Uso de cigarros eletrônicos como fator de risco para doença pulmonar obstrutiva crônica
revisão sistemática
DOI:
https://doi.org/10.47822/bn.v14i2.1015Palavras-chave:
Cigarros eletrônicos., Sistema respiratório., Doença pulmonar obstrutiva crônica., DPOCResumo
Objetivo: descrever a relação entre o consumo de cigarros eletrônicos e doenças pulmonares, enfatizando a Doença Pulmonar Obstrutiva Crônica (DPOC). Materiais e Métodos: revisão sistemática da literatura de natureza básica do tipo descritivo e qualitativo. Os descritores utilizados foram “chronic obstructive pulmonary disease” e “electronic cigarettes”, através das plataformas Biblioteca Virtual de Saúde e PubMed, com os idiomas português, inglês e espanhol. Foram incluídos estudos publicados nos últimos seis anos e com um dos descritores presente no título, sendo excluídos aqueles que não respondiam à pergunta norteadora ou não possuíam relação direta com o tema deste estudo. Resultados: foram selecionados nove estudos, 44% (n=4) tipo transversal, resultando em um conjunto de dados de 1.823.544 participantes. Estudos revelaram uma associação significativa entre o uso de cigarros eletrônicos e um maior risco de DPOC, além de desenvolver sintomas respiratórios mais frequentes e uma redução na função pulmonar. Entretanto, outros cientistas acreditam que o cigarro eletrônico seja capaz de substituir os cigarros convencionais gradativamente, visto que seus malefícios são menores. Conclusão: destaca-se a necessidade de regulamentação e conscientização sobre os riscos potenciais do uso de cigarros eletrônicos para a saúde pulmonar. Mais pesquisas são necessárias para entender a fundo sobre suas consequências, limites da constituição do e-líquido, características do usuário e políticas de uso.
Referências
Bhatta DN, Glantz SA. Association of e-cigarette use with respiratory disease among adults: a longitudinal analysis. Am J Prev Med. 2020;58(2):182-190. Available from: https://doi.org/10.1016/j.amepre.2019.09.010
Bowler R, Hansel N, Jacobson S, Tashkin DP, Rose C, Randolph AG, et al. Electronic cigarette use in US adults at risk for or with COPD: analysis from two observational cohorts. J Gen Intern Med. 2017;32:1315-1322. Available from: https://doi.org/10.1007/s11606-017-4123-5
Polosa R, Morjaria J, Caponnetto P, Strano S, Russo C, Cacciola R, et al. Evidence for harm reduction in COPD smokers who switch to electronic cigarettes. Respir Res. 2016;17:166. Available from: https://doi.org/10.1186/s12931-016-0426-5
Polosa R, Morjaria J, Prosperini U, Alamo S, Tommasi S, Cacciola R, et al. Health effects in COPD smokers who switch to electronic cigarettes: a retrospective-prospective 3-year follow-up. Int J Chron Obstruct Pulmon Dis. 2018;13:2533-2542. Available from: https://doi.org/10.2147/
Osei A, Mirbolouk M, Orimoloye O, DeFilippis AP, Blaha MJ, Dhingra R, et al. Association between e-cigarette use and chronic obstructive pulmonary disease by smoking status: Behavioral Risk Factor Surveillance System 2016 and 2017. Am J Prev Med. 2016;58:336-342. Available from: https://doi.org/10.1016/j.amepre.2019.08.031
Kim T, Kang J. Association between dual use of e-cigarette and cigarette and chronic obstructive pulmonary disease: an analysis of a nationwide representative sample from 2013 to 2018. BMC Pulm Med. 2021;21(1):231. Available from: https://doi.org/10.1186/s12890-021-01543-0
Antwi GO, Rhodes DL. Association between electronic cigarette use and chronic obstructive pulmonary disease in non-asthmatic adults in the United States. J Public Health. 2022;44(1):158-164. Available from: https://doi.org/10.1093/pubmed/fdab204
Xie Z, Ossip DJ, Rahman I, Li D, Williams M, Lanza S, et al. Use of Electronic Cigarettes and Self-Reported Chronic Obstructive Pulmonary Disease Diagnosis in Adults. Nicotine Tob Res. 2020;22(7):1155-1161. Available from: https://doi.org/10.1093/ntr/ntz178
