A U.S.-based study has identified that the effects of vaping can be detrimental to bone health, increasing the risk of developing osteoporosis.
Although smoking conventional cigarettes is a well-established risk factor for osteoporosis and osteoporosis fracture, the effects of vaping – using e-cigarettes – have not been previously investigated regarding bone health. Now, a team of U.S. researchers has conducted a comprehensive study of 5,500 adult users of e-cigarettes to determine the actual effects of vapor.
The researchers found that e-cigarette use was associated with a higher prevalence of frailty fractures across all age groups, which are defined as a combination of self-reported fractures of the hip, spine, or wrist that resulted from minimal trauma such as a fall. of standing height or less. The study also highlighted that an e-cigarette can be detrimental to bone health, even in young adults.
The results of the study are published in the American Journal of Open Medicine.
Increasing vapor use
E-cigarettes contain a cocktail of propylene glycol, vegetable glycerin and varying levels of nicotine and additives, generating a flavored vapor. Over the last decade, the use of e-cigarettes has risen dramatically, marketed as a healthier alternative to traditional smoking and an effective way to curb dependence on cigarettes overall. However, due to the technology still in its infancy, the true long-term effects of vaping remain unknown.
Dayawa D. Agoons, the lead investigator of the Department of Medicine’s study at UPMC, said: “In my outpatient setting, I saw a patient after surgery to repair a femoral neck fracture. She was a smoker and used e-cigarettes as an aid to quitting smoking. .I noticed that there was a lack of knowledge in the literature about the possible relationship between electronic cigarettes and fragility fractures and decided to do this study. “
Examining the effects of vapor
The researchers conducted a cross-sectional analysis using data from the 2017-2018 National Health and Nutrition Examination Surveys (NHANES), enabling them to examine samples from more than 5,500 U.S. adult men and women, highlighting the association between e-cigarette and fractures. The survey consisted of 4,519 (81.2%) people who never used e-cigarettes and 1,050 (18.8%) who used e-cigarettes, with 444 (8%) having a self-reported frail fracture.
The results meant a higher prevalence of fragility fractures among e-cigarette users than non-users, finding that dual users of both cigarettes and e-cigarettes had a higher prevalence of fragility fractures than those who smoked cigarettes exclusively.
In the United States, the use of e-cigarettes is highest in the 18-25 age group, indicating that young users of e-cigarettes may increase their risk of osteoporotic fractures over time. Because of these dangerous effects of vaping, the team urges healthcare providers – especially those in primary care practice – to consider e-cigarettes as a potential risk factor for fragility fracture and to include fracture risk to the potential adverse effects of vaping.
Dr Agoons commented: “To our knowledge, this is the first study to investigate the relationship between e-cigarette use and fragility fractures. It fills a significant knowledge gap due to the growing popularity of e-cigarette and the significant economic burden and known disease and mortality associated with osteoporotic fractures. Our findings provide data to inform researchers, health policymakers, and tobacco regulators about the possible association of e-cigarette use with reduced bone health. “
Previous studies have also indicated an association between e-cigarettes and various diseases such as COPD, coronary heart disease and depression.
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