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IQOS TM vs. e-Cigarette vs. Tobacco Cigarette: A Direct Comparison of Short-Term Effects after Overnight-Abstinence

Author

Listed:
  • Karolien Adriaens

    (Faculty of Psychology and Educational Sciences, KU Leuven—University Leuven, Tiensestraat 102, 3000 Leuven, Belgium)

  • Dinska Van Gucht

    (Faculty of Psychology and Educational Sciences, KU Leuven—University Leuven, Tiensestraat 102, 3000 Leuven, Belgium
    Applied Psychology Unit, Thomas More University of Applied Sciences, Molenstraat 8, 2018 Antwerp, Belgium)

  • Frank Baeyens

    (Faculty of Psychology and Educational Sciences, KU Leuven—University Leuven, Tiensestraat 102, 3000 Leuven, Belgium)

Abstract

Introduction : Research from Philip Morris International’s science division on its Heat-not-Burn product IQOS TM focused on its chemical, toxicological, clinical, and behavioral aspects. Independent research on the experiences and behavioral aspects of using IQOS TM , and how it compares to e-cigarettes, is largely lacking. The current randomized, cross-over behavioral trial tried to bridge the latter gaps. Methods : Participants ( n = 30) came to the lab on three consecutive days after being overnight smoking abstinent. During each session, participants used one of three products (cigarette, e-cigarette, or IQOS TM ) for five minutes. Exhaled CO (eCO) measurements and questionnaires were repeatedly administered throughout the session. Results : Smoking a cigarette for five minutes resulted in a significant increase of eCO, whereas using an IQOS TM resulted in a small but reliable increase (0.3 ppm). Vaping did not affect eCO. Cigarette craving reduced significantly after product use, with the decline being stronger for smoking than for e-cigarettes or IQOS TM . Withdrawal symptoms declined immediately after smoking or using IQOS TM , and with some delay after vaping. IQOS TM scored higher in terms of subjective reward/satisfaction and was slightly preferred to the e-cigarette. Discussion : Short-term use of IQOS TM has a minimal impact on eCO, is equally effective in reducing cigarette craving and withdrawal symptoms as an e-cigarette, and is slightly preferred.

Suggested Citation

  • Karolien Adriaens & Dinska Van Gucht & Frank Baeyens, 2018. "IQOS TM vs. e-Cigarette vs. Tobacco Cigarette: A Direct Comparison of Short-Term Effects after Overnight-Abstinence," IJERPH, MDPI, vol. 15(12), pages 1-20, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2902-:d:191526
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    References listed on IDEAS

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    1. Karolien Adriaens & Dinska Van Gucht & Paul Declerck & Frank Baeyens, 2014. "Effectiveness of the Electronic Cigarette: An Eight-Week Flemish Study with Six-Month Follow-up on Smoking Reduction, Craving and Experienced Benefits and Complaints," IJERPH, MDPI, vol. 11(11), pages 1-29, October.
    2. Neil McKeganey & Tiffany Dickson, 2017. "Why Don’t More Smokers Switch to Using E-Cigarettes: The Views of Confirmed Smokers," IJERPH, MDPI, vol. 14(6), pages 1-12, June.
    3. Jan Tempel & Aliya Noormohamed & Robert Schwartz & Cameron Norman & Muhannad Malas & Laurie Zawertailo, 2016. "Vape, quit, tweet? Electronic cigarettes and smoking cessation on Twitter," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 249-256, March.
    4. Linda Bauld & Rosemary Hiscock & Fiona Dobbie & Paul Aveyard & Tim Coleman & Jo Leonardi-Bee & Hayden McRobbie & Andy McEwen, 2016. "English Stop-Smoking Services: One-Year Outcomes," IJERPH, MDPI, vol. 13(12), pages 1-12, November.
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    Cited by:

    1. Aleksandra Ratajczak & Piotr Jankowski & Piotr Strus & Wojciech Feleszko, 2020. "Heat Not Burn Tobacco Product—A New Global Trend: Impact of Heat-Not-Burn Tobacco Products on Public Health, a Systematic Review," IJERPH, MDPI, vol. 17(2), pages 1-12, January.
    2. Mariangela Peruzzi & Elena Cavarretta & Giacomo Frati & Roberto Carnevale & Fabio Miraldi & Giuseppe Biondi-Zoccai & Sebastiano Sciarretta & Francesco Versaci & Vittoria Cammalleri & Pasquale Avino & , 2020. "Comparative Indoor Pollution from Glo, Iqos, and Juul, Using Traditional Combustion Cigarettes as Benchmark: Evidence from the Randomized SUR-VAPES AIR Trial," IJERPH, MDPI, vol. 17(17), pages 1-13, August.

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