident.

show abstract

Waterpipe Smoking and Dependence are Associated with Chronic Obstructive Pulmonary Disease: A Case-Control Study

Cited by 18 publications

References 28 publications

Validation of the respiratory toxics exposure score (RTES) for chronic obstructive pulmonary disease screening

Validation of the respiratory toxics exposure score (RTES) for chronic obstructive pulmonary disease screening

Maternal waterpipe smoke exposure and the risk of asthma and allergic diseases in childhood: A post hoc analysis

Carbon monoxide and respiratory symptoms in young adult passive smokers: A pilot study comparing waterpipe to cigarette

Contact Info

Product

Resources

About