The debate over the potential damage and benefits of dumping has been going on for years. But the results of a major study in the UK have given the pro-vaping site its biggest win so far. It turned out that people who tried to quit smoking were almost twice as likely to succeed in using electronic cigarettes for over a year compared to people who followed a typical nicotine replacement therapy.
The study published Wednesday in the New England Journal of Medicine recruited nearly 900 smokers in the UK. All smokers had gone to special centers to help them get out. There they were randomly assigned to one of two interventions.
One group received a three-month delivery of a standard withdrawal treatment of their choice, e.g. As nicotine gum, patches or lozenges. The other received an e-cigarette starter kit with a few bottles of e-juice, and these people were told to continue to steam. Both groups also received weekly counseling sessions worth at least one month. To objectively measure their progress, the respiratory levels of carbon monoxide (a common toxin in cigarette smoke that gets caught in the exhaled air) were also monitored.
After one to four weeks, e-cigarettes were less likely to have a strong desire to smoke. They also felt less irritated or could not concentrate for a week on their exit attempt. Most importantly, at all stages of the study, these users were more likely to have completely stopped smoking cigarettes. By the 52nd week, 1
This does not seem to be a big success rate, but it is known to be difficult to quit smoking. Even the success rate of nicotine replacement therapy observed in this study is quite high compared to other studies measuring efficacy. Consumers of e-cigarettes reduced smoking by 50 percent or more, even if they did not stop altogether.
"This is a well-designed and much-needed study that may be clinically and clinically relevant to the use of e-cigarettes as an aid in stopping e-cigarettes," said Scott Weaver, an epidemiologist at the school of Public Health of Georgia State University, which is not involved in the new research, to Gizmodo.
Previous studies and studies have attempted to find out how well e-cigarettes can help smokers quit smoking Some studies (including one study by Weaver) have not shown any real benefit compared to other termination options, but according to the authors, this is the first clinical trial to test modern e-cigarettes in people who want to actively quit, and these devices often contain more Nicotine and are in a more favorable form than the steam generators of the first generation.
"Often it does not e recognized that steam products have become much better cigarette substitutes over time. The results are not all that surprising, "said David Levy, a professor of oncology at the Georgetown University Medical Center who was not involved in the research, to Gizmodo.
According to Sven-Eric Jordt, an anesthesiologist, pharmacologist and cancer biologist at Duke University, who has studied the potential health risks of vapors, it is also important how these patients were treated.
"The study was conducted under medical supervision and with the medical behavior support of smokers trying to quit," said Jordt, who is not involved in the research. "The unrestricted availability of e-cigarettes is not supported."
Weaver added: "The results of this study show that e-cigarettes have increased the likelihood of quitting smoking under these conditions, and smokers generally do not use e-cigarettes under such conditions, especially in the US."
For example, according to Weaver, most smokers do not smoke here every day or they smoke while they smoke regularly, and the UK culture of smoking and e-cigarettes also differs from the United States.
Kingdom was already somewhat inviting to the idea of using e-cigarettes as a means of stopping smoking cessation In 2015, the government's public health agency, Public Health England, approved an independent report that e-cigarettes are much less harmful than tobacco cigarettes and should be considered as a bypass for smokers and they are with de n latest findings in a similar way on board.
"This landmark research shows that switching to an e-cigarette can be one of the most effective ways to quit smoking, especially in conjunction with personal assistance. Martin Dockrell, Head of Tobacco Control at Public Health England, said in a statement. "All smoking cessation services should welcome smokers who want to stop using an e-cigarette."
But Jordt noted that newer devices, such as the Juul pod, have recently arrived in the UK. These devices contain up to three times more nicotine than the devices used in the clinical trial. Juul's rapid popularity among teenagers in the US – raising fears that more young people may quit smoking and undo the success we've seen in lowering teenage rates – could be the overbearing attitude of doctors in the US US explain e-cigarettes embrace with enthusiasm.
While some research (including Levy's) raises doubts about the idea that smoking teenagers causes teenage smoking, regulators like the Food and Drug Administration are pushing for restrictive guidelines on flavored e-cigarettes from retailers or online , In some states, including Vermont, there are even floating bills to ban the sale of flavored products.
Another concern that Jordt has about e-cigarettes is that many users just never stop. Even in the current study, about 80 percent of people were still regularly on steam by the end of the year. Ideally, you want people to wean themselves from the nicotine and potentially harmful toxins of e-cigarettes. But it is certainly a value that has to be paid.
"It is a concern. But the people who switch will probably still have a lower health risk, "Levy said.
Despite the impressive results, Levy and the other experts Gizmodo talked to said that there was more research in the US and elsewhere and newer devices may be needed before physicians here can assist Vaping as a superior treatment aid over standard treatment (probably with regular counseling to boot.)
"Caution is advised," Levy said, "Especially smokers need to understand the importance of switching to E Recognize cigarettes, but I think they can play an important role. "
[NEJM via Queen Mary University of London]