Perez M, Atuegwu N, Mead E, Oncken C, Mortensen E. Adult e-cigarette use associated with a self-reported diagnosis of COPD. Int J Environ Res Public Health. 2019;16:3938. Available from: https://doi.org/10.3390/ijerph16203938
Araújo AC de, Barbosa ICR, Targin ALD, Pinto AC, Souza RG. Cigarros eletrônicos e suas consequências histopatológicas relacionadas às doenças pulmonares. ArqCiênc Saúde UNIPAR. 2022;26(1):75-87. Available from: https://www.unipar.br/revistaseletronicas/index.php/arq/article/view/6556
Munn Z, Moola S, Lisy K, Riitano D, Tufanaru C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. Int J Evid Based Healthc. 2015;13(3):147-153. Available from: https://doi.org/10.1097/XEB.0000000000000064
Hajek P, Phillips-Waller A, Przulj D, Pesola F, Parrott S, McRobbie H, et al. A randomized trial of e-cigarettes versus nicotine-replacement therapy. N Engl J Med. 2019;380(7):629-637. Available from: https://doi.org/10.1056/NEJMoa1808779
12. Hartmann-Boyce J, McRobbie H, Butler AR, Begh R, Bullen C, et al. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2021;4:CD010216. Available from: https://doi.org/10.1002/14651858.CD010216.pub4
D’Almeida PCV, Silveira MB, Poiano R, Souza Júnior VJ, Silva AG, et al. Lesões pulmonares associadas ao uso do cigarro eletrônico. Anais do VIII Congresso Médico Universitário São Camilo. 2020:92-120. Available from: https://www.revistas.unifesp.br/index.php/cms/article/view/7267
Maziak W, Taleb ZB, Bahelah R, Shihadeh A, Ward KD, Eissenberg T, et al. The global epidemiology of waterpipe smoking. Tob Control. 2015;24 Suppl 1:i3-i12. Available from: https://doi.org/10.1136/tobaccocontrol-2014-051906
Glantz SA, Bareham DW. E-cigarettes: use, effects on smoking, risks, and policy implications. Annu Rev Public Health. 2018;39:215-235. Available from: https://doi.org/10.1146/annurev-publhealth-040617-013758
Ghosh A, Coakley RD, Mascenik T, Kane R, Cadet JL, Tindle HA, et al. Chronic e-cigarette exposure alters the human bronchial epithelial proteome. Am J Respir Crit Care Med. 2018;198(1):67-76. Available from: https://doi.org/10.1164/rccm.201707-1380OC
Chun LF, Moazed F, Calfee CS, Matthay MA, Gotts JE. Pulmonary toxicity of e-cigarettes. Am J Physiol Lung Cell Mol Physiol. 2017;313(2):L193-L206. Available from: https://doi.org/10.1152/ajplung.00395.2016
Soneji S, Barrington-Trimis JL, Wills TA, Tindle HA, Leventhal AM, Sargent JD. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatr. 2017;171(8):788-797. Available from: https://doi.org/10.1001/jamapediatrics.2017.1488
National Academies of Sciences, Engineering, and Medicine. Public health consequences of e-cigarettes. Washington, DC: National Academies Press; 2018. Available from: https://doi.org/10.17226/24952
Joanna Briggs Institute. Critical Appraisal Tools [Internet]. Adelaide: JBI; [cited 2024 Dec 12]. Available from: https://jbi.global/critical-appraisal-tools
Kang HS, Jung JW, Park HJ, Park DI, Park JS, Park JH, et al. Korean Smoking Cessation Study Group. A pilot investigation of e-cigarette use and smoking behaviour among patients with chronic airway disease or respiratory symptoms. Clin Respir J. 2022 Jan;16(1):17-26. Available from: https://doi.org/10.1111/crj.13445
Hajat C, Shahab L, McEwen A, Hemsley S, Bauld L, Britton J, et al. A systematic review of the health impacts of electronic nicotine delivery systems (ENDS) from 01/01/2015 to 01/02/2020. PLoS One. 2022;17(8):e0267689. Available from: https://doi.org/10.1371/journal.pone.0267689
Russell P, Tindle H, Bhatnagar A, Benjamin EJ, Yeboah J, Donahoe M, et al. E-cigarette use and risk of chronic obstructive pulmonary disease in smokers and former smokers: a cohort study of COPDGene and SPIROMICS. Respir Med. 2017;133:24-31. Available from: https://doi.org/10.1016/j.rmed.2017.10.017
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Copyright (c) 2025 Marcelo José da Silva de Magalhães, Paloma Esterfany Batista Costa, Débora Lana Oliveira Rodrigues
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