Abstract

Comment on "Effects of Waterpipe Tobacco Smoking on the Spirometric Profile of University Students in Palestine: A Cross-Sectional Study".

Highlights

  • Tunisian study [6], aiming to compare the plethysmographic parameters of ENS with age- and height-matched exclusive cigarette smokers (ECS). e authors concluded that, compared to the ECS group, the ENS one had significantly lower frequencies of subjects with reduced FEV1 (88 vs. 47%, respectively) or FVC (52 vs. 28%, respectively) [6]

  • To the best of this author’s knowledge, no specific spirometric norms were published for the Palestinian population

  • Recent papers specific to some Arab populations clearly demonstrated that the use of the default “foreign” spirometric norms resulted in misinterpretation of spirometry parameters in a significant proportion of subjects [8, 9]

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Summary

Introduction

Tunisian study [6], aiming to compare the plethysmographic parameters of ENS with age- and height-matched exclusive cigarette smokers (ECS). e authors concluded that, compared to the ECS group, the ENS one had significantly lower frequencies of subjects with reduced FEV1 (88 vs. 47%, respectively) or FVC (52 vs. 28%, respectively) [6]. Tunisian study [6], aiming to compare the plethysmographic parameters of ENS with age- and height-matched exclusive cigarette smokers (ECS). E authors concluded that, compared to the ECS group, the ENS one had significantly lower frequencies of subjects with reduced FEV1 (88 vs 47%, respectively) or FVC (52 vs 28%, respectively) [6]. In Nazzal et al [1], the application of the aforementioned specific approach study would likely result in changes to some of the article’s conclusions.

Results
Conclusion

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