Evidence map›Paper›PMID 40216552›Full record

ArticleTobacco control2026

Velo (BAT) buffet of oral nicotine pouches in Pakistan: varying brand variant levels of nicotine, menthol and other flavour chemicals.

Joanna E Cohen, Maryam Ibrahim, Sejal Saraf, Kevin Welding, Wentai Luo, Kevin J McWhirter, Katherine Clegg Smith, James F Pankow

Abstract read
In one paragraph

Article in Tobacco control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Joanna E CohenDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA jcohen@jhu.edu.ORCID http://orcid.org/0000-0002-3869-3637
Maryam IbrahimDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Sejal SarafInstitute for Global Tobacco Control, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Kevin WeldingDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0002-1833-6691
Wentai LuoDepartment of Civil and Environmental Engineering, Portland State University, Portland, Oregon, USA.
Kevin J McWhirterDepartment of Civil and Environmental Engineering, Portland State University, Portland, Oregon, USA.
Katherine Clegg SmithDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
James F PankowDepartment of Civil and Environmental Engineering, Portland State University, Portland, Oregon, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobal sales of oral nicotine pouches are increasing. 10 brand variants of Velo (BAT) pouches were purchased in Karachi, Pakistan in 2022 and assessed for levels of nicotine, numerous flavour chemicals, packaging and price.

methodsPurchase prices were recorded, and colours, images and words on the containers were assessed. Samples were analysed for nicotine and 180 individual flavour chemicals. Data were examined using the values of several flavour chemical groups, including total fruit flavour chemicals (TFFCs), total non-menthol mint chemicals (TNMMCs) and total menthol/mint chemicals (TM/MCs).

resultsAll brand variants indicated the nicotine content on the container (6, 10 or 14 mg/pouch). The 14 mg variants were packaged with black container tops and cost 25% more than the others, which had off-white container tops. Measured nicotine levels were similar to the labelled values. 46 of the 180 flavour compounds were detected at least once in the 10 products; four compounds were detected in all 10 products. Variation in the levels of TFFCs, TNMMCs and TM/MCs was much larger than the variation for the measured values of nicotine.

conclusionThis is the first independent assessment of oral nicotine pouch brand variants. Nicotine is available over a range of levels; it could be considered as a regulatory target. Consumers are also offered a buffet of options with a range of flavour levels and flavour mixes. Regulation of flavour chemicals in oral nicotine pouches should be considered in Pakistan given that flavours are known to increase product appeal, initiation by adolescents and quitting difficulty.

Indexed as

Flavoring AgentsMentholNicotineProduct PackagingTobacco ProductsCommerceHumansPakistanTobacco ControlFlavoring AgentsMentholNicotineLow/Middle income countryNicotineNon-cigarette tobacco productsPackaging and LabellingPrice

Identifiers

PMID40216552
PMCPMC13479638

What OpenQuestion holds

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Registered trials

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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.