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Smoking is badociated with various health complications, ranging from cancer to cardiovascular, respiratory and circulatory diseases. Smoking is a bad habit that, in addition to worsening the quality of life of the smoker, further decreases the survival of consumers, because of the more than 4,500 toxic substances in tobacco. Tobacco control is considered a public health problem, so much so that National Tobacco Control Day was created.
Smoking cessation is the first step toward a healthy lifestyle. Among the most diverse techniques that help smokers quit smoking are nicotine patches, electronic cigarettes (banned in Brazil), chewing gum and lozenges, also nicotine. ] With respect to e-cigarettes, there is still no concrete evidence of the benefits of alternative nicotine replacement technologies in smoking cessation. A study conducted in the United Kingdom attempted to determine which of the methods was most effective in helping the individual who wished to quit smoking. The research was conducted between 2015 and 2018 and the results were published in January 2019 in the New England Journal of Medicine.
Children and adolescents
The survey selected 886 participants who wanted to quit smoking. Nicotine-based products were available, depending on each individual's choice, and a pack of electronic cigarettes for beginners. Subjects were randomized into two groups, the first using electronic cigarettes and the other using nicotine replacement techniques
. The follow-up period was 12 months. The main result was abstinence after badysis, secondary outcomes were continuity of treatment and respiratory symptoms.
Results
After one year, the rate of abstinence was 18% in the group of electronic cigarettes and 9.9%. in the nicotine replacement group (RR 1.83, 95% CI [1,30-2,58] p <0.001). Overall, irritation of the throat and mouth was more common in the electronic cigarette group (65.3% versus 51.2%) and nausea was more common in the nicotine replacement group (37%). , 9%, against 31%). The study found that e-cigarettes are more effective at quitting smoking than nicotine replacement products. However, despite the reported benefits, e-cigarettes still can not be marketed in Brazil and no provision is made for the dissemination of use.
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References:
- HAJEK, Peter et al. A randomized trial of E-Cigarettes versus Nicotine Replacement Therapy. January 30, 2019. New England Journal of Medicine, DOI: 10.1056 / NEJMoa1808779
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