Abstract

Objective This study aims to investigate the relationship between waterpipe smoking, polycythaemia and cardiac risk factors, including blood pressure and obesity.

Design Cross-sectional Study conducted in 2022.

Setting An-Najah National University (ANNU) in the West Bank, Palestine.

Participants A total of 954 university students participated in the study.

Primary and secondary outcome measures A questionnaire used to assess smoking behaviours and other substance practices and patterns. Anthropometric and clinical measurements were measured and recorded, and complete blood counts (CBC) were obtained using an automated haematology analyser. Descriptive statistics were used to characterise the sample. Logistic regression models were applied to assess associations between smoking and polycythaemia. Also, there is a link between polycythaemia and high systolic and diastolic blood pressure.

Results Out of 954 participants, 60% were females, 18.5% smoked cigarettes (57.1% daily), 31.1% smoked waterpipes (20.5% daily), 6.5% smoked e-cigarettes (18.2% daily), 18.8% had polycythaemia and 17.6% were obese. After adjusting for gender, obesity and other confounders, waterpipe smoking was associated with polycythaemia (OR=1.70, p=0.023), male gender (OR=87.89, p<0.001) and obesity (OR=3.82, p=0.014). Polycythaemia was associated with higher systolic blood pressure (OR=2.00, p=0.016) and higher diastolic blood pressure (OR=1.98, p=0.007).

Conclusion The study findings indicated significant associations between high blood pressure and polycythaemia, tobacco smoking, obesity and male gender. These findings underscore the importance of addressing tobacco hazards and their potential impact on cardiometabolic health, particularly among young adults.

Title

BMJ Open

Publisher

BMJ

Publisher Country

United Kingdom

Indexing

Scopus

Impact Factor

2.7

Publication Type

Both (Printed and Online)

Volume

15

Year

2025

Pages

x