Chronic Obstructive Pulmonary Disease (COPD) Forum
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Avatar universal

COPD & Smoking (now pipe only)

My mother has COPD. She used to smoke about a pack of cigarettes a day, maybe more. She has since moved on to a pipe which she smokes daily. Is this less harmful? Is a pipe still a significant threat? What should we know about pipe-smoking and COPD?
1 Responses
242587 tn?1355424110
Pipe smoking is dangerous, not less harmful that cigarettes and can cause COPD. You ask, “Is a pipe still a significant threat?” The answer is, YES.  How significant a threat depends on how much smoking a person does and how deeply one inhales the smoke.  Pipe smoking is a very bad idea for a person with COPD.

The following is from a reputable medical journal, The Annals of Internal Medicine.

The Association of Pipe and Cigar Use With Cotinin Levels, Lung Function, and Airflow Obstruction: A Cross-sectional Study
Rodriguez, Josanna MD; Jiang, Rui MD, DrPH; Johnson
Annals of Internal Medicine  Issue: Volume 152(4), 16 February 2010, pp 201-210 Abstract
Background: Cigarette smoking is the major cause of chronic obstructive pulmonary disease, but studies on the contribution of other smoking techniques are sparse.
Objective: To determine whether pipe and cigar smoking was associated with elevated cotinine levels, decrements in lung function, and increased odds of airflow obstruction.
Participants: Men and women aged 48 to 90 years without clinical cardiovascular disease at enrollment who were part of MESA (Multi-Ethnic Study of Atherosclerosis).

Results: Self-reported current pipe and cigar smokers had elevated urine cotinine levels compared with never-smokers.  (Cotinine is a biomonitoring marker for tobacco smoke. Pipe-years smoked were associated with significant reductions in lung function (COPD). Participants who smoked pipes or cigars had increased odds of airflow obstruction (COPD

Conclusion: Pipe and cigar smoking increased urine cotinine levels and was associated with decreased lung function and increased odds of COPD, even in participants who had never smoked cigarettes.

Good luck
Popular Resources
Find out what causes asthma, and how to take control of your symptoms.
Healing home remedies for common ailments
Tricks to help you quit for good.
Is your area one of the dirtiest-air cities in the nation?
For people with Obsessive-Compulsive Disorder (OCD), the COVID-19 pandemic can be particularly challenging.
A list of national and international resources and hotlines to help connect you to needed health and medical services.