Association between e-cigarette smoking and different lifestyle patterns among young adults in Saudi Arabia

Main Article Content

Shatha A. Alduraywish
Abdulrahman A. Alghamdi
Mohammed A. Almutairi
Faisal M. Alghthami
Mohand M. Alsultan
Laith A. Alreshaid
Fahad M. Aldakheel https://orcid.org/0000-0001-8047-8650
Shabana Tharkar

Keywords

E-cigarettes, physical activity, sleep quality, stress level, smoking

Abstract

Background: E-cigarette use has been linked with multiple morbidities and changes in health behavior. This study investigates e-cigarette use with sleep patterns, stress levels, and physical activity behavior and compare it with nonsmokers.


Methods: A standardized electronic questionnaire for sleep, stress, and physical activity assessment was used on 372 students enrolled in a large university. Statistical analysis was performed using Statistical Package for the Social Sciences (SPSS) version 23.0.


Results: The mean age of the study population was around 20 years, with e-cigarette use higher in males. The mean age of smoking initiation was 17 years. The intention to play sports and physical activity differed between smokers and nonsmokers. E-cigarette users practiced sports to remain fit while nonsmokers intended to play sports for enjoyment; however, no significant difference in the level of fitness was found. Sleep behavior and stress levels were similar across the two groups.


Conclusion: No difference in lifestyle patterns between e-cigarette users and nonsmokers may be due to lesser smoking duration since initiation. Longitudinal studies with diverse populations and a longer duration of e-cigarette use are recommended to explore the effects of e-cigarette smoking on lifestyle behavior.

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References

1 Centers for Disease Control and Prevention (US); 2016. Chapter 1, Introduction, Conclusions, and Historical Background Relative to E-Cigarettes. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538684/a

2 Callahan-Lyon P. 2014. Electronic cigarettes: Human health effects. Tobacco control, 23 (Suppl 2), pp. ii36–40. 10.1136/tobaccocontrol-2013-051470

3 Cooper M. 2022. Notes from the field: E-cigarette use among middle and high school students—United States, 2022. MMWR. Morbidity and Mortality Weekly Report, 71. 10.15585/mmwr.mm7140a3

4 Cho MS. September. Factors associated with cigarette, e-cigarette, and dual use among South Korean adolescents. Healthcare 2021;9(10):1252. MDPI. 10.3390/healthcare9101252

5 Chun J, Yu M, Kim J, Kim A. E-cigarette, cigarette, and dual use in Korean adolescents: A test of problem behavior theory. J Psychoactive Drugs 2020;52(1):27–36. 10.1080/02791072.2020.1712501

6 Pan L, Morton J, Mbulo L, Dean A, Ahluwalia IB. Electronic cigarette use among adults in 14 countries: A cross-sectional study. E Clinical Medicine 2022;47:101401. 10.1016/j.eclinm.2022.101401

7 Bassiony MM. Smoking in Saudi Arabia. Saudi Med J 2009;30(7):876–81. https://pubmed.ncbi.nlm.nih.gov/19617999/

8 Al Rajeh AM, Mahmud I, Al Imam MH, Rahman MA, Al Shehri F, Alomayrin S, et al. E-cigarette use among male smokers in Al-Ahsa, Kingdom of Saudi Arabia: A cross-sectional study. Int J Environ Res Public Health 2022;20(1):143. 10.3390/ijerph20010143

9 Khanagar SB, Siddeeqh S, Khinda V, Khinda P, Divakar DD, Jhugroo C. Impact of electronic cigarette smoking on the Saudi population through the analysis of literature: A systematic review. J Oral Maxillofac Pathol 2019;23(3):473. 10.4103/jomfp.jomfp_141_19

10 Kang SG, Bae SM. The effect of cigarette use and dual-use on depression and sleep quality. Subst Use Misuse 2021;56(12):1869–73. 10.1080/10826084.2021.1958855

11 Sung B. Gender difference in the association between E-cigarette use and depression among US adults. Osong Public Health Res Perspect 2021;12(1):13. 10.24171/j.phrp.2021.12.1.03

12 Hefner KR, Sollazzo A, Mullaney S, Coker KL, Sofuoglu M. E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status. Addict Behav 2019;91:12–20. 10.1016/j.addbeh.2018.10.040

13 Riehm KE, Rojo-Wissar DM, Feder KA, Mojtabai R, Spira AP, Thrul J, et al. E-cigarette use and sleep-related complaints among youth. J Adolesc 2019;76:48–54. 10.1016/j.adolescence.2019.08.009

14 Brett EI, Miller MB, Leavens EL, Lopez SV, Wagener TL, Leffingwell TR. Electronic cigarette use and sleep health in young adults. J Sleep Res 2020;29(3):12902. 10.1111/jsr.12902

15 Miller C, Smith DM, Goniewicz ML. Physical activity among adolescent tobacco and electronic cigarette users: Cross-sectional findings from the Population Assessment of Tobacco and Health study. Prev Med Rep 2019;15:100897. 10.1016/j.pmedr.2019.100897

16 Pokhrel P, Schmid S, Pagano I. Physical activity and use of cigarettes and e-cigarettes among young adults. Am J Prev Med 2020;58(4):580–3. 10.1016/j.amepre.2019.10.015

17 Saeed OB, Chavan B, Haile ZT.. Association between e-cigarette use and depression in US adults. J Addict Med 2020;14(5):393–400. 10.1097/adm.0000000000000604

18 Wang J, Rogers E, Fu S, Gravely A, Noorbaloochi S, Sherman S. Characterizing e-cigarette use in veteran smokers with mental health conditions. J Smok Cessat 2019;14(4):239–44. 10.1017/jsc.2019.16

19 Wemm SE, Sinha R. Drug-induced stress responses and addiction risk and relapse. Neurobiol Stress 2019;10:100148. 10.1016/j.ynstr.2019.100148

20 Resano JEP, Regencia ZJG, Baja ES. Association between smoking and vaping usage and perceived stress levels of undergraduate nursing students in Manila, Philippines. J Public Health Emerg 2023;7. 10.21037/jphe-22-52

21 Milicic S, Piérard E, DeCicca P, Leatherdale ST. Examining the association between physical activity, sedentary behavior and sport participation with e-cigarette use and smoking status in a large sample of Canadian youth. Nicotine Tob Res 2019;21(3):285–92. 10.1093/ntr/ntx238

22 Miller C, Smith DM, Goniewicz ML. Physical activity among adolescent tobacco and electronic cigarette users: Cross-sectional findings from the Population Assessment of Tobacco and Health study. Prev Med Rep 2019;15:100897. 10.1016/j.pmedr.2019.100897

23 Boehm MA, Lei QM, Lloyd RM, Prichard JR. Depression, anxiety, and tobacco use: Overlapping impediments to sleep in a national sample of college students. J Am Coll Health 2016;64(7):565–74. 10.1080/07448481.2016.1205073