Health Effects of Electronic Cigarettes: An Umbrella Review and Methodological Considerations

被引:21
作者
Travis, Nargiz [1 ]
Knoll, Marie [1 ]
Cadham, Christopher J. [2 ]
Cook, Steven [3 ]
Warner, Kenneth E. [2 ]
Fleischer, Nancy L. [3 ]
Douglas, Clifford E. [2 ]
Sanchez-Romero, Luz Maria [1 ]
Mistry, Ritesh [4 ]
Meza, Rafael [3 ]
Hirschtick, Jana L. [3 ]
Levy, David T. [1 ]
机构
[1] Georgetown Med Univ, Lombardi Comprehens Canc Ctr, Washington, DC 20057 USA
[2] Univ Michigan, Sch Publ Hlth, Dept Hlth Management & Policy, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Sch Publ Hlth, Dept Epidemiol, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Sch Publ Hlth, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA
关键词
umbrella review; health effects; electronic cigarettes; vaping; tobacco products; NICOTINE DELIVERY-SYSTEMS; SMOKING-CESSATION; SAFETY;
D O I
10.3390/ijerph19159054
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
E-cigarettes are often marketed as a safer alternative to combustible cigarettes. However, their health effects, especially those associated with long-term use, remain largely uncertain. We conducted an umbrella review of the cardiopulmonary and carcinogenic risks of e-cigarette use, distinguishing between short-term and long-term health effects. The search for systematic reviews was conducted across four electronic databases through 25 January 2022. Methodological quality was assessed using the AMSTAR-2 quality appraisal tool. Seventeen systematic reviews, including five meta-analyses, were included in our umbrella review. There was a clear underreporting of e-cigarette devices and e-liquid types, e-cigarette and cigarette exposure, and the health and smoking status of study participants. Overall, the findings suggest that short-term use of e-cigarettes may be associated with acute cardiopulmonary risks, although to a lesser extent than cigarette use. Long-term e-cigarette use may have pulmonary/respiratory benefits in those who switch from chronic cigarette smoking, particularly in individuals with asthma and chronic obstructive pulmonary disease (COPD). Evidence on intermediate and long-term carcinogenic effects is lacking. This umbrella review underscores the urgent need for systematic reviews with better adherence to established reporting guidelines, consistent definitions of duration of e-cigarette use, a focus on newer devices, and accounting for the impacts of former or current smoking.
引用
收藏
页数:23
相关论文
共 47 条
  • [1] [Anonymous], 2016, NIC SMOK TOB HARM RE
  • [2] Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach
    Aromataris, Edoardo
    Fernandez, Ritin
    Godfrey, Christina M.
    Holly, Cheryl
    Khalil, Hanan
    Tungpunkom, Patraporn
    [J]. INTERNATIONAL JOURNAL OF EVIDENCE-BASED HEALTHCARE, 2015, 13 (03) : 132 - 140
  • [3] Cardiovascular effects of electronic cigarettes
    Benowitz, Neal L.
    Fraiman, Joseph B.
    [J]. NATURE REVIEWS CARDIOLOGY, 2017, 14 (08) : 447 - 456
  • [4] The Evolving Landscape of e-Cigarettes A Systematic Review of Recent Evidence
    Bozier, Jack
    Chivers, Emily K.
    Chapman, David G.
    Larcombe, Alexander N.
    Bastian, Nicole A.
    Masso-Silva, Jorge A.
    Byun, Min Kwang
    McDonald, Christine F.
    Alexander, Laura E. Crotty
    Ween, Miranda P.
    [J]. CHEST, 2020, 157 (05) : 1362 - 1390
  • [5] Lung Damage Caused by Heated Tobacco Products and Electronic Nicotine Delivery Systems: A Systematic Review
    Bravo-Gutierrez, Omar Andres
    Falfan-Valencia, Ramces
    Ramirez-Venegas, Alejandra
    Sansores, Raul H.
    Ponciano-Rodriguez, Guadalupe
    Perez-Rubio, Gloria
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2021, 18 (08)
  • [6] Cancer diagnosis and suicide outcomes: Umbrella review and methodological considerations
    Calati, Raffaella
    Filipponi, Chiara
    Mansi, William
    Casu, Diego
    Peviani, Giulia
    Gentile, Guendalina
    Tambuzzi, Stefano
    Zoja, Riccardo
    Fornaro, Michele
    Lopez-Castroman, Jorge
    Madeddu, Fabio
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 2021, 295 : 1201 - 1214
  • [7] Association between e-cigarette use and asthma: a systematic review and meta-analysis
    Chand, Benjamin R.
    Hosseinzadeh, Hassan
    [J]. JOURNAL OF ASTHMA, 2022, 59 (09) : 1722 - 1731
  • [8] The application of AMSTAR2 in 32 overviews of systematic reviews of interventions for mental and behavioural disorders: A cross-sectional study
    De Santis, Karina Karolina
    Lorenz, Robert C.
    Lakeberg, Meret
    Matthias, Katja
    [J]. RESEARCH SYNTHESIS METHODS, 2022, 13 (04) : 424 - 433
  • [9] Eden J, 2011, FINDING WHAT WORKS IN HEALTH CARE: STANDARDS FOR SYSTEMATIC REVIEWS, P1
  • [10] Effect of continuous smoking reduction and abstinence on blood pressure and heart rate in smokers switching to electronic cigarettes
    Farsalinos, Konstantinos
    Cibella, Fabio
    Caponnetto, Pasquale
    Campagna, Davide
    Morjaria, Jaymin Bhagwanji
    Battaglia, Eliana
    Caruso, Massimo
    Russo, Cristina
    Polosa, Riccardo
    [J]. INTERNAL AND EMERGENCY MEDICINE, 2016, 11 (01) : 85 - 94