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Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review

Author

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  • Omar Andrés Bravo-Gutiérrez

    (HLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico)

  • Ramcés Falfán-Valencia

    (HLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico)

  • Alejandra Ramírez-Venegas

    (Tobacco Smoking and COPD Research Department, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico)

  • Raúl H. Sansores

    (Clínica de Enfermedades Respiratorias, Fundación Médica Sur, Mexico City 14080, Mexico)

  • Guadalupe Ponciano-Rodríguez

    (Public Health Department, Faculty of Medicine, National Autonomous University of Mexico, Mexico City 04510, Mexico)

  • Gloria Pérez-Rubio

    (HLA Laboratory, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Mexico City 14080, Mexico)

Abstract

The tobacco industry promotes electronic nicotine delivery systems (ENDS) and heated tobacco products (HTP) as a safer alternative to conventional cigarettes with misleading marketing sustained by studies with conflict of interest. As a result, these devices sell without regulations and warnings about their adverse effects on health, with a growing user base targeting young people. This systematic review aimed to describe the adverse effects on the respiratory system in consumers of these devices. We conducted a systematic review and bibliometric analysis of 79 studies without conflict of interest evaluating ENDS and HTP effects in the respiratory system in experimental models, retrieved from the PubMed database. We found that the damage produced by using these devices is involved in pathways related to pulmonary diseases, involving mechanisms previously reported in conventional cigarettes as well as new mechanisms particular to these devices, which challenges that the tobacco industry’s claims. The present study provides significant evidence to suggest that these devices are an emerging public health problem and that they should be regulated or avoided.

Suggested Citation

  • Omar Andrés Bravo-Gutiérrez & Ramcés Falfán-Valencia & Alejandra Ramírez-Venegas & Raúl H. Sansores & Guadalupe Ponciano-Rodríguez & Gloria Pérez-Rubio, 2021. "Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review," IJERPH, MDPI, vol. 18(8), pages 1-13, April.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:8:p:4079-:d:534999
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    References listed on IDEAS

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    Cited by:

    1. Lindsey S. Sparrock & Lilianna Phan & Julia Chen-Sankey & Kiana Hacker & Aniruddh Ajith & Bambi Jewett & Kelvin Choi, 2023. "Heated Tobacco Products: Awareness, Beliefs, Use and Susceptibility among US Adult Current Tobacco Users, 2021," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    2. Nargiz Travis & Marie Knoll & Steven Cook & Hayoung Oh & Christopher J. Cadham & Luz María Sánchez-Romero & David T. Levy, 2023. "Chemical Profiles and Toxicity of Electronic Cigarettes: An Umbrella Review and Methodological Considerations," IJERPH, MDPI, vol. 20(3), pages 1-15, January.
    3. Huiting Chen & Jigen Na & Hang An & Ming Jin & Xiaoqian Jia & Lailai Yan & Nan Li & Zhiwen Li, 2022. "Passive Smoking Is Associated with Multiple Heavy Metal Concentrations among Housewives in Shanxi Province, China," IJERPH, MDPI, vol. 19(14), pages 1-9, July.
    4. Yoshihiko Hosokawa & Masayoshi Zaitsu & Sumiyo Okawa & Naho Morisaki & Ai Hori & Yukiko Nishihama & Shoji F. Nakayama & Takeo Fujiwara & Hiromi Hamada & Toyomi Satoh & Takahiro Tabuchi, 2022. "Association between Heated Tobacco Product Use during Pregnancy and Fetal Growth in Japan: A Nationwide Web-Based Survey," IJERPH, MDPI, vol. 19(18), pages 1-9, September.
    5. Nargiz Travis & Marie Knoll & Christopher J. Cadham & Steven Cook & Kenneth E. Warner & Nancy L. Fleischer & Clifford E. Douglas & Luz María Sánchez-Romero & Ritesh Mistry & Rafael Meza & Jana L. Hirs, 2022. "Health Effects of Electronic Cigarettes: An Umbrella Review and Methodological Considerations," IJERPH, MDPI, vol. 19(15), pages 1-23, July.

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