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Does Vaping Cause Cancer? Exploring The Health Implications

By Dr. Nikita Toshi +2 more

Key Highlights

  • E-cigarettes and vaping devices heat a liquid containing nicotine, flavourings, and other chemicals to create an aerosol that users inhale.
  • Nicotine content, juice flavours, and certain other ingredients are carcinogenic (potential to cause cancer).
  • Vaping is associated with lung diseases, mouth cancer, heart diseases, brain development impact, and addiction.
  • The effectiveness of e-cigarettes for smoking cessation is not recommended. There are safer and better options that your doctor may suggest. 
  • Secondhand exposure to e-cigarette aerosol presents health risks.

Introduction

As the popularity of electronic cigarettes (e-cigarettes) and vaping continues to grow, so does the debate over their safety. Hundreds of thousands of people are turning to these devices for their nicotine fixes, hoping to reduce their exposure to the harmful chemicals found in traditional cigarettes. This has led many people to question whether or not vaping is a safer alternative to smoking and, more specifically, if it causes cancer. In this blog post, we will explore the health implications of vaping, including its connection to cancer, other health risks and its role in smoking cessation.

To fully understand the issue, it is essential to first understand the basics of vaping, the components of e-cigarettes, and the research that has been conducted on the topic. With that foundation, we will dive into more specific details surrounding cancer risks, other health concerns, and additional factors tied to vaping.


Did you know?

  • Vaping can permanently harm the developing brain, affecting attention, learning, mood, and impulse control. source: Texas Department of State Health Services
  • E-cigarettes produce an aerosol containing potentially harmful substances, including cancer-causing chemicals. source: cancer.org
  • Using e-cigarettes can increase the risk of cough, wheezing, and asthma exacerbations, especially in youth. source: lung.org
  • E-cigarette aerosol contains harmful substances, including nicotine, ultrafine particles, flavoring chemicals, volatile organic compounds, cancer-causing chemicals, and heavy metals. source: CDC
  • E-cigarette users have a 2.2 times higher risk of having cancer compared to non-smokers. Source: NCBI
  • E-cigarette users are diagnosed with cancer at a younger age than traditional smokers. source: NCBI

The basics of vaping

Before discussing the health implications of vaping, it is important to understand what e-cigarettes are, how they work and their components.

1. What are e-cigarettes?

E-cigarettes are battery-operated devices that allow users to inhale a vaporised solution, known as e-liquid or vape juice. The e-liquid typically contains nicotine, propylene glycol, vegetable glycerin and flavouring agents.

2. What is vaping?

Vaping refers to the act of inhaling the aerosol (often referred to as vapour) created by an e-cigarette or vaping device. The term “vapour” is somewhat misleading, as the aerosol produced by e-cigarettes contains particles and chemicals—not just water vapour.

3. How do e-cigarettes work?

E-cigarettes work by heating a liquid solution (e-liquid) containing nicotine, propylene glycol, vegetable glycerin and flavourings. The heating element within the device turns the liquid into an aerosol, which users then inhale into their lungs.

4. The components of e-cigarettes

The key components of e-cigarettes include base liquids, nicotine content and flavours. Understanding these individual parts can help shed light on the potential health risks associated with vaping.

  • Base liquids

E-liquids consist of a base liquid made up of propylene glycol or vegetable glycerin, referred to as PG and VG, respectively. These substances are generally considered safe by the FDA and are commonly used in food, cosmetics and pharmaceutical products. However, their inhalation after being heated can be harmful.

  • Nicotine content

Nicotine is the primary addictive substance found in cigarettes and e-cigarettes. E-liquids can contain varying levels of nicotine, with some even claiming to be nicotine-free (although some studies have found unlisted nicotine in such products). Nicotine exposure is associated with increased cancer risk and adverse effects on adolescent and young adult brain development.

  • Flavours

E-cigarettes offer a wide variety of flavours. Some studies have shown that certain flavourings may be more toxic than others, while others can react with base liquids, creating potentially harmful chemical compounds. For example, diacetyl (a buttery/popcorn flavour) has been linked to severe respiratory illnesses.

Here’s a brief overview of the main components in e-cigarettes:

ComponentDescription
Base Liquids (Propylene Glycol or Vegetable Glycerin)Generally considered safe by FDA; potential inhalation effects unknown.
Nicotine ContentAddictive substance associated with increased cancer risk and harmful effects on brain health.
FlavoursCan vary greatly; some flavours may be more toxic than others; possible reactions with base liquids.

Vaping is not al all safer. It definitely increases the risk of cancers and additction in people.

Dr. Arpit Verma, MBBS, MD (Pharmacology)

Vaping and Cancer: understanding the connection

Is there a definitive connection between vaping and cancer? Studies have been conducted in an attempt to answer this question, but it remains complex due to several factors.

