Spirometric Parameters in Waterpipe Smokers, Cigarette Smokers, and Non-smokers of Shahedieh Cohort Study

Document Type : Original Article

Authors

1 Occupational Medicine Resident, Industrial Diseases Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Department of Occupational Medicine, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 Department of Occupational Health, Faculty of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 Department of Social Medicine, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

5 Industrial Diseases Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

6 Yazd Cardiovascular Research Center, Faculty of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

10.34172/ahj.2023.1350

Abstract

Background: Different kinds of smoking tobacco may affect pulmonary function and reduce some spirometric parameters. This 
study aimed to assess the relationship between smoking cigarettes and waterpipe and spirometric parameters.

Methods: This was a cross-sectional study on 1543 middle-aged individuals, as a sub-study of the Shahedieh cohort study in 
Yazd. The participants were randomly selected from the Shahedieh cohort population and were divided into 6 groups according 
to their smoking habits: non-smokers (n=455), cigarette smokers (n=139), waterpipe smokers (n=287), ex-cigarette smokers 
(n=131), concurrent waterpipe and cigarette smokers (n=121), and cigarette or waterpipe passive smokers (n=410). Spirometry 
was performed on all participants and spirometric parameters were compared between different groups. The data were analyzed 
by SPSS (version 20) using Kolmogorov-Smirnov, Kruskal-Wallis, and Mann-Whitney U tests. 
Findings: FEV1
%, FEV1
/FVC, and PEF25-75% were significantly lower in cigarette smokers, compared to waterpipe smokers and 
non-smokers. The measures were not significantly lower in waterpipe smokers in comparison to non-smokers. The frequency of 
obstructive pattern and small airway diseases was significantly higher in cigarette smokers compared to waterpipe smokers and 
non-smokers.

Conclusion: The results of this study showed that in the middle-aged population, spirometric parameters related to airway 
obstruction (FEV1
, FEV1
/FVC, and FEF25-75%) were significantly lower in cigarette smokers than in non-smokers and waterpipe 
smokers, but these parameters were not significantly different between waterpipe smokers and non-smokers.

Highlights

Sobhan Sabet: (Google Scholar) (PubMed)

Seyyed Jalil Mirmohammadi: (Google Scholar) (PubMed)

Mohammad Javad Zare Sakhvidi: (Google Scholar) (PubMed)

Mahmood Vakili: (Google Scholar) (PubMed)

Amir Houshang Mehrparvar: (Google Scholar) (PubMed)

Masoud Mirzaei: (Google Scholar) (PubMed)

Keywords