Effects of dipping tobacco (Tombak) on heart rate variability among adult males

Lutf Ibrahim Sharif, Nisreen Daffa Alla, Neima Mirghani Ibrahim, Ahmed Ali

Abstract


Objectives: Dipping tobacco is highly prevalent worldwide and in Sudan among adult males and is associated with cardiovascular hazards. The main objective of this study was to determine the effects
of ‘tombak’ (local name for dipping tobacco in Sudan) dipping on heart rate variability and autonomic functions among adult males.
Methods: Blood pressure and heart rate variability were recorded in 60 male tombak users (study group) at least 5 hours before using the tombak and after 30 minutes of use. Forty male non- users of tombak or
any other tobacco products were included as a control group.
Results: Measurements 5 hours before tombak dipping revealed statistically signifcant decrease in high frequency power in tombak users. Acute responses to tombak dipping included statistically signifcant increase in diastolic blood pressure, increase mean arterial pressure, decrease mean NN and decreased
square root of the mean squared differences of successive NN intervals.
Conclusions: the study results indicated disturbances in the sympatho-vagal balance with domination of sympathetic effects in the regulation of the cardiac activity and peripheral resistance in tombak users.

Full Text:

PDF

References


Siddiqi K, Shah S, Abbas SM et al. Global

burden of disease due to smokeless tobacco

consumption in adults: analysis of data from

countries.BMC Med 2015; 13:194.

Idris AM, Ibrahim YE, Warnakulasuriya

KA, Cooper DJ, Johnson NW, Nilsen R.

Tombak use and cigarette smoking in the

Sudan: estimates of prevalence in the Nile state.

Prev Med 1998; 27:597-603.

Global status report on non-communicable

diseases. WHO Library cataloguing – inPublication Data.2010, ISBN 9789240686458.

Glad Mohesh MI, Ratchagan K, Sundaramurthy

A. A study of short term heart rate variability in

dipping tobacco users. Asian J Med Sci 2014;5:

-94.

Itagi ABH, Arora D, Patil NA, Bailwad

SA, Yunus GY, Goel A. Short-term acute effects

of gutkha chewing on heart rate variability

among young adults: A cross sectional study Int

J Appl Basic Med Res 2016;6: 45–49.

Tayade MC and Kulkarni NB. The Effect of

smoking on the cardiovascular autonomic

functions: A cross sectional study. J Clin Diagn

Res 2013; 7:1307-1310.

Niedermaier ON, Smith ML, Beightol LA,

Zukowska-Grojec Z, Goldstein DS, Eckberg

DL. Influence of cigarette smoking on human

autonomic function. Circ J 1993;88: 562-571.

Asplund K1. Smokeless tobacco and

cardiovascular disease. Prog Cardiovasc Dis

;45: 383-94.

Wolk R, Shamsuzzaman AS, Svatikova A et

al. Hemodynamic and autonomic effects of

smokeless tobacco in healthy young men. J Am

Coll Cardiol 2005;45: 910-4.

Pakkala A, Ganashree CP, Ragavendra T. A

study of heart rate variability among Gutkha

chewers from a rural farming background in

India. J Alcohol Drug Depend 2013; 1:118.

Task Force of The European Society of

Cardiology and The North American society

of Pacing and Electrophysiology (1996) Heart

rate variability standards of measurement,

physiological interpretation, and clinical use.

Circ J 1996; 93:1043-1065.

NIH Publications. Smokeless Tobacco and

Public Health: A Global Perspective2014; 14:

https://cancercontrol.cancer.gov/brp/

tcrb/global-perspective/Executive Summary

Smokeless Tobacco And Public Health.pdf.

Luft FC1, Zemel MB, Sowers JA, Fineberg

NS, Weinberger MH. Sodium bicarbonate and

sodium chloride: effects on blood pressure

and electrolyte homeostasis in normal and

hypertensive man J Hypertens 1990; 8:663-70


Refbacks

  • There are currently no refbacks.


ISSN: 1858-5345