A Review of the Health Impact of Nicotine Pouches

Introduction and Purpose of Research Nicotine pouches, popular especially among young people, are smokeless alternatives to traditional tobacco. Placed in the mouth, they release nicotine absorbed through the mucosa, reducing withdrawal symptoms and avoiding harmful tobacco smoke. Often used for...

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Main Authors: Radosław Chmiel, Daria Michałka, Natalie Papachristoforou, Zuzanna Gałuszka, Monika Makar, Tomasz Bartuś, Natalia Tekiela, Emilia Bąk, Justyna Głowacka, Aleksandra Kocjan
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57617
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author Radosław Chmiel
Daria Michałka
Natalie Papachristoforou
Zuzanna Gałuszka
Monika Makar
Tomasz Bartuś
Natalia Tekiela
Emilia Bąk
Justyna Głowacka
Aleksandra Kocjan
author_facet Radosław Chmiel
Daria Michałka
Natalie Papachristoforou
Zuzanna Gałuszka
Monika Makar
Tomasz Bartuś
Natalia Tekiela
Emilia Bąk
Justyna Głowacka
Aleksandra Kocjan
author_sort Radosław Chmiel
collection DOAJ
description Introduction and Purpose of Research Nicotine pouches, popular especially among young people, are smokeless alternatives to traditional tobacco. Placed in the mouth, they release nicotine absorbed through the mucosa, reducing withdrawal symptoms and avoiding harmful tobacco smoke. Often used for smoking cessation, they are considered lower-risk than smoking and may help reduce smoking rates. The aim of this review is to summarize the current knowledge on the impact of nicotine pouches on overall human health.   Review Methods The review is based on 39 articles found in PubMed databases published between 2006–2024.  Conclusion While nicotine pouches and snus are marketed as lower-risk alternatives to smoking, their health implications are still significant. These products, popular among young adults and athletes, may help with smoking cessation but carry risks, particularly with long-term use. Research suggests nicotine pouches and snus may have no performance-enhancing effects in sports and could impair physical performance, including endurance and strength. Moreover, their use is linked to various health concerns such as cardiovascular issues, type 2 diabetes, oral mucosal changes, and decreased sperm count. Snus has been associated with a modest increase in cardiovascular disease risk, although the risks are lower than smoking. Additionally, smokeless tobacco use is linked to an increased risk of oral squamous cell carcinoma, especially in women. The use of snus during pregnancy has also been linked to higher risks of post-neonatal mortality and other adverse outcomes. Despite these findings, there is a need for more extensive, well-controlled studies to fully understand the long-term health effects of smokeless tobacco products and their role in public health.
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institution Kabale University
issn 2450-3118
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publisher Nicolaus Copernicus University in Toruń
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series Quality in Sport
spelling doaj-art-dfaa261279424878846f11be412ae4232025-01-28T08:25:08ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2024.37.57617A Review of the Health Impact of Nicotine PouchesRadosław Chmiel0https://orcid.org/0009-0002-2726-6207Daria Michałka1https://orcid.org/0009-0009-6812-6543Natalie Papachristoforou2https://orcid.org/0009-0006-8417-3794Zuzanna Gałuszka3https://orcid.org/0009-0009-1729-2146Monika Makar4https://orcid.org/0009-0009-8023-6964Tomasz Bartuś5https://orcid.org/0009-0000-3980-3191Natalia Tekiela6https://orcid.org/0009-0000-5208-251XEmilia Bąkhttps://orcid.org/0000-0002-6407-4063Justyna Głowacka7https://orcid.org/0009-0009-8289-8822Aleksandra Kocjan8https://orcid.org/0009-0001-5740-6867SP ZOZ MSWiA Hospital in KrakówNZOZ „Centrum Zdrowia i Profilaktyki Dąbie” sp. z o. o., Widok 31 street, 31-567 KrakówSP ZOZ MSWiA w KrakowieSPZOZ Myślenice: Myślenice, Poland, PLNiepołomickie Centrum Profilaktyczno-Lecznicze, Stefana Batorego 41C street, 32-005 NiepołomiceAndrzej Frycz Modrzewski University in Kraków, Gustawa Herlinga-Grudzińskiego 1 streetSP ZOZ MSWiA Hospital in Kraków, Kronikarza Galla 25 street, 30-053 Kraków Gabriel Narutowicz Municipal Hospital in Kraków, Prądnicka 35 street, 31-202 KrakówLudwik Rydygier Specialist Hospital, Osiedle Złotej Jesieni 1 street, 31-820 Kraków Introduction and Purpose of Research Nicotine pouches, popular especially among young people, are smokeless alternatives to traditional tobacco. Placed in the mouth, they release nicotine absorbed through the mucosa, reducing withdrawal symptoms and avoiding harmful tobacco smoke. Often used for smoking cessation, they are considered lower-risk than smoking and may help reduce smoking rates. The aim of this review is to summarize the current knowledge on the impact of nicotine pouches on overall human health.   Review Methods The review is based on 39 articles found in PubMed databases published between 2006–2024.  Conclusion While nicotine pouches and snus are marketed as lower-risk alternatives to smoking, their health implications are still significant. These products, popular among young adults and athletes, may help with smoking cessation but carry risks, particularly with long-term use. Research suggests nicotine pouches and snus may have no performance-enhancing effects in sports and could impair physical performance, including endurance and strength. Moreover, their use is linked to various health concerns such as cardiovascular issues, type 2 diabetes, oral mucosal changes, and decreased sperm count. Snus has been associated with a modest increase in cardiovascular disease risk, although the risks are lower than smoking. Additionally, smokeless tobacco use is linked to an increased risk of oral squamous cell carcinoma, especially in women. The use of snus during pregnancy has also been linked to higher risks of post-neonatal mortality and other adverse outcomes. Despite these findings, there is a need for more extensive, well-controlled studies to fully understand the long-term health effects of smokeless tobacco products and their role in public health. https://apcz.umk.pl/QS/article/view/57617Nicotine pouchessmoking, type 2 diabetessmokeless tobaccosnusperipheral artery disease
spellingShingle Radosław Chmiel
Daria Michałka
Natalie Papachristoforou
Zuzanna Gałuszka
Monika Makar
Tomasz Bartuś
Natalia Tekiela
Emilia Bąk
Justyna Głowacka
Aleksandra Kocjan
A Review of the Health Impact of Nicotine Pouches
Quality in Sport
Nicotine pouches
smoking
, type 2 diabetes
smokeless tobacco
snus
peripheral artery disease
title A Review of the Health Impact of Nicotine Pouches
title_full A Review of the Health Impact of Nicotine Pouches
title_fullStr A Review of the Health Impact of Nicotine Pouches
title_full_unstemmed A Review of the Health Impact of Nicotine Pouches
title_short A Review of the Health Impact of Nicotine Pouches
title_sort review of the health impact of nicotine pouches
topic Nicotine pouches
smoking
, type 2 diabetes
smokeless tobacco
snus
peripheral artery disease
url https://apcz.umk.pl/QS/article/view/57617
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