Health
E-Cigarettes Found More Effective Than Patches and Gum for Quitting Smoking, Study Shows
E-cigarettes may help smokers quit more effectively than traditional methods such as patches and gum, according to a new study led by researchers at the University of Oxford. The study, published in the journal Addiction, also highlights ongoing health concerns associated with vaping.
The researchers analyzed 14 systematic reviews conducted between 2014 and 2023 to evaluate the effectiveness of nicotine e-cigarettes for smoking cessation. Their findings suggest that e-cigarettes outperform conventional nicotine replacement therapies. One 2024 Cochrane review cited in the study found that for every 100 users, an additional two to five people quit smoking when using nicotine e-cigarettes compared to using patches or gum.
Angela Difeng Wu, senior researcher and lecturer at the Nuffield Department of Primary Care Health Sciences at Oxford, said the evidence is “clear and consistent across all of the meta-analyses we consulted: e-cigarettes are effective at helping people stop smoking.” The team also developed an “Evidence and Gap Map” to highlight areas where further research is needed.
While e-cigarettes appear effective, the researchers noted that evidence on serious adverse events remains inconclusive. Most other side effects showed little or no difference between nicotine e-cigarettes and other cessation treatments. Experts caution that while vaping is less harmful than smoking combustible tobacco, it is not risk-free.
A February 2026 study found that e-cigarette users are exposed to carcinogenic chemicals, though at lower levels than smokers of traditional tobacco products. The long-term health impacts of e-cigarettes remain uncertain, partly because the products are relatively new and continue to evolve.
Despite their potential to reduce smoking, e-cigarettes have raised public health concerns, particularly among young people. The World Health Organization estimated in 2025 that over 100 million people worldwide use e-cigarettes, including at least 15 million children aged 13 to 15. In countries with available data, children are on average nine times more likely than adults to vape.
“E-cigarettes are fuelling a new wave of nicotine addiction,” said WHO’s Etienne Krug. “They are marketed as harm reduction but, in reality, are hooking kids on nicotine earlier and risk undermining decades of progress.”
The Oxford study emphasizes that uncertainties about e-cigarettes’ long-term effects and their role in smoking cessation continue to influence policy and clinical decision-making. Researchers stress that e-cigarettes should be considered as tools for current smokers attempting to quit, rather than products for non-smokers or young people.
The study contributes to the growing body of evidence supporting nicotine e-cigarettes as an alternative to traditional cessation methods, while underscoring the need for ongoing monitoring and regulation to prevent uptake among children and non-smokers.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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