RESEARCH ARTICLE


Effects of Smoking Electronic Cigarettes on Pulmonary Function and Environmental Parameters



Luca Coppeta*, Andrea Magrini, Antonio Pietroiusti, Stefano Perrone, Mario Grana
Occupational Health Service, University of Rome, Tor Vergata, Viale Oxford 81, 00133, Roma, Italy


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Creative Commons License
© 2018 Coppeta et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to the author at the Occupational Health Service, University of Rome, Tor Vergata, Viale Oxford 81, 00133, Roma, Italy; Tel: +39(6)20902201; E-mail: luca.coppeta@ptvonline.it


Abstract

Objectives:

Our study aims to evaluate whether the active use of the electronic cigarette (e-cig) can determine adverse effects on the respiratory function of healthy workers and whether potentially dangerous pollutants are released in the air.

Methods:

Thirty healthy workers (seventeen men and thirteen women, age range 27-37) were included in the study. Immediately before and after a 5-minute smoking session performed in two different days (first-day e-cig, second-day tobacco cigarette [t-cig]), they underwent spirometry evaluation. Furthermore, environmental particle monitoring was performed during the experimental procedure (i.e. before, during and after active smoking).

Results:

Our study showed slight reductions in the main pulmonary function data both after active e-cig and t-cig smoking. Changes in the main respiratory parameters were significantly different than baseline after 1 minute from e-cigarette smoking (3,95 vs 3,91 lt for FEV:P=0,03; 0,84 vs 0,83 for FEV1/FVC ratio:P=0,008; 4,23 vs 3,99 lt/min for FEF25-75%: P=0,03) but not after 15 minutes from active e-cigarette smoking, whereas after t-cig smoking, there was a significant drop in the 15 min value of FEV1(P=, FEF25-75% (P=0.01) and the FEV1/FVC ratio (P=0.007).

Regarding environmental exposure, the e-cig smoking was associated with the transient release of particles with a diameter < 1 micron which dropped to baseline after 5 minutes, whereas in the case of t-cig, the particles persisted for 60 min.

Conclusion:

In this study, the active use of e-cig for a short time caused similar, although less pronounced effects as tobacco smoke on the pulmonary function. Similarly, the particles released in the environment had lower concentration and persistence than those of t-cig. These data suggest that e-cig may potentially be dangerous for active smokers and the environment. Long-term studies seem warranted to discover the health effects of active and passive exposure to e-cig.

Keywords: E-cigarette, Environmental particle monitoring, Ultrafine particles, Pulmonary function, Pollutants, T-cigarette.