{"id":189087,"date":"2021-01-06T10:05:34","date_gmt":"2021-01-06T15:05:34","guid":{"rendered":"https:\/\/www.bu.edu\/sph\/?post_type=bu-article&#038;p=189087"},"modified":"2021-01-06T10:08:20","modified_gmt":"2021-01-06T15:08:20","slug":"dual-smoking-and-vaping-doesnt-cut-cardiovascular-risk","status":"publish","type":"bu-article","link":"https:\/\/www.bu.edu\/sph\/news\/articles\/2021\/dual-smoking-and-vaping-doesnt-cut-cardiovascular-risk\/","title":{"rendered":"Dual Smoking and Vaping Doesn\u2019t Cut Cardiovascular Risk"},"content":{"rendered":"\t<div class=\"wp-block-editorial-leadin sphnews-block-editorial-leadin is-style-text-over-image has-media has-media-focus-center-bottom has-text-position-x-center has-dark-theme\">\n\t\t<div class=\"container-lockup\">\n\n\t\t\t<div class=\"wp-block-leadin-media\">\n\t\t\t\t\n\t\t\t\t<img width=\"2560\" height=\"1707\" src=\"\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-scaled.jpg\" class=\"has-background-opacity has-background-opacity-40\" alt=\"Dual Smoking and Vaping Doesn\u2019t Cut Cardiovascular Risk\" loading=\"lazy\" srcset=\"https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-scaled.jpg 2560w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-636x424.jpg 636w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-1024x683.jpg 1024w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-768x512.jpg 768w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-1536x1024.jpg 1536w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-2048x1365.jpg 2048w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-755x503.jpg 755w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-1500x1000.jpg 1500w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-900x600.jpg 900w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-450x300.jpg 450w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-600x400.jpg 600w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-1920x1280.jpg 1920w, https:\/\/www.bu.edu\/sph\/files\/2021\/01\/Dual-Smoking-and-Vaping-Doesn\u2019t-Cut-Cardiovascular-Risk-1200x800.jpg 1200w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\n\n\t\t\t\n\t\t\t\t<div class=\"container-words-outer\">\n\n\t\t\t\t\t\n\t\t\t\t\t<div class=\"container-words-inner\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"wp-prepress-tag\">vaping<\/span>\n\t\t\t\t\t\t\t\t<h1 class=\"head\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tDual Smoking and Vaping Doesn\u2019t Cut Cardiovascular Risk\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/h1>\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"deck\">Dual use of e-cigarettes and traditional cigarettes may be just as harmful to cardiovascular health as exclusively smoking traditional cigarettes.<\/h4>\n\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\n\t\t\t\t<\/div>\n\n\t\t\t\n\t\t<\/div>\n\n\t\t\n\t<\/div>\n\n\t\n<div class=\"wp-prepress-component-metabar js-block-editorial-metabar sphnews-prepress-layout-metabar\">\n\t<div class=\"wp-prepress-component-metabar-wrapper\">\n\t\t\t\t\t<div class=\"wp-prepress-component-metabar-date\">January 6, 2021<\/div>\n\t\t\n\t\t\t\t<div class=\"wp-prepress-component-metabar-credits\">\n\t\t\t\t\t\t\t\t<ul data-credit-type=\"By\">\n\t\t\t\t\t\t<li><a href=\"https:\/\/www.bu.edu\/sph\/news\/authors\/michelle-samuels\/\">Michelle Samuels<\/a><\/li>\n\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"wp-prepress-component-metabar-share js-bu-prepress-share-tools\">\n\t\t\t<span class=\"icon-twitter\"><span>Twitter<\/span><\/span>\n\t\t\t<span class=\"icon-facebook\"><span>Facebook<\/span><\/span>\n\t\t\t<span class=\"icon-action\"><\/span>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\t\n\n\n<p>Cardiovascular disease is the leading cause of death associated with smoking cigarettes. But as use of e-cigarettes (\u201cvaping\u201d) becomes more popular, including as a way to cut back on cigarettes, little is known about its effect on cardiovascular health.<\/p>\n\n\n\n<p>Now, a new School of Public Health study finds that vaping may not cut risk of cardiovascular disease in the way that most adults use them\u2014in combination with cigarettes.