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Spirometric profile of narghile smokers
H Ben Saad1, M Khemis, I Bougmiza
1Service de physiologie et des explorations fonctionnelles, EPS Farhat Hached, Sousse, Tunisia. helmi.bensaad@rns.tn
Narghile smoking significantly accelerates lung aging, with many users showing signs of lung disease like static hyperinflation and obstructive or restrictive ventilatory defects. This research highlights the urgent need for public health interventions against narghile use.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Public Health
Background:
- Limited research exists on the spirometric profiles of narghile smokers, with existing studies showing methodological limitations and conflicting results.
- Narghile smoking is a growing public health concern, particularly among younger populations and pregnant women.
Purpose of the Study:
- To determine the prevalence of obstructive ventilatory defect (OVD), restrictive ventilatory defect (RVD), and static hyperinflation (SHI) in narghile smokers.
- To compare the estimated lung age with the chronological age of narghile smokers.
Main Methods:
- Spirometry was performed on 110 male narghile smokers aged 20-60 years.
- Definitions for OVD, RVD, and SHI were based on established international recommendations and spirometric measures.
- Exclusion criteria included current cigar or cigarette smoking and comorbidities.
Main Results:
- 36% of participants exhibited static hyperinflation (SHI).
- 14% showed small airway OVD, 14% had RVD, and 6% presented with large airway OVD.
- The estimated lung age of narghile smokers was significantly higher than their chronological age (47±18 years vs. 34±10 years).
Conclusions:
- Narghile consumption accelerates the lung aging process.
- The findings provide evidence for public health authorities to implement measures against narghile use.
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