| Title: | Water Pipe (Hookah) Smoking and Cardiovascular Disease Risk: A Scientific Statement From the American Heart Association |
| Author(s): | Bhatnagar A; Maziak W; Eissenberg T; Ward KD; Thurston G; King BA; Sutfin EL; Cobb CO; Griffiths M; Goldstein LB; Rezk-Hanna M; |
| DOI: | 10.1161/CIR.0000000000000671 |
| ISSN/ISBN: | 1524-4539 (Electronic) 0009-7322 (Print) 0009-7322 (Linking) |
| Abstract: | "Tobacco smoking with a water pipe or hookah is increasing globally. There are millions of water pipe tobacco smokers worldwide, and in the United States, water pipe use is more common among youth and young adults than among adults. The spread of water pipe tobacco smoking has been abetted by the marketing of flavored tobacco, a social media environment that promotes water pipe smoking, and misperceptions about the addictive potential and potential adverse health effects of this form of tobacco use. There is growing evidence that water pipe tobacco smoking affects heart rate, blood pressure regulation, baroreflex sensitivity, tissue oxygenation, and vascular function over the short term. Long-term water pipe use is associated with increased risk of coronary artery disease. Several harmful or potentially harmful substances present in cigarette smoke are also present in water pipe smoke, often at levels exceeding those found in cigarette smoke. Water pipe tobacco smokers have a higher risk of initiation of cigarette smoking than never smokers. Future studies that focus on the long-term adverse health effects of intermittent water pipe tobacco use are critical to strengthen the evidence base and to inform the regulation of water pipe products and use. The objectives of this statement are to describe the design and operation of water pipes and their use patterns, to identify harmful and potentially harmful constituents in water pipe smoke, to document the cardiovascular risks of water pipe use, to review current approaches to water pipe smoking cessation, and to offer guidance to healthcare providers for the identification and treatment of individuals who smoke tobacco using water pipes" |
| Keywords: | American Heart Association Cardiovascular Diseases/*epidemiology Humans Practice Guidelines as Topic Risk Smoking Cessation United States/epidemiology Water Pipe Smoking/*epidemiology AHA Scientific Statements cardiovascular disease epidemiology nicotine; |
| Notes: | "MedlineBhatnagar, Aruni Maziak, Wasim Eissenberg, Thomas Ward, Kenneth D Thurston, George King, Brian A Sutfin, Erin L Cobb, Caroline O Griffiths, Merlyn Goldstein, Larry B Rezk-Hanna, Mary eng CC999999/ImCDC/Intramural CDC HHS/ Review 2019/03/09 Circulation. 2019 May 7; 139(19):e917-e936. doi: 10.1161/CIR.0000000000000671" |