<\/p>\n\n\n\n<p>The study is <a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.120.051551\" target=\"_blank\" rel=\"noreferrer noopener\">published in the journal <em>Circulation<\/em><\/a>.<\/p>\n\n\n\n<p>\u201cDual use of cigarettes and e-cigarettes appears to be as harmful to cardiovascular health as exclusive cigarette smoking,\u201d says study lead author <a href=\"https:\/\/www.bu.edu\/sph\/profile\/andrew-stokes\/\">Andrew Stokes<\/a>, assistant professor of global health.<\/p>\n\n\n\n<p>Stokes notes that an estimated 68 percent of people in the US who vape also smoke traditional cigarettes. \u201cIf e-cigarettes are used in quit attempts, cigarette smoking should be completely replaced, and a plan to attain freedom from all tobacco products should be advised,\u201d he says.<\/p>\n\n\n\n<p>Stokes and colleagues from the <a href=\"https:\/\/professional.heart.org\/en\/research-programs\/a-trac\">American Heart Association Tobacco Regulation and Addiction Center<\/a> used data on 7,130 participants in the 2013-2014 first wave of the nationally-representative PATH (Population Assessment of Tobacco and Health) study.<\/p>\n\n\n\n<p>The long lag time between tobacco exposure and cardiovascular disease makes it difficult to evaluate how newer products, such as e-cigarettes, affect cardiovascular health. So, the researchers instead looked for cardiovascular inflammation and oxidative stress, biomarkers that are known predictors of cardiovascular events such as heart attacks and heart failure.<\/p>\n\n\n\n<p>They found that study participants who exclusively vaped were no more likely to have cardiovascular inflammation or oxidative stress than participants who didn\u2019t smoke or vape. But participants who both smoked and vaped were no less likely to show these biomarkers than participants who exclusively smoked traditional cigarettes.<\/p>\n\n\n\n<p>The researchers then conducted extensive sensitivity analyses to account for other related risks, including use of other tobacco products, marijuana use, and secondhand smoke exposure. In all of these analyses, the results were the same: Dual use of e-cigarettes and traditional cigarettes showed the same level of predictors of cardiovascular disease as exclusively smoking.<\/p>\n\n\n\n<p>\u201cThe finding that the levels were similar between exclusive e-cigarette users and non-users (no cigarettes or e-cigarette use) is unexpected,\u201d Stokes says, \u201cbut exclusive e-cigarette use was rare in our sample, so additional studies are needed.<\/p>\n\n\n\n<p>\u201cWe do know that a variety of harmful or potentially harmful constituents have been found in e-cigarette aerosols\u2014such as volatile organic compounds, polycyclic aromatic hydrocarbons, and metals\u2014albeit with lower concentrations compared to cigarettes, so using these products is not without risks.\u201d<\/p>\n\n\n\n<p>A growing body of research points to other areas of health harmed by vaping. In another <a href=\"https:\/\/www.bu.edu\/sph\/news\/articles\/2020\/vaping-may-increase-respiratory-disease-risk-by-more-than-40-percent\/\">recent study<\/a>, published in <em>JAMA Network Open<\/em>, Stokes and colleagues found that vaping alone can increase the risk of respiratory disease by more than 40 percent.<\/p>\n\n\n\t<aside class=\"wp-block-editorial-relatedstories alignright sphnews-block-editorial-relatedstories\">\n\t\t<h3 class=\"wp-block-editorial-relatedstories-title\">Related<\/h3>\n\t\t<ul class=\"wp-block-editorial-relatedstories-list\">\n\t\t\t\t\t\t\t<li class=\"wp-block-editorial-relatedstories-list-item\">\n\t\t\t\t\t<article class=\"wp-block-editorial-relatedstories-article\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<p class=\"wp-block-editorial-relatedstories-article-category\"><span>vaping<\/span><\/p>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"wp-block-editorial-relatedstories-article-title\"><a href=\"https:\/\/www.bu.edu\/sph\/news\/articles\/2020\/vaping-may-increase-respiratory-disease-risk-by-more-than-40-percent\/\" class=\"wp-block-editorial-relatedstories-article-title-link\">Vaping