Evidence map›Paper›PMID 23616231›Full record

Trial reportNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2013

CO exposure and puff topography are associated with Lebanese waterpipe dependence scale score.

Karem H Alzoubi, Omar F Khabour, Mohammed Azab, Dana M Shqair, Alan Shihadeh, Brian Primack, Thomas Eissenberg

Abstract readClinical Trial
In one paragraph

Trial report in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. TheArab journal of basic and applied sciences · 2020
    Article
  5. Article
  6. A Proposed Waterpipe Emissions Topography Protocol Reflecting Natural Environment User Behaviour.International journal of environmental research and public health · 2019
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Group Waterpipe Tobacco Smoking Increases Smoke Toxicant Concentration.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016
    Article
  12. Sustained Waterpipe Tobacco Smoking and Trends Over Time.American journal of preventive medicine · 2015
    Article
  13. Comparison of puff topography, toxicant exposure, and subjective effects in low- and high-frequency waterpipe users: a double-blind, placebo-control study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
    Article
  14. Waterpipe Smoking and Regulation in the United States: A Comprehensive Review of the Literature.International journal of environmental research and public health · 2015
    Review
  15. Review
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Karem H AlzoubiDepartment of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan;
Omar F Khabour
Mohammed Azab
Dana M Shqair
Alan Shihadeh
Brian Primack
Thomas Eissenberg

Funding

Waterpipe tobacco smoke: toxicant exposure and effectsR01CA120142 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN · 2008 to 2012
$2.8M
REALTIME waterpipe tobacco smoke toxicant sampling in the natural environmentR01DA025659 · NIDA · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN, SHIHADEH, ALAN · 2011 to 2015
$1.8M
Waterpipe tobacco smoking: trends, toxicants, and capacity building in JordanR03TW008371 · FIC · VIRGINIA COMMONWEALTH UNIVERSITY · PI EISSENBERG, THOMAS EVAN · 2009 to 2011
$169k
FIC NIH HHS R03TW008371.NCI NIH HHS R01CA120142NIDA NIH HHS R01 DA025659NIDA NIH HHS R01DA025659
6 · The paper itself

Abstract

introductionWaterpipe tobacco smoking involves self-administration of the dependence-producing drug nicotine. Few studies have examined if dependence in waterpipe smokers influences toxicant exposure and smoking behavior.

methodCurrent waterpipe tobacco smokers were categorized based on Lebanese Waterpipe Dependence Scale-11 (LWDS-11) score (LWDS-11: LOW < 7; N = 59; HIGH > 13; N = 59). Participants abstained from smoking for 12 hr and then completed a single 30-min waterpipe tobacco smoking episode. Expired-air carbon monoxide (CO) was measured before and 5 min after smoking and puff topography was measured during smoking.

resultsTotal mean smoking time was 30.9 min (SD = 3.5) and did not differ significantly by LWDS-11 score. CO boost was greater for participants in the HIGH versus LOW groups (62.3 vs. 43.6 ppm, p < .01). Similarly, those in the HIGH versus LOW group took more puffs (198.6 vs. 157.1 puffs, p < .01), longer duration puffs (2.7 vs. 2.3 s, p < .05), puffs with lower flow rate (10.3 vs. 12.6 L/min, p < .01), and less time between puffs (8.0 vs. 12.4 s, p < .001).

conclusionThe puff topography of waterpipe tobacco smokers can be predicted by LWDS-11 score, with those scoring higher taking longer duration and lower velocity puffs at a higher frequency. These behavioral differences may underlie the 40% greater CO exposure observed for those with higher LWDS-11 scores. To the extent that waterpipe dependence is associated with more smoke inhalation, more dependent smokers will be exposed to greater amounts of toxic smoke constituents.

Indexed as

AdultCarbon MonoxideFemaleHumansInhalation ExposureLebanonMaleSmokingTobacco Smoke PollutionTobacco Use DisorderYoung AdultCarbon MonoxideTobacco Smoke Pollution

Identifiers

PMID23616231
PMCPMC3842104

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.