Vaping: A Pediatric problem?

Authors

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i4.28378

Keywords:

addiction, adolescent, cannabis, electronic cigarette, EVALI, nicotine, tobacco

Abstract

Electronic cigarettes were developed almost two decades ago. Their use, colloquially known as vaping, has gradually increased among young people.
Although initially marketed as an alternative to traditional cigarettes, electronic cigarettes expose users to substances associated with adverse health effects and are not recognized by the World Health Organization as a smoking cessation method. The use of new flavors, esthetically appealing devices, and low perceived risk appear to be contributing to increased use among adolescents worldwide, a trend also observed in Portugal. However, their health risks are not fully understood. Recently, a new entity - e-cigarette or vaping-associated lung injury (EVALI) – has been described, with increasing incidence and significant morbimortality. The treatment of nicotine dependence in adolescents who smoke electronic cigarettes is challenging.
Electronic cigarettes are addicting a new generation and posing associated health risks. Their increasing use should alert physicians and encourage the development of strategies to address this issue among adolescents.

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References

Gonsalves CL, Zhu JW, Kam AJ. Diagnosis and Acute Management of E-Cigarette or Vaping Product Use-Associated Lung Injury in the Pediatric Population: A Systematic Review. J Pediatr. 2021;228:260-70. doi: https://doi.org/10.1016/j.jpeds.2020.09.040. Epub 2020 Sep 19. PMID: 32961169.

Rao DR, Maple KL, Dettori A, Afolabi F, Francis JKR, Artunduaga M, et al. Clinical Features of E-cigarette, or Vaping, Product Use-Associated Lung Injury in Teenagers. Pediatrics. 2020;146(1):e20194104. doi: https://doi.org/10.1542/peds.2019-4104. Epub 2020 May 11. PMID: 32393606; PMCID: PMC7961805.

Farber HJ. New Understanding of the Health Hazards of Electronic Cigarettes and Vaping. Pediatr Rev. 2020;41(3):152-4. doi: https://doi.org/10.1542/pir.2019-0269. PMID: 32123028.

Bals R, Boyd J, Esposito S, Foronjy R, Hiemstra PS, Jiménez-Ruiz CA, et al. Electronic cigarettes: a task force report from the European Respiratory Society. Eur Respir J. 2019;53(2):1801151. doi: https://doi.org/10.1183/13993003.01151-2018. PMID: 30464018.

Chadi N, Minato C, Stanwick R. Cannabis vaping: Understanding the health risks of a rapidly emerging trend. Paediatr Child Health. 2020;25(Suppl 1):S16-S20. doi: https://doi.org/10.1093/pch/pxaa016. Epub 2020 Jun 15. PMID: 33390752; PMCID: PMC7757764.

Glantz SA, Bareham DW. E-Cigarettes: Use, Effects on Smoking, Risks, and Policy Implications. Annu Rev Public Health. 2018;39:215-35. doi: https://doi.org/10.1146/annurev-publhealth-040617-013757. Epub 2018 Jan 11. PMID: 29323609; PMCID: PMC6251310.

Washed E, Calado V. ECATD-CAD 2019. Study on The Behaviors of Alcohol, Tobacco, Drugs and Other Addictive Behaviors and Dependencies: Portugal 2019. National Report. Intervention Service in Addictive Behaviors and Dependencies, 2019.

Leventhal AM, Goldenson NI, Cho J, Kirkpatrick MG, McConnell RS, Stone MD, et al. Flavored E-cigarette Use and Progression of Vaping in Adolescents. Pediatrics. 2019;144(5):e20190789. doi: https://doi.org/10.1542/peds.2019-0789. PMID: 31659004; PMCID: PMC6856781.

Walley SC, Wilson KM, Winickoff JP, Groner J. A Public Health Crisis: Electronic Cigarettes, Vape, and JUUL. Pediatrics. 2019;143(6):e20182741. doi: https://doi.org/10.1542/peds.2018-2741. PMID: 31122947.

Chadi N, Schroeder R, Jensen JW, Levy S. Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults: A Systematic Review and Meta-analysis. JAMA Pediatr. 2019;173(10):e192574. doi: https://doi.org/10.1001/jamapediatrics.2019.2574. Epub 2019 Oct 7. PMID: 31403684; PMCID: PMC6692686.

Earleywine M, Barnwell SS. Decreased respiratory symptoms in cannabis users who vaporize. Harm Reduct J. 2007;4:11. doi: https://doi.org/10.1186/1477-7517-4-11. PMID: 17437626; PMCID: PMC1853086.

National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public Health Consequences of E-Cigarettes. Eaton DL, Kwan LY, Stratton K, editors. Washington (DC): National Academies Press (US); 2018 Jan 23. PMID: 29894118.

Siegel DA, Jatlaoui TC, Koumans EH, Kiernan EA, Layer M, Cates JE, et al. Update: Interim Guidance for Health Care Providers Evaluating and Caring for Patients with Suspected E-cigarette, or Vaping, Product Use Associated Lung Injury - United States, October 2019. MMWR Morb Mortal Wkly Rep. 2019;68(41):919-27. doi: https://doi.org/10.15585/mmwr.mm6841e3. PMID: 31633675; PMCID: PMC6802682.

Epps RP, Manley MW. A physicians’s guide to preventing tobacco use during childhood and adolescence. Pediatrics. 1991;88(1):140-4. PMID: 2057249.

Adams ZW, Kwon E, Aalsma MC, Zapolski TCB, Dir A, Hulvershorn LA. Treatment of Adolescent e-Cigarette Use: Limitations of Existing Nicotine Use Disorder Treatment and Future Directions for e-Cigarette Use Cessation. J Am Acad Child Adolesc Psychiatry. 2021;60(1):14-16. doi: https://doi.org/10.1016/j.jaac.2020.07.007. PMID: 33353661; PMCID: PMC7977626.

Pbert L, Fletcher KE, Flint AJ, Young MH, Druker S, DiFranza J. Smoking prevention and cessation intervention delivery by pediatric providers, as assessed with patient exit interviews. Pediatrics. 2006;118(3):e810-24. doi: https://doi.org/10.1542/peds.2005-2869. PMID: 16950969.

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Published

2024-01-23

How to Cite

1.
Monteiro S, Almeida R. Vaping: A Pediatric problem?. REVNEC [Internet]. 2024Jan.23 [cited 2024Apr.14];32(4):284-8. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/28378

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Review Articles