'Real-world' compensatory behaviour with low nicotine concentration e-liquid : subjective effects and nicotine, acrolein and formaldehyde exposure

© 2018 The Authors. Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction..

AIMS: To compare the effects of (i) high versus low nicotine concentration e-liquid, (ii) fixed versus adjustable power and (iii) the interaction between the two on: (a) vaping behaviour, (b) subjective effects, (c) nicotine intake and (d) exposure to acrolein and formaldehyde in e-cigarette users vaping in their everyday setting.

DESIGN: Counterbalanced, repeated measures with four conditions: (i) low nicotine (6 mg/ml)/fixed power; (ii) low nicotine/adjustable power; (iii) high nicotine (18 mg/ml)/fixed power; and (iv) high nicotine/adjustable power.

SETTING: London and the South East, England.

PARTICIPANTS: Twenty experienced e-cigarette users (recruited between September 2016 and February 2017) vaped ad libitum using an eVic Supreme™ with a 'Nautilus Aspire' tank over 4 weeks (1 week per condition).

MEASUREMENTS: Puffing patterns [daily puff number (PN), puff duration (PD), interpuff interval (IPI)], ml of e-liquid consumed, changes to power (where permitted) and subjective effects (urge to vape, nicotine withdrawal symptoms) were measured in each condition. Nicotine intake was measured via salivary cotinine. 3-Hydroxypropylmercapturic acid (3-HPMA), a metabolite of the toxicant acrolein, and formate, a metabolite of the carcinogen formaldehyde, were measured in urine.

FINDINGS: There was a significant nicotine concentration × power interaction for PD (P < 0.01). PD was longer with low nicotine/fixed power compared with (i) high nicotine/fixed power (P < 0.001) and (ii) low nicotine/adjustable power (P < 0.01). PN and liquid consumed were higher in the low versus high nicotine condition (main effect of nicotine, P < 0.05). Urge to vape and withdrawal symptoms were lower, and nicotine intake was higher, in the high nicotine condition (main effects of nicotine: P < 0.01). While acrolein levels did not differ, there was a significant nicotine × power interaction for formaldehyde (P < 0.05).

CONCLUSIONS: Use of a lower nicotine concentration e-liquid may be associated with compensatory behaviour (e.g. higher number and duration of puffs) and increases in negative affect, urge to vape and formaldehyde exposure.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:113

Enthalten in:

Addiction (Abingdon, England) - 113(2018), 10 vom: 07. Okt., Seite 1874-1882

Sprache:

Englisch

Beteiligte Personen:

Dawkins, Lynne [VerfasserIn]
Cox, Sharon [VerfasserIn]
Goniewicz, Maciej [VerfasserIn]
McRobbie, Hayden [VerfasserIn]
Kimber, Catherine [VerfasserIn]
Doig, Mira [VerfasserIn]
Kośmider, Leon [VerfasserIn]

Links:

Volltext

Themen:

0YIW783RG1
1HG84L3525
6M3C89ZY6R
7864XYD3JJ
Acetylcysteine
Acrolein
BFU3149V95
Compensatory behaviour
Cotinine
E-cigarette
Formaldehyde
Formates
Formic acid
Journal Article
K5161X06LL
Nicotine
Nicotinic Agonists
Puffing patterns
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
S-(3-hydroxypropyl)cysteine N-acetate
Subjective effects
WYQ7N0BPYC

Anmerkungen:

Date Completed 09.12.2019

Date Revised 10.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/add.14271

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM285269720