Abstract:
Background:Health effects of electronic cigarette (EC) use in patients with chronic obstructive pulmonary disease (COPD) are largely unexplored. Aim:We present findings from a long-term prospective assessment of respiratory parameters in a cohort of COPD patients who ceased or substantially reduced conventional cigarette use with ECs. Methods:We prospectively re-evaluated COPD exacerbations, spirometric indices, subjective assessments (using the COPD Assessment Tool [CAT] scores), physical activity (measured by the 6-minute walk distance [6MWD]), and conventional cigarette use in EC users with COPD who were retrospectively assessed previously. Baseline measurements prior to switching to EC use were compared to follow-up visits at 12, 24, and 36 months. Age- and sex-matched regularly smoking COPD patients who were not using ECs were included as reference (control) group. Results:Complete data were available from 44 patients. Compared to baseline in the EC-user group, there was a marked decline in the use of conventional cigarettes. Although there was no change in lung function, significant improvements in COPD exacerbation rates, CAT scores, and 6MWD were observed consistently in the EC user group over the 3-year period (p<0.01). Similar findings were noted in COPD EC users who also smoked conventional cigarettes ("dual users"). Conclusion:The present study suggests that EC use may ameliorate objective and subjective COPD outcomes and that the benefits gained may persist long-term. EC use may reverse some of the harm resulting from tobacco smoking in COPD patients.
journal_name
Int J Chron Obstruct Pulmon Disauthors
Polosa R,Morjaria JB,Prosperini U,Russo C,Pennisi A,Puleo R,Caruso M,Caponnetto Pdoi
10.2147/COPD.S161138subject
Has Abstractpub_date
2018-08-22 00:00:00pages
2533-2542eissn
1176-9106issn
1178-2005pii
copd-13-2533journal_volume
13pub_type
杂志文章abstract:Background:In contrast to cigarette smoking, the association between water pipe smoking and airway hyperresponsiveness remains widely unexplored. Methods:A bronchoprovocation challenge with mannitol was performed in young adults recruited at the University of Basel, Switzerland. Subjects were categorized as acute wate...
journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
doi:10.2147/COPD.S152085
更新日期:2018-01-03 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章,多中心研究
doi:10.2147/COPD.S129321
更新日期:2017-08-17 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
doi:10.2147/COPD.S115086
更新日期:2016-10-19 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
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doi:10.2147/COPD.S168049
更新日期:2018-08-14 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,多中心研究
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2017-08-04 00:00:00
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更新日期:2018-05-25 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
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更新日期:2016-09-14 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-11-01 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
doi:10.2147/COPD.S62563
更新日期:2014-07-18 00:00:00
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pub_type: 杂志文章
doi:10.2147/COPD.S170747
更新日期:2018-10-08 00:00:00
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pub_type: 杂志文章,多中心研究
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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更新日期:2016-07-25 00:00:00
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pub_type: 杂志文章
doi:10.2147/COPD.S79601
更新日期:2015-09-02 00:00:00
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pub_type: 杂志文章
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更新日期:2017-07-26 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章,评审
doi:10.2147/copd.s9443
更新日期:2010-02-18 00:00:00
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pub_type: 杂志文章
doi:10.2147/COPD.S122382
更新日期:2017-01-31 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
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更新日期:2017-02-23 00:00:00
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pub_type: 杂志文章
doi:10.2147/COPD.S129889
更新日期:2017-05-16 00:00:00
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journal_title:International journal of chronic obstructive pulmonary disease
pub_type: 杂志文章
doi:10.2147/COPD.S126192
更新日期:2017-02-24 00:00:00
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pub_type: 杂志文章
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更新日期:2015-06-10 00:00:00