The Evaluation of the Acute Effect of Water-Pipe Smoking on the Endothelial Function and the Respiratory System

• PRE - Endothelial Function as assessed by EndoPAT2000 [ Time Frame: baseline (before smoking narghile) ] [ Designated as safety issue: No ]
  as assessed by EndoPAT2000. a pulse-oxymeter that asseses the endothelial function
• POST - Endothelial Function as assessed by EndoPAT2000 [ Time Frame: after 30 minutes of smoking narghile ] [ Designated as safety issue: No ]
  as assessed by EndoPAT2000. a pulse-oxymeter that asseses the endothelial function

• carboxy- hemoglobin [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: Yes ]
  Blood Test
• heart rate [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  Heart Beats count
• Visual Analog Score 1-10 (1=bad 10=good) [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  Questionnaire
• Respiratory Rate [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
• Spirometry [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  Koko spirometry system
• Eosinophils Count [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  Blood Test
• Blood Pressure [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  Regular Blood Pressure assesment
• Exhaled Breath Condensate [ Time Frame: before and immediatly after 30 min of smoking ] [ Designated as safety issue: No ]
  R-tubes test

Title: The acute effect of narghile smoking on endothelial Function, and exhaled breath condensate (EBC) and pulmonary function tests in healthy volunteers.

Objectives: To evaluate the acute effect of one cession of narghile smoking on endothelial Function, airway inflammation as assessed by exhaled breath condensate (EBC) in healthy volunteers.

Design: Prospective study evaluating these parameters before and after 30 minutes of Narghile smoking. The changes in inflammatory parameters pre and post smoking will be evaluated blindly.

Sample size: 50 participants Participant selection: Adults subjects who smoke Narghile . Intervention: Each subject will undergo evaluation including a respiratory questionnaire, endothelial Function , pulmonary function tests , exhaled breath condensate (EBC) and carboxy- hemoglobin levels . All measurements will be evaluated before and after one cession of 30 minutes narghile smoking.

Normal People who have smoked Water-pipe, at least once before.

Inclusion Criteria:

• Age > 18 Y.O.
• Have smoked Water-pipe at least once before.

Exclusion Criteria:

• Breast feeding Women.
• S/P Bacterial Or Viral infection, Last 2 weeks
• P.O. Steroids
• Water-pipe smoking, last 24 hours
• Cigarette smoking, last 6 hours
• Intensive exposure to smoke (fire), last 24 hours
• S/P Intensive Care Hospitalization, last 3 months