Author:
Almomen Salwa,Aldossari Mobarak,Khaleel Yousef,Altamimi Mishal,Alharbi Ohoud,Alsuwaydani Abdulelah,Almutairi Malak,Alyousef Sarah,Hafiz Radwan,Alshomer Faris,Alqahtani Amani S.
Abstract
AbstractGlycerol, flavorings and sweeteners constitute approximately 70% of water-pipe tobacco smoking (WTS) mixtures. Tobacco mixture combustion produces smoke toxins (e.g. carbonyl compounds), of which the type and amount are highly dependable on tobacco mixture formula. While glycerol in tobacco mixture contribute to enhanced smoking experience, its’ combustion produces toxicants such as acrolein. According to WHO, there are no approved international upper limits regulations on WTS ingredients. This study aims to assess toxicant emission levels corresponding to increasing glycerol concentration in WTS mixtures, which may aid in developing tobacco regulations towards harm reduction.MethodsLaboratory experimental study. Using laboratory water-pipe smoking machine, levels of toxicant emissions in the smoke from WTS mixture samples containing varying glycerol concentrations were measured using High-performance Liquid Chromatography (HPLC). Smoke from 5 consecutive smoking cycles with 35 puffs each (ISO 22486 standard) was led through a trapping system as described in the Cooperation Centre for Scientific Research Relative to Tobacco (CORESTA) recommended method No. 74 (Determination of selected carbonyls in mainstream cigarette smoke by HPLC). Trapped carbonyls were then analysed by HPLC with a DAD detector.ResultsAcrolein emission is associated with glycerol addition in WTS mixture indicated by lab-made samples throughout all glycerol concentrations (10%, 20%, 40% and 60%), and brand samples with glycerol concentrations 10% to 20%. However, brand samples showed no increase in acrolein emission corresponding to the increase in glycerol concentrations from 20% to 60%.ConclusionThe effect of glycerol addition in waterpipe tobacco on acrolein emission varies between products. Tobacco fillers, additives and contents quality and other factors may affect toxicant emission levels. Therefore, regulatory recommendations towards defining upper limits of content concentrations require further investigations regarding potential confounders in acrolein emissions and health effects of market-available glycerol concentrations in waterpipe tobacco smoking.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference33 articles.
1. Bou HM, Kanj AN, Kanj NA. The growing epidemic of water pipe smoking: health effects and future needs. Respir Med. 2014;108(9):1241–53. https://doi.org/10.1016/j.rmed.2014.07.014.
2. World Health Organization. Waterpipe tobacco smoking and health. 2015. Available from: https://apps.who.int/iris/bitstream/handle/10665/161991/9789241508469_eng.pdf;jsessionid=84777AEA9BBD86B284352F442F8E5F7A?sequence=1.
3. Maziak W, Taleb ZB, Bahelah R, et al. The global epidemiology of water pipe tobacco smoking. Tob Control. 2015;24(Suppl 1):i3–12.
4. Jawad M, Lee JT, Millett C. Waterpipe tobacco smoking prevalence and correlates in 25 Eastern Mediterranean and Eastern European countries: cross-sectional analysis of the Global Youth Tobacco Survey. Nicotine Tob Res. 2016;18(4):395–402.
5. Akl EA, Gunukula SK, Aleem S, et al. The prevalence of waterpipe tobacco smoking among the general and specific populations: a systematic review. BMC Public Health. 2011;11:244.
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