Hazards: Are Pipe and Cigar Users Blowing Smoke?
From The New York Times: Pipe and cigar smokers may say they don?t inhale, but a new study suggests otherwise.
The study, based on breathing tests in people ages 48 to 90, found that the pipe and cigar smokers had more than double the risk for abnormal lung function that contributes to chronic obstructive pulmonary disease, a leading cause of death – even if they abstained from cigarettes. Those who also smoked cigarettes were at more than triple the risk.
Of the 3,528 subjects, all of them participants in heart disease research, 56 had smoked only pipes or cigars; 428 smoked pipes or cigars along with cigarettes; and 1,424 smoked only cigarettes.
Pipe and cigar smokers also had higher levels of the nicotine byproduct cotinine than nonsmokers, though less than what is typically found in cigarette smokers, according to the study, published in the Feb. 15 issue of Annals of Internal Medicine. The senior author, Dr. R. Graham Barr, an assistant professor of medicine and epidemiology at Columbia University Medical Center, said other studies had linked cigar and pipe smoking with heart disease, lung cancer and oral cancers. "I think it's mainly a myth that they don't inhale," he said.