The latest Journal of American Medical Association published a longitudinal analysis evaluating the smoking cessation rates in close to 1600 current smokers using electronic cigarettes. The authors stated that the study did not achieve statistical power, but contributed to the building evidence that e-cigarettes do not increase smoking cessation rates, as often suggested by manufacturers. What is your experience with e-cigarettes – personally or with your patients? Would your current recommendations change after reading this survey?
For additional information, please see JAMA.
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Dr. Boris D. Lushniak, the current surgeon general and leading spokesperson on issues of public health, is releasing a report today declaring that cigarette smoking causes diabetes, colorectal and liver cancers, erectile dysfunction, ectopic pregnancy, vision loss, tuberculosis, rheumatoid arthritis, weakened immune function and cleft palates in offspring of women who smoke. Smoking has been recognized to be connected with these diseases and illnesses in the past, but the report is the first time the federal government established that smoking causes them.
Other than nicotine replacement therapy, what are your recommendations to patients to aid in smoking cessation?
For more information visit NY Times
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A study published in the Journal of Addictive Behaviors this month presents new insight into the baby brain of pregnant mothers. It has been thought that pregnant women would have a harder time quitting smoking due to their increased metabolism which may intensify triggers and withdrawal symptoms. This study set out to see if 20 minutes of mild-to-moderate intensity exercise would reduce the desire to smoke and withdrawal symptoms amongst pregnant women. Women included in the study were on average 25 years old, in their second trimester of pregnancy and smoked more than 5 cigarettes per day. They reported clear reductions in their desire to smoke post exercise as well as improvements in mood in relation to withdrawal symptoms. How do you counsel pregnant women attempting to quit smoking?
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E-Cigarettes are in the news again! The Lancet published a new 6 month study which included 657 smokers to assess the effectiveness of e-cigarettes, nicotine patches, and fake e-cigarettes (no nicotine) on smoking cessation. Researchers concluded that e-cigarettes are as effective as nicotine patches in helping smokers cut down. In those who did not quit smoking however 57% of the e-cigarette group reduced their daily consumption of cigarettes by at least half as opposed to 41% in the nicotine patch group. Also, 90 % of e-cigarettes users reported that they would recommend it to family and friends making it more popular than nicotine patches. Have you noticed an increase in the use of e-cigarettes for smoking cessation? Have you received questions about this from your patients?
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Since they were first introduced in 2004, questions were raised about their safety and actual effectiveness in quitting the habit of smoking. A recent study, published in Plos One, assessed the use of electronic cigarettes instead of regular ones in Italian subjects who were not willing to quit. A total of 300 subjects were enrolled and were evaluated throughout a whole year. The study analyzed the use of E-cigarettes with three different strengths of nicotine (7.2mg, 5.4mg and placebo) in three different groups. Results concluded that there was a significant decrease in the number of cig/day used in all three groups and up to 13 percent of these subjects quit smoking a year later. What are your thoughts on this? Would this study encourage you to recommend your smoker patients to switch to E-cigarettes?For more detailed information on this study, please click here