Evidence map›Paper›PMID 34717948›Full record

ArticleEnvironmental research2022

Effects of e-liquid flavor, nicotine content, and puff duration on metal emissions from electronic cigarettes.

Di Zhao, Vesna Ilievski, Vesna Slavkovich, Pablo Olmedo, Arce Domingo-Relloso, Ana M Rule, Norman J Kleiman, Ana Navas-Acien, Markus Hilpert

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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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

9 authors at 4 institutions in 3 countries.

Di ZhaoDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA; State Key Laboratory of Crop Genetics and Germplasm Enhancement, College of Resources and Environmental Sciences, Nanjing Agricultural University, Nanjing, China. Electronic address: dizhao@njau.edu.cn.
Vesna IlievskiDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Vesna SlavkovichDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Pablo OlmedoDepartment of Legal Medicine and Toxicology, School of Medicine, University of Granada, Spain.
Arce Domingo-RellosoDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Ana M RuleDepartment of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Norman J KleimanDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Ana Navas-AcienDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA.
Markus HilpertDepartment of Environmental Health Sciences, Mailman School of Public Health, Columbia University, New York, NY, USA. Electronic address: mh3632@columbia.edu.
Columbia University · USJohns Hopkins University · USNanjing Agricultural University · CNUniversidad de Granada · ES

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Steven N. Chillrud · 1998 to 2026
$44.7M
Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
Neurotoxic and neurodegenerative risks from chronic exposure to metal mixtures in e-cigarette aerosolR01ES032954 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HILPERT, MARKUS, RE, DIANE BERENGERE · 2021 to 2025
$3.7M
Metal Exposure and Early Cardiovascular Risk in Adult E-Cigarette UsersR01ES029967 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NAVAS-ACIEN, ANA, SHIMBO, DAICHI · 2020 to 2024
$3.4M
The Exposure to Metals from E-Cigarettes (EMIT) StudyR01ES030025 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI RULE, ANA MARIA · 2018 to 2020
$1.5M
Tracking Metals From E-cigarettes: From The Coil Into Lung TissueR21ES029777 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HILPERT, MARKUS, KLEIMAN, NORMAN J · 2018 to 2019
$438k
NCATS NIH HHS KL2 TR001874NCATS NIH HHS UL1 TR001873NIEHS NIH HHS P30 ES009089NIEHS NIH HHS R01 ES029967NIEHS NIH HHS R01 ES030025NIEHS NIH HHS R01 ES032954NIEHS NIH HHS R21 ES029777
6 · The paper itself

Abstract

Vaping is the action of inhaling and exhaling aerosols from electronic cigarettes. The aerosols contain various amounts of toxic chemicals, including metals. The purpose of this study was to evaluate factors that can influence metal levels, including flavor and nicotine content in the e-liquid, and puff duration. Aerosols were collected from both closed-system (cartridge-based) and open-system e-cigarettes using e-liquids with different flavors (fruit, tobacco, and menthol), nicotine content (0, 6, 24, and 59 mg/mL), and different puff durations (1, 2, and 4 s). The concentrations of 14 metals in the collected aerosols were measured using inductively coupled plasma mass spectroscopy. Aerosol concentrations of As, Fe, and Mn varied significantly among fruit, tobacco, and menthol flavors in both closed-system and open-system devices. Concentrations of Al, Fe, Sn, and U were significantly higher in tobacco or menthol flavored aerosols compared to fruit flavors in closed-system devices. Aerosol W levels were significantly higher in tobacco flavored aerosols compared to fruit flavors in open-system devices. Concentrations of As, Fe, and Mn were higher in tobacco flavored aerosols compared to menthol flavors in both types of devices. The median Pb concentration decreased significantly from 15.8 to 0.88 μg/kg when nicotine content increased from 0 to 59 mg/mL, and median Ni concentration was 9.60 times higher in aerosols with nicotine of 59 mg/mL compared to 24 mg/mL (11.9 vs. 1.24 μg/kg) for closed-system devices. No significant differences were observed in aerosol metal concentrations for different puff durations. Aerosol metal concentrations varied widely between different flavors and nicotine content but not by puff duration. Flavor and nicotine content of the e-liquid could be potential factors in metal emissions. Some elements showed higher concentrations under certain conditions, highlighting the urgent need of developing strict product regulations, especially on e-liquid composition and nicotine content to inform e-cigarette users about metal exposure through vaping.

Indexed as

Electronic Nicotine Delivery SystemsTobacco ProductsVapingAerosolsFlavoring AgentsNicotineAerosolsFlavoring AgentsNicotineE-cigarettesFlavorMetal emissionsNicotinePuff duration

Identifiers

PMID34717948
PMCPMC9140018
OpenAlexW3209502126

What OpenQuestion holds

Textmetadata
LicenceTDM
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.