1. Overview of research on vaping and cancer

Research on the relationship between vaping and cancer is still relatively new and emerging. As vaping devices have only been marketed in the U.S. for about a decade, long-term studies on the effects of vaping on cancer risk are not yet available.

2. Factors influencing cancer risk

There are several factors to consider when evaluating the potential cancer risk associated with vaping, including nicotine content, juice flavours and certain ingredients.

  • Nicotine content

As previously discussed, nicotine is associated with increased cancer risk and e-liquids often contain varying levels of nicotine. Exposure to nicotine through vaping may contribute to an increased risk of developing cancer.

  • Juice flavours

Certain e-liquid flavouring agents have been shown to be more toxic than others, potentially increasing cancer risk. For example, the use of diacetyl in e-liquids has been linked to serious respiratory illnesses.

3. Ingredients to avoid

Although e-cigarette manufacturers are required to submit an ingredient list to the FDA, they are not required to list e-juice ingredients on product labels. Therefore, it can be difficult for consumers to know what ingredients their e-cigarette contains. However, it may be helpful to avoid e-liquids containing certain flavouring chemicals that are potentially harmful, such as diacetyl and acetyl propionyl.

Considering these factors can give us a better understanding of vaping-related cancer risks:

FactorDescription
Nicotine ContentAssociated with increased cancer risk
Juice FlavoursSome, like diacetyl, are considered harmful
Potentially Harmful IngredientsDifficult for users to identify due to lack of labelling requirements

Although vaping can help some people quit smoking and is usually cheaper than smoking, please note that it is not completely harmless and can cause you to inhale ultrafine particles and chemicals directly into the lung which are associated with serious lung diseases.

Dr Ashish Bajaj – M.B.B.S, M.D. in Clinical Pharmacology and Toxicology

Other health risks associated with vaping

In addition to cancer risks, there are several other potential health problems associated with vaping, ranging from lung diseases to negative consequences like heart disease and brain development impact.

1. Lung diseases and complications

Some studies have suggested that vaping can lead to lung diseases and complications such as chronic bronchitis, asthma and reduced lung function. E-cigarette aerosol contains chemicals that can cause inflammation in the lungs and may contribute to the development of lung disease.

  • Comparison with cigarette smoking

Although e-cigarettes may expose users to fewer harmful chemicals than cigarettes, the effects on lung health are still uncertain. But considering it safer, people often use this excessively hence increasing the health risks. 

  • Popcorn lung

“Popcorn lung,” or bronchiolitis obliterans, is a rare but serious lung condition that can result from inhaling diacetyl—a chemical found in some e-cigarette flavourings. 

2. Mouth cancer

While not as well-studied as lung health, some evidence suggests that exposure to the chemicals in e-cigarette aerosol could increase one’s risk for mouth cancer. 

3. Negative consequences of vaping

Beyond lung health and potential cancer risks, vaping carries other potential health risks. These may include

  • Heart diseases

Several studies have raised concerns about the impact of e-cigarette use on heart health. One study found that e-cigarette users had higher odds of having a heart attack, coronary artery disease and depression than non-users. However, more research is needed to draw definitive conclusions.

  • Impact on brain health 

Nicotine, a common ingredient in e-liquids, can harm brain development in young individuals. Studies have shown that adolescents and young adults exposed to nicotine are at risk for cognitive, memory and attention deficits.

  • Addiction

Nicotine addiction is a significant concern for e-cigarette users, particularly youth. The use of e-cigarettes may lead to nicotine dependence, which can make quitting difficult and potentially increase the risk of transitioning to cigarette smoking.

Exploring the overall health risks associated with vaping:

Health RiskDescription
Lung Diseases and ComplicationsPotential for chronic bronchitis, asthma, lung function issues
Mouth CancerEvidence suggesting increased risk due to e-cigarette aerosol
Negative ConsequencesHeart diseases, brain development impact, addiction

According to NHANES data, survey in USA, e-cigarette users or vaping had an early age of cancer onset and higher risk of cancer.

Dr. M.G. Kartheeka – MBBS, MD(Pediatrics)

Also Read: Does Air Fryer Cause Cancer? Unveiling the Facts Behind the Question

Can vaping help with smoking cessation?

Many people turn to e-cigarettes as a method for quitting traditional cigarettes, but whether they are effective as smoking cessation tools remains debated.

1. Evaluating e-cigarettes as a smoking cessation tool

E-cigarettes are not currently approved by the FDA as aids for quitting smoking. There are much safer alternatives that can be advised by your doctor to help with smoking cessation. E-cigarettes are not recommended for this. 

