Table 2

Direct comparison of toxicant yields from tobacco-based and tobacco-free waterpipe products, adapted from Shihadeh et al.25

Waterpipe preparation (mean±95% CI)
ToxicantTobaccoNon-tobaccop Value
‘Tar’ (mg)464±159513±115NS
Nicotine (mg)1.04±0.30<0.01<0.001
Carbon monoxide (mg)155±49159±42NS
Nitric oxide (mg)437±207386±116NS
Polyaromatic hydrocarbons (ng)
 Fluoranthene385±74448±132NS
 Pyrene356±70444±125NS
 Benzo[a]anthracene86.4±15.2113±46NS
 Chrysene106±16124±36NS
 Benzo[b+k]fluoranthenes64.7±11.372.9±12.6NS
 Benzo[a]pyrene51.8±12.966.1±17.8NS
 Benzo[g,h,i]perylene33.6±10.239.6±10.7NS
 Indeno[1,2,3-cd]pyrene47.3±10.744.3±10.4NS
Carbonylic compounds (µg)
 Formaldehyde58.7±21.6117.6±78.7NS
 Acetaldehyde383±121566±370NS
 Acetone118±36163±68NS
 Propionaldehyde51.7±15.398.4±65.0NS
 Methacrolein12.2±4.420.4±9.7NS
  • Shown values are mean±95% CI. Smoke was generated by playback of 62 ad-lib smoking sessions recorded from 31 waterpipe users, each of who completed two smoking bouts in a controlled clinical setting: once using a preferred tobacco-based product, and once using a flavour-matched tobacco-free product.

  • NS, not significant.