ArticleInternational journal of environmental research and public health2019
The Health Risks of Electronic Cigarette Use to Bystanders.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.
- Exposure to Heated Tobacco Products and Adverse Health Effects, a Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Knowledge, attitude, and practice towards e-cigarettes among adults in the Kingdom of Saudi Arabia: a cross-sectional study.Frontiers in public health · 2025Article
- Determination of Cotinine, 3'-Hydroxycotinine and Nicotine 1'-Oxide in Urine of Passive and Active Young Smokers by LC-Orbitrap-MS/MS Technique.Molecules (Basel, Switzerland) · 2024Article
- Exposure, Retention, Exhalation, Symptoms, and Environmental Accumulation of Chemicals During JUUL Vaping.Chemical research in toxicology · 2023Article
- Are excluding e-cigarettes a loophole in the smokefree public housing rule?Preventive medicine reports · 2023Article
- Computational modeling method to estimate secondhand exposure potential from exhalations during e-vapor product use under various real-world scenarios.Internal and emergency medicine · 2022Article
- Article
- Article
- Vaping and Lung Inflammation and Injury.Annual review of physiology · 2022Review
- Laboratory Determination of Gravimetric Correction Factors for Real-time Area Measurements of Electronic Cigarette Aerosols.Aerosol science and technology : the journal of the American Association for Aerosol Research · 2022Article
- Use of E-Cigarettes and Associated Factors among Youth in Thailand.Asian Pacific journal of cancer prevention : APJCP · 2021Article
- Identification of newly formed toxic chemicals in E-cigarette aerosols with Orbitrap mass spectrometry and implications on E-cigarette control.European journal of mass spectrometry (Chichester, England) · 2021Article
- 9. Flavours in novel and emerging nicotine and tobacco products.World Health Organization technical report series · 2021Article
- An RCT of acute health effects in COPD-patients after passive vape exposure from e-cigarettes.European clinical respiratory journal · 2020Article
- E-Cigarette Aerosols and the Brain: Behavioral and Neuroinflammatory Changes in Prenatally Exposed Adult Mice.Environmental health perspectives · 2020Article
- Vaper, Beware: The Unique Toxicological Profile of Electronic Cigarettes.Environmental health perspectives · 2020Article
- Cancer and Non-Cancer Risk Concerns from Metals in Electronic Cigarette Liquids and Aerosols.International journal of environmental research and public health · 2020Article
- A Summary of In Vitro and In Vivo Studies Evaluating the Impact of E-Cigarette Exposure on Living Organisms and the Environment.International journal of molecular sciences · 2020Review
- Association of Electronic Cigarette Regulations With Electronic Cigarette Use Among Adults in the United States.JAMA network open · 2020Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This works aimed to assess the health risks of e-cigarette use to bystanders. The exhaled breath of 17 volunteers was collected while they were vaping, and the levels of nicotine, propylene glycol, glycerol, formaldehyde, acetaldehyde, acrolein, tobacco-specific nitrosamines (TSNAs), and heavy metals were analyzed. Increased levels of nicotine, propylene glycol, TSNAs and copper were found in the exhaled breath of the volunteers. From these measurements, bystander exposure was estimated for two different scenarios: (1) A non-ventilated car with two e-cigarette users and (2) a ventilated office with one e-cigarette user. Our results show that bystanders may experience irritation of the respiratory tract as a result of exposure to propylene glycol and glycerol. Systemic effects of nicotine should also be expected if nicotine-containing e-liquid is used, including palpitations, and an increase of the systolic blood pressure. Furthermore, due to the presence of TSNAs in some e-liquids, an increased risk of tumors could not be excluded for the 'car' scenario. While e-cigarette use can clearly have effects on the health of bystanders, the risks depend on the rate of ventilation, dimensions of the room, and vaping behavior of the e-cigarette user. The presence of TSNAs in e-liquids can be avoided, which will prevent the most serious effect identified (increased risk of tumors).
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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.