The effects of Waterpipe Tobacco Smoking on the Spirometric Profile of University Students in Palestine: a Cross-Sectional Study
Publication Type
Original research

Background: Waterpipe smoking in young individuals is increasing with limited studies addressing its respiratory health effects. The aim of the study was to determine the effect of waterpipe smoking on young adults’ lung functions. Spirometric parameters were compared between waterpipe smokers and non-smokers.

Methods: A comparative cross-sectional study of university students, including males and females, was conducted. An interviewer administered questionnaire was used to record students’ characteristics. Spirometry test was performed to assess students’ lung functions; we recorded forced expiratory volume in first second (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, peak expiratory flow (PEF) and forced expiratory flow between 25 and 75% of FVC (FEF25-75%).

Results: A total of 300 apparently healthy students (150 waterpipe smokers and 150 non-smokers) were included in the study. Waterpipe smokers showed significantly lower values in FEV1, FEV1/FVC ratio, PEF and FEF25-75% compared to the nonsmoker group (p <0.05 to P <0.001). Subgroup analysis on female students (50 WP smokers and 50 non-smokers) showed a significant decrease in FEV1/FVC ratio, PEF and FEF25-75% parameters (P <0.001)

Conclusion: Waterpipe smoking is associated with reduced spirometric parameters in healthy young adults with relatively limited smoking years.

Canadian Respiratory Journal
Publisher Country
Publication Type
Both (Printed and Online)