A new study has uncovered a troubling trend: older adults who use e-cigarettes face a greater risk of developing respiratory issues, such as asthma, chronic bronchitis, and COPD. This research highlights the importance of understanding the long-term health impacts of vaping, especially for more vulnerable populations. E-cigarettes have been touted as a safer alternative to traditional cigarettes, but this study suggests that the risks may be more widespread than previously thought.

The firm said older e-cigarette users were at risk.
Using data from the Population Assessment of Tobacco and Health study, by doctoral student Adriana Eugen and Distinguished Professor Luisa N. Borrell, this study investigates the connection between e-cigarette use and respiratory illness. When researchers looked at U.S. adults, they found that anybody who had ever used e-cigarettes was 32% more likely to also say they had respiratory disease than those who never used them.
The research also found the risk was greater for adults over 45, and this risk went up even more if you also used other tobacco products. Among these, the combined effect of age and e-cigarette use was statistically significant, indicating that the vaping-respiratory illness connection is heightened among older individuals. DiscussionThis study illustrates the need to focus on interventions and policies that seek to reduce e-cigarettes use, especially among those in high-risk groups.
Evidence Based Tips and Tricks for daily practice: Exploring the Respiratory Risks
Impaired pulmonary function identified in the study translates into diseases such as asthma, chronic bronchitis or COPD, and can severely limit quality of life. For example, asthma is a chronic respiratory disease that can result in wheezing, chest tightness and shortness of breath—a number of symptoms mirrored by exposure to e- cigarette aerosol. However, in chronic bronchitis airway inflammation is ongoing and mucus secretion continues which result in persistent cough and susceptibility to respiratory infections.
A separate preliminary study suggested a link between e-cigarette use and COPD — chronic obstructive pulmonary disease, which is a progressive lung disease that includes emphysema and chronic bronchitis. In severe cases, it can greatly affect breathing and your daily activities. The results from the study indicated that older adults who use e-cigarettes are actually putting themselves at an even more increased risk of experiencing these serious, life-threatening pulmonary diseases.
Discussion, Implications, and Recommendations
Public health and policy implications of this study We need to know long-term health outcomes — including in populations already affected, such as the elderly — as the e-cigarette industry develops.
The investigators stress that any interventions or policies implemented to curb e-cigarette vaping should focus on the most vulnerable populations for respiratory diseases. It could require extra education (advertising or otherwise), increased regulation, or enhanced smoking cessation availability. Nurses are advised to screen older adults for use of e-cigarettes and monitor these patients closely for respiratory symptoms, as early detection and management have been associated with better outcomes.
While the scientific community works to unravel this complicated relationship for both e-cigarettes and health, this new discovery provides a critical reminder to policymakers, healthcare providers and the public at large that more attention is needed on possible health risks related to e-cigarette use among older adults. Addressing these issues would be a great step in forging a more positive future.