Group Waterpipe Tobacco Smoking Increases Smoke Toxicant Concentration

This study examined user toxicant exposure and smoke toxicant yield associated with individual and group waterpipe smoking. Methods: Twenty-two pairs of waterpipe smokers used a waterpipe individually and as a dyad. Before and after smoking, blood was sampled and expired carbon monoxide (CO) measured; puff topography was recorded throughout. One participant from each pair was selected randomly and their plasma nicotine and expired air CO concentrations were compared when smoking alone to when smoking as part of a dyad. Recorded puff topography was used to machine-produce smoke that was analyzed for toxicant content. Results: There was no difference in mean plasma nicotine concentration when an individual smoked as part of a dyad (mean = 14.9ng/ml; standard error of the mean [SEM] = 3.0) compared to when smoking alone (mean = 10.0ng/ml; SEM = 1.5). An individual smoking as part of as a dyad had, on average, lower CO (mean = 15.8 ppm; SEM = 2.0) compared to when smoking alone (mean= 21.3 ppm; SEM = 2.7). When two participants smoked as a dyad they took, on average, more puffs (mean = 109.8; SEM = 7.6) than a singleton smoker (mean = 77.7; SEM = 8.1) and a shorter interpuff interval (IPI; dyad mean = 23.8 seconds; SEM = 1.9; singleton mean = 40.8 seconds; SEM = 4.8). Higher concentrations of several toxicants were observed in dyad-produced smoke. Discussion: Dyad smoking may increase smoke toxicant content, likely due to the dyad’s shorter IPIs and greater puff number. ...
Source: Nicotine and Tobacco Research - Category: Addiction Authors: Tags: Original Investigation Source Type: research