ReviewTobacco use insights2016
A Systematic Review of Effects of Waterpipe Smoking on Cardiovascular and Respiratory Health Outcomes.
Review in Tobacco use insights, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.
- Joint statement for the diagnosis, management, and prevention of chronic obstructive pulmonary disease for Gulf Cooperation Council countries and Middle East-North Africa region, 2017.International journal of chronic obstructive pulmonary disease · 2017Guideline
- Tailored Mobile Messaging Intervention for Waterpipe Tobacco Cessation in Young Adults: A Randomized Trial.American journal of public health · 2021Trial
- Waterpipe smoking and risk of cardiovascular disease mortality: Findings from a Prospective Cohort Study.American journal of preventive cardiology · 2026Article
- The attitudes toward hookah smoking in the MENA region scale (ATHS-MENA): factor analysis and validation.Frontiers in psychology · 2026Article
- Waterpipe use in Germany (2018 - 2024): Prevalence and sociodemographic differences in age of initiation.Journal of health monitoring · 2025Article
- Conventional and regionally distinctive risk factors for first-onset myocardial infarction: the Bangladesh Risk of Acute Vascular Events (BRAVE) case-control study.The Lancet regional health. Southeast Asia · 2025Article
- Article
- Factors contributing to the rising prevalence of waterpipe smoking dependence among university students: a cross-sectional study.BMC medical education · 2024Article
- Risk of acute coronary syndrome and relationship with the use of khat and tobacco products in the Jazan region, Saudi Arabia: A prospective case-control study.Tobacco induced diseases · 2024Article
- Peri-Implant Inflammation in Waterpipe Users and Cigarette Smokers: An Observational Study.International dental journal · 2023Observational
- Prevalence and social determinants associated with oral cancer in Al-Baha Region of Saudi Arabia: A seven-year retrospective cohort hospital-based study.Journal of family medicine and primary care · 2023Article
- Correlates of motivation to quit waterpipe tobacco smoking among US young adults: implications for cessation interventions.Health education research · 2023Article
- Occupational Risks and Chronic Obstructive Pulmonary Disease in the Indian Subcontinent: A Critical Review.Cureus · 2023Review
- Spirometric Parameters in Waterpipe Smokers, Cigarette Smokers, and Non-smokers of Shahedieh Cohort Study.Addiction & health · 2023Article
- Changes in the Use of Tobacco, Alternative Tobacco Products, and Tobacco Alternatives in Germany.Deutsches Arzteblatt international · 2022Article
- Flavored waterpipe tobacco preferences, perceptions, and use in pregnant women: A latent factor mapping approach.Addictive behaviors · 2022Article
- The Effect of Water-Pipe and Cigarette Smoking on Exhaled Nitric Oxide.International journal of preventive medicine · 2022Article
- Initial development of the Hookah Smoker Scale: Assessing young adults' mental schemas about hookah "smokers".Translational behavioral medicine · 2021Article
- The adverse health effects of waterpipe smoking in adolescents and young adults: A narrative review.Tobacco induced diseases · 2021Review
- The prevalence of waterpipe tobacco smoking among Polish youths.Archives of medical science : AMS · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWaterpipe smoking (WPS) is a social custom common in many Middle Eastern, North African, and Asian countries and has become increasingly popular in the US, especially among youth; however, WPS smoking may be increasing in the US adult population as well. There is a common belief among waterpipe (WP) smokers that WPS is less harmful than smoking cigarettes. Thus, this review aims to systematically explore the literature on the effects of WP tobacco smoking with a particular focus on cardiovascular and respiratory health outcomes as well as on oxidative stress, immunity, and cell cycle interference health outcomes. METHODOLOGY: We conducted a systematic review, guided by the criteria of The Preferred Reporting Items for Systematic Reviews and Meta-Analyses, using the following online databases MEDLINE, CINAHL, ScienceDirect, PMC, and Cochrane Library. Results were summarized qualitatively.
resultsForty studies met the inclusion criteria established for this review. Based on the existing evidence, several cardiovascular and respiratory physiologic health indicators and conditions have been shown to be negatively affected by WPS. In addition to the effects of nicotine and chemical toxicant exposures, WPS was significantly associated with an increase in heart rate, blood pressure, and lower pulmonary function test results, as well as a number of health conditions such as lung cancer, alterations in oxidative stress, immunity, and cell cycle interference.
conclusionThe current literature provides evidence that WPS is associated with a number of negative health indicators and outcomes. There is need for more research related to WPS and its effects on health so that appropriate campaigns and prevention interventions can be implemented to control the epidemic increase of WPS in the US.
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Registered trials
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.