May Increase Respiratory Disease Risk by More Than 40 Percent<\/a><\/h4>\n\t\t\t\t\t\t\t<p class=\"wp-block-editorial-relatedstories-article-date\">November 12, 2020<\/p>\n\t\t\t\t\t\t\t\t\t\t\t<\/article>\n\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t<\/aside>\n\t\n\n\n<p>The cardiovascular health study was co-authored by &nbsp;<a href=\"https:\/\/www.bu.edu\/sph\/profile\/wubin-xie\/\">Wubin Xie<\/a>, a postdoctoral associate in the Department of Global Health; Anna E. Wilson (SPH\u201919), who was a research fellow while working on the study; masters student Hanqi Yang; Alyssa Harlow, a doctoral candidate in the Department of Epidemiology; Jessica L. Fetterman, assistant professor of medicine at the School of Medicine; <a href=\"https:\/\/www.bu.edu\/sph\/profile\/emelia-benjamin\/\">Emelia Benjamin<\/a>, professor of epidemiology at SPH and of cardiovascular medicine at the School of Medicine; and Naomi Hamburg, professor of cardiovascular medicine at the School of Medicine.<\/p>\n\n\n\n<p>The other co-authors are: Olusola A. Orimoloye and Andrew P. DeFilippis of Vanderbilt University Medical Center; Rose Marie Robertson of the American Heart Association Tobacco Regulation and Addiction Center; Aruni Bhatnagar of the University of Louisville; and Michael J. Blaha of Johns Hopkins Bloomberg School of Public Health.<\/p>\n\n\n\n<p>Stokes, Fetterman, Benjamin, Bhatnagar, Hamburg, and Blaha are all also affiliated with the American Heart Association Tobacco Regulation and Addiction Center.<\/p>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Dual use of e-cigarettes and traditional cigarettes may be just as harmful to cardiovascular health as exclusively smoking traditional cigarettes.<\/p>\n","protected":false},"author":10989,"featured_media":189095,"comment_status":"closed","ping_status":"closed","template":"","meta":{"bu_prepress_billboard":"{\"post_id\":187938,\"hed\":\"How to Keep Youth Vaping in Decline After COVID\",\"dek\":\"Next Article\",\"class\":\"wp-block-editorial-billboard sphnews-block-editorial-billboard has-media\",\"backgroundId\":\"187939\",\"backgroundUrl\":\"\\\/sph\\\/files\\\/2020\\\/12\\\/Youth-Vaping-Is-Down-during-COVID.-How-to-Keep-It-That-Way-970x456.jpg\",\"backgroundType\":\"image\",\"backgroundOpacity\":\"100\"}","_bu_prepress_primary_term":"vaping","_bu_prepress_primary_term_manual":""},"tags":[3371,1767,3129,1615,2072,2460],"bu-publication":[3516],"sphnews-article-category":[3519,3530,3531,3532,3540,3563],"sphnews-topic":[],"bu_edition":[],"media_type":[],"profile_tax":[1402,2793],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu-article\/189087"}],"collection":[{"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu-article"}],"about":[{"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/types\/bu-article"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/users\/10989"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/comments?post=189087"}],"version-history":[{"count":8,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu-article\/189087\/revisions"}],"predecessor-version":[{"id":189240,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu-article\/189087\/revisions\/189240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/media\/189095"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/media?parent=189087"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/tags?post=189087"},{"taxonomy":"bu-publication","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu-publication?post=189087"},{"taxonomy":"sphnews-article-category","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/sphnews-article-category?post=189087"},{"taxonomy":"sphnews-topic","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/sphnews-topic?post=189087"},{"taxonomy":"bu_edition","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/bu_edition?post=189087"},{"taxonomy":"media_type","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/media_type?post=189087"},{"taxonomy":"profile_tax","embeddable":true,"href":"https:\/\/www.bu.edu\/sph\/wp-json\/wp\/v2\/profile_tax?post=189087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}