Effects of Water-Pipe Smoking on Lung Function

作者: Dany Raad , Swarna Gaddam , Holger J. Schunemann , Jihad Irani , Philippe Abou Jaoude

DOI: 10.1378/CHEST.10-0991

关键词: Water Pipe SmokingPhysical therapyPulmonary function testingInternal medicineStrictly standardized mean differenceCOPDLung functionMedicineSignificant differenceMeta-analysisFEV1/FVC ratio

摘要: Background Although common in many Middle Eastern countries, water-pipe tobacco smoking, commonly known as smoking (WPS), is increasingly popular Western cultures. The primary objective of this study was to systematically review the effects WPS on lung function. secondary compare and cigarette Methods We conducted a systematic using approach Cochrane Collaboration search for, select, abstract studies. two separate meta-analyses comparing smokers with nonsmokers, for each three spirometric measurements (FEV 1 , FVC, FEV / FVC). used standardized mean difference (SMD) pool results. Results Six cross-sectional studies were eligible review. Compared no associated statistically significant reduction (SMD = −0.43; 95% CI, −0.58 −0.29; equivalent 4.04% lower %), trend toward FVC −0.15; −0.34 0.04; 1.38% FVC%), −0.46; −0.93 0.01; 3.08% Comparing there FVC. six suffered from methodologic limitations. Conclusions negatively affects function may be harmful smoking. WPS, therefore, likely cause COPD.

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