Source: Annual Congress 2012 - Tobacco and shisha exposure in children and adolescents
Disease area: Airway diseases, Paediatric lung diseases

Abstract

Background:
100 million people smoke shisha, its use was more prevalent among Arabs but now getting endemic in other parts of World. Measuring eCO concentration is an easy method to correlate intensity of tobacco smoke and different kinds of smoking techniques.
Objective:
The aim of this study was to evaluate and compare the increase in end tidal carbon monoxide levels in exhaled breath of passive smokers and healthy smokers after cigarette and shisha smoking.
Methodology:
In a cross sectional study eCO levels were measured in 70 subjects(24 healthy cigarette smokers,20 healthy shisha smoker, 26 passive smokers) by portable device, Micro Plus Smokerlyzer. Smokers were asked to smoke shisha for 30 mins in shisha bar or to smoke 5 cigarettes in 30 mins in simple restaurant. A group of people exposed to smoke for 1 hour was also recruited. eCo levels were measured at baseline and at 5 mins,30 mins and 60 mins.
Result:
The mean age was 23.22 +/-1.91 years. One way ANOVA and paired t test were run through SPSS.The baseline mean eCO in cigarette smokers was 3.50 +/- 0.65 ppm(part per million), passive cigarette smoker 3.71+/-1.06 ppm, shisha smokers27.70+/-4.92 ppm and passive shisha smokers 18.33+/-8.41 ppm and this difference was due to close environment and poor ventilation of shisha bars. The mean increase in eCO from baseline after 60 min in healthy smoker was 9.4+/-4.67 (p<0.005) in passive cigarette smoker 3.57+/-2.53(p<0.05), healthy shisha smoker 57.9+/-27.4 (p <0.005) and passive shisha smokers 13.33+/-4.69(p=0.03).
Conclusion:
One session of shisha smoking is 6 times more toxic than cigarette smoking and sitting in shisha bar itself cause significant increase in eCO levels.

Rating:

Share or cite this content

Citations should be made in the following way:
S. Akhter, U. Ali, N. Rizvi, A. Pajwani (Karachi, Pakistan). Comparison of end tidal carbon monoxide (eCO) levels in shisha (water pipe) and cigarette smokers. Eur Respir J 2012; 40: Suppl. 56, 4069

Member's Comments

No comment yet.

Related content which might interest you: Effects of water-pipe (narghile) smoking on exhaled carbon monoxide levels Source: Annual Congress 2009 - Tobacco: from smoke to disease Year: 2009 Influence of cigarette and non-cigarette smoking on breath carbon monoxide levels Source: Annual Congress 2008 - Smoking cessation and new tobacco uses Year: 2008 Effect of passive smoking on expiration air carbon monoxide and carboxihemoglobin levels of bank employees Source: Eur Respir J 2004; 24: Suppl. 48, 371s Year: 2004 Exhaled carbon monoxide according to daily cigarette consumption in healthy smokers Source: Annual Congress 2011 - Smoking rate: smoking cessation interventions Year: 2011 Usefulness of the determination of carbon monoxide in exhaled air (COEA) in second hand and direct exposure to tobacco smoke during childhood and adolescence Source: Annual Congress 2009 - Smoking habits and prevention in young people Year: 2009 Measurement of urinary cotinine and exhaled air carbon monoxide levels among active, passive smoker and non-smoker health staff Source: Eur Respir J 2006; 28: Suppl. 50, 470s Year: 2006 Cut-off levels for exhaled carbon monoxide in smoking cessation program Source: Eur Respir J 2006; 28: Suppl. 50, 389s Year: 2006 Investigation of the relationship between contents of carboxyhemoglobin (COHb) in blood and carbon monoxide (CO) in exhaled air Source: Eur Respir J 2005; 26: Suppl. 49, 261s Year: 2005 Smoking and pollution increase the expired carbon monoxide in kiosk workers Source: Eur Respir J 2006; 28: Suppl. 50, 617s Year: 2006 Correlations between lung function, exhaled carbon monoxide and „lung age” in smokers versus former smokers with COPD Source: International Congress 2017 – Smoking and health hazards Year: 2017 Smoking cessation effects in diffusing capacity for carbon monoxide in healthy smokers Source: Eur Respir J 2004; 24: Suppl. 48, 222s Year: 2004 Analysis of carbon monoxide in the breathable air by the breath CO method for risk assessment of indoor CO exposure and comparison with COHb measurement in blood samples Source: Annual Congress 2010 - Outdoor air pollution Year: 2010 Dynamics of exhaled breath temperature (EBT) after a smoked cigarette Source: International Congress 2016 – New approaches and finding in smoking cessation Year: 2016 Exhaled carbon monoxide as a marker of tobacco exposure: is it possible to use the same parameters in COPD patients? Source: Eur Respir J 2006; 28: Suppl. 50, 389s Year: 2006 The effect on the single breath carbon monoxide transfer factor test after smoking one cigarette Source: Eur Respir J 2003; 22: Suppl. 45, 146s Year: 2003 The validity of self-affirmation of smokers as opposed to the determination of CO in exhaled air in order to determine tobacco abstinence Source: Eur Respir J 2004; 24: Suppl. 48, 155s Year: 2004 Relationship between filter ventilation and Tar, Nicotine and CO emissions of cigarettes Source: Virtual Congress 2021 – COVID - 19, smoking and e-cigarettes Year: 2021 Exhaled carbon monoxide and degree of dependency in smokers attending an antismoking center Source: Annual Congress 2007 - Smoking cessation Year: 2007 Load characteristics and inhalation risk assessment of benzene series (BTEX) pollutant in indoor air of Water pipe and cigarette compared to smoke free cafés Source: Virtual Congress 2020 – Smoking disease landscape: from inflammation to lung function and comorbidities Year: 2020 The effect of environmental tobacco smoke on the quantity of oxidant/antioksidant markers in exhaled breathe condensate Source: Annual Congress 2010 - Smoking related diseases, damages due to environmental tobacco smoke and smoking control strategies Year: 2010