2. Secondhand exposure to E-cigarette aerosol

Exposure to e-cigarette aerosol or secondhand “vapour” presents health risks for those in the vicinity of someone vaping.

3. Health implications of secondhand e-cigarette aerosol exposure

Secondhand exposure to e-cigarette aerosol can be harmful, as the aerosol contains nicotine, ultrafine particles, flavourings and other chemicals associated with health problems. Young children, pregnant women and people with pre-existing health conditions are particularly vulnerable to the potential harms of secondhand aerosol exposure.

Comparison with secondhand cigarette smoke

While secondhand e-cigarette aerosol has been found to contain fewer toxic chemicals than secondhand cigarette smoke, it is not without risk. More research is needed to better understand the potential health consequences of secondhand exposure to e-cigarette aerosol and how it compares to the well-documented dangers of secondhand cigarette smoke.

Examining the effects of secondhand e-cigarette aerosol:

AspectDescription
Health ImplicationsSecondhand exposure to aerosol can be harmful
Comparison to Secondhand SmokeContains fewer toxic chemicals, but not without risk

Conclusion

With the rapid increase in e-cigarette use and the ongoing debate surrounding their safety, it is crucial for individuals to be well-informed about the potential health implications of vaping. It is crucial to understand that both cigarettes and E-cigarettes are very harmful to your body and environment. The presence of carcinogenic ingredients in e-cigarettes poses a potential threat of cancers. E-cigarettes have been banned in India and It is not advisable to opt for e-cigarettes in any case.

Also Read: Does Vaping Make Your Teeth Yellow: Exploring Dental Impact of Vaping

Frequently Asked Questions (FAQs)

Can vaping give you mouth cancer?

While the potential link between vaping and mouth cancer is not fully understood, some evidence suggests that exposure to e-cigarette aerosol could increase the risk of mouth cancer.

What are the real dangers of vaping?

The real dangers of vaping range from lung diseases and mouth cancer to negative consequences such as heart diseases, brain development impact and addiction.

Is vaping worse than smoking?

While current research suggests that vaping is less harmful than smoking, the long-term effects of vaping are not yet fully understood.

What are the 3 negative consequences of vaping?

Three negative consequences of vaping include lung diseases, heart diseases and brain development impact in young individuals.

Does vaping increase your risk for a certain type of cancer?

Vaping has been linked to an increased risk of lung, oral and bladder cancers. However, more research is needed to solidify these connections and explore potential links to other types of cancer.

References:

  1. Centers for Disease Control and Prevention (CDC). Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html
  2. American Cancer Society. Key Statistics for Lung Cancer [Internet]. [cited 2023 Jun 26]. Available from: https://www.cancer.org/cancer/non-small-cell-lung-cancer/about/key-statistics.html
  3. National Center for Biotechnology Information (NCBI). Flavoring Chemicals in E-Cigarettes: Diacetyl, 2,3-Pentanedione, and Acetoin in a Sample of 51 Products, Including Fruit-, Candy-, and Cocktail-Flavored E-Cigarettes – PMC [Internet]. [cited 2023 Jun 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4892929
  4. National Center for Biotechnology Information (NCBI). Electronic cigarettes: overview of chemical composition and exposure estimation – PMC [Internet]. [cited 2023 Jun 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4304610
  5. Centers for Disease Control and Prevention (CDC). Exposures to Flavoring Chemicals [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/niosh/topics/flavorings/exposure.html
  6. Centers for Disease Control and Prevention (CDC). Electronic Cigarette Use Among U.S. Adults, 2018 [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/nchs/products/databriefs/db365.htm
  7. American Lung Association. Search Albert Rizzo, M.D., FACP [Internet]. [cited 2023 Jun 26]. Available from: https://www.lung.org/media/meet-our-experts/al-rizzo
  8. American Lung Association. Learn About Bronchiolitis Obliterans [Internet]. [cited 2023 Jun 26]. Available from: https://www.lung.org/lung-health-diseases/lung-disease-lookup/popcorn-lung/learn-about-popcorn-lung#
  9. Centers for Disease Control and Prevention (CDC). quitSTART App [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/tobacco/campaign/tips/quit-smoking/quitstart-app/index.html
  10. Centers for Disease Control and Prevention (CDC). 1-800-QUIT-NOW: 15 Years of Helping People Quit [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/tobacco/features/quitlines/index.html
  11. Centers for Disease Control and Prevention (CDC). Surgeon General’s Advisory on E-cigarette Use Among Youth [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/surgeon-general-advisory/index.html
  12. Centers for Disease Control and Prevention (CDC). Media [Internet]. [cited 2023 Jun 26]. Available from: https://www.cdc.gov/media

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