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The influence of various nicotine and tobacco delivery methods on the course of bronchial asthma: Preliminary research results

M. Peredelskaya, N. M. Nenasheva, V. Mukhametova, A. Yudin, O. Belik, A. K. Puturidi

Meditsinskiy sovet = Medical Council, 2026

84 participants

Abstract

Introduction.

Smoking, as one of the significant modifiable risk factors, is being actively studied in the context of asthma.

Aim.

To assess the effect of electronic cigarettes and electronic tobacco heating devices on the course and control of bronchial asthma, as well as changes on inflammatory profiles. An important aspect is to assess the profile of the patient using smoking devices in order to optimize the therapy selection and patient management strategies.

Materials and methods.

An open-label observational clinical trial including medical history assessment, physical examination, completion of the Asthma Control Questionnaire (ACT) and the Asthma Quality of Life Questionnaire (AQLQ), clinical functional examination, and venous blood sampling for biomarker analysis. The study included patients aged 18–45 years with a confirmed diagnosis of bronchial asthma for at least 12 months.

Results.

84 patients were included in the study (82 men and 2 women), with a mean age of 21.99 ± 2.38 years. Of these, 32 patients were non-smokers, while 52 reported using various nicotine and tobacco products. Among the smokers, 30 (57.7%) used two or more types of smoking devices. Passive smoking exposure was reported across all groups, with 69 patients (82.1%) indicating regular exposure to environmental tobacco smoke from their surroundings. Smokers were more frequently exposed to passive smoking. The average age of smoking initiation is 16 years. In both groups, according to ACT data,…

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