12 Participants Needed

Hookah Smoke Exposure for Secondhand Smoke Effects

MR
MM
Overseen ByMaria M Rivas
Age: 18 - 65
Sex: Any
Trial Phase: Academic
Sponsor: University of California, Los Angeles
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

In the United States, secondhand smoke is the third leading preventable cause of death. Flavored hookah (waterpipe) tobacco smoking, a highly social activity common in hookah bars, is a key source of SHS exposure. While smoke-free air laws have decreased exposure to secondhand smoke, the majority of laws do not include hookah smoking. Thus, as a social outlet for youth and young adults, hookah smoke exposure may harm non-smokers, including women of reproductive age or pregnant, hookah bar workers, children, and individuals with heart and lung disease. While more is known on the acute effects of active hookah smoking and the literature is emerging on active e-hookah vaping, little is known about the acute vascular effects of secondhand exposure to hookah smoke and aerosol. The study aims to examine the acute effects of secondhand exposure of hookah smoke and aerosol on endothelial and vascular function. Eligible volunteers will be invited to participate in a total of 3 study visits (2-3 hours each): e-hookah aerosol exposure, charcoal-heated hookah smoke exposure and smoke-free room air. Non-invasive blood pressure and blood flow measurements will be taken before and after the exposure sessions.

Will I have to stop taking my current medications?

Yes, you must not be on any prescription medications to participate in this trial.

What data supports the effectiveness of the treatment involving charcoal-heated hookah smoke, clean air, and e-hookah aerosol for secondhand smoke effects?

The research indicates that hookah smoke, including charcoal-heated and e-hookah aerosol, contains toxic chemicals that can affect air quality and health, similar to cigarette smoke. However, there is no direct evidence in the provided studies that supports the effectiveness of this treatment for reducing secondhand smoke effects.12345

Is exposure to hookah smoke safe for humans?

Research shows that exposure to hookah smoke, including secondhand smoke, can lead to increased levels of harmful substances like carbon monoxide and particulate matter in the air, which can be unsafe for both adults and children. These substances can affect air quality and pose health risks, suggesting that hookah smoke exposure is not generally considered safe.14567

How does e-hookah aerosol treatment differ from other treatments for secondhand smoke exposure?

E-hookah aerosol treatment is unique because it specifically targets the effects of secondhand smoke from hookahs, which contain toxic chemicals and heavy metals. Unlike traditional cigarette smoke, hookah smoke involves water filtration, but still poses significant health risks, making this treatment novel in addressing these specific exposures.458910

Eligibility Criteria

This trial is for non-smokers aged 21-49 with no recent secondhand smoke exposure, not on prescription meds, and without heart or lung disease. Participants must have a resting heart rate below 100 bpm, blood pressure under 140/90 mmHg, and a BMI between 18 and 30. Pregnant or breastfeeding individuals can't join.

Inclusion Criteria

I haven't been around tobacco smoke for at least a week.
I have never used tobacco products or nicotine delivery systems.
My BMI is between 18 and 30.
See 5 more

Exclusion Criteria

You cannot participate if you are breastfeeding or have any other conditions that the study team considers unsafe.
exhaled carbon monoxide >6 ppm
(+) pregnancy test

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Exposure Sessions

Participants undergo three exposure sessions: e-hookah aerosol, charcoal-heated hookah smoke, and clean air, with non-invasive blood pressure and blood flow measurements taken before and after each session.

3 weeks
3 visits (in-person, 2-3 hours each)

Follow-up

Participants are monitored for any delayed effects of the exposure sessions.

1-2 weeks

Treatment Details

Interventions

  • Charcoal-heated hookah smoke
  • clean air
  • e-hookah aerosol
Trial OverviewThe study investigates the immediate effects of secondhand hookah smoke and e-hookah aerosol on blood vessel function compared to clean air. Volunteers will undergo three sessions where their blood pressure and flow are measured before and after exposure to each condition.
Participant Groups
3Treatment groups
Experimental Treatment
Group I: Exposure to Electronic Hookah AerosolExperimental Treatment1 Intervention
Participants will be exposed to electronic hookah aerosol. To mitigate the impact of carryover effects, the exposure sessions will be separated by a minimum of 7-days.
Group II: Exposure to Combustible Hookah SmokeExperimental Treatment1 Intervention
Participants will be exposed to combustible hookah smoke. To mitigate the impact of carryover effects, the exposure sessions will be separated by a minimum of 7-days.
Group III: Exposure to Clean AirExperimental Treatment1 Intervention
Participants will be exposed to Clean Room Air. To mitigate the impact of carryover effects, the exposure sessions will be separated by a minimum of 7-days.

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, Los Angeles

Lead Sponsor

Trials
1,594
Recruited
10,430,000+

References

Waterpipe cafes in Baltimore, Maryland: Carbon monoxide, particulate matter, and nicotine exposure. [2021]
Hookah (Shisha, Narghile) Smoking and Environmental Tobacco Smoke (ETS). A critical review of the relevant literature and the public health consequences. [2023]
Children's exposure to secondhand and thirdhand smoke carcinogens and toxicants in homes of hookah smokers. [2022]
Effects of electronic cigarettes and hookah (waterpipe) use on home air quality. [2023]
Effects of exposure to direct and secondhand hookah and e-cigarette aerosols on ambient air quality and cardiopulmonary health in adults and children: protocol for a panel study. [2020]
A Proposed Waterpipe Emissions Topography Protocol Reflecting Natural Environment User Behaviour. [2023]
Risk Factors Associated With Hookah Use. [2018]
Comparison of Urinary Heavy Metals and Pulmonary Function Test in Cafe Workers Based on Exposure to Secondhand Tobacco Smoke, Tehran 2021. [2023]
A Naturalistic Study of Carbon Monoxide, Heart Rate, Oxygen Saturation, and Perfusion Index in Hookah Lounge Patrons. [2023]
Secondhand hookah smoke: an occupational hazard for hookah bar employees. [2022]