SYSTEMATIC REVIEW article
Front. Public Health
Sec. Substance Use Disorders and Behavioral Addictions
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1662234
This article is part of the Research TopicVaping Among Young People: Health Impacts, Trends, and Policy Implications for E-Cigarettes and THC UseView all 3 articles
Impact of electronic cigarette use and sleep duration, sleep issues and insomnia: a systematic review and meta-analysis
Provisionally accepted
Huma Sulthana1
Dr. Asif Jan2
Amogh Verma3Ranjana Sah4Rachana Mehta5Aftab ullah6Abdur Rahim7Mohammad R. Alqudimat8
Asmat Ullah9*- 1MS Ramaiah University of Applied Sciences, Bengaluru, India
- 2University of Peshawar, Peshawar, Pakistan
- 3Rama Medical College Hospital and Research Centre Hapur, Hapur, India
- 4Dr D Y Patil Medical College Hospital and Research Centre, Pune, India
- 5Manav Rachna International Institute of Research and Studies, Faridabad, India
- 6Abasyn University, Peshawar, Pakistan
- 7CECOS University, Peshawar, Pakistan
- 8American University of the Middle East, Kuwait City, Kuwait
- 9Spinghar University Faculty of Medicine, Jalalabad, Afghanistan
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The increasing popularity of electronic cigarettes (e-cigarettes) has introduced new public health challenges and concerns. While promoted as safer alternatives to conventional tobacco and as tools for quitting smoking, e-cigarettes have raised alarm about possible longterm health consequences. This systematic review and meta-analysis sought to evaluate the association between electronic cigarette consumption and sleep disturbances.We performed comprehensive searches in EMBASE, Web of Science, and PubMed up to September 18, 2024, to locate studies examining the link between e-cigarette use and sleep duration, sleep disorders, and insomnia. A meta-analysis was conducted to calculate pooled odds ratios (ORs). The quality of the studies was evaluated using the Newcastle-Ottawa Scale. Metaanalysis was performed using R software (Version 4.3).Results: A total of 14 cross-sectional studies were included from 554 unique records screened. E-cigarette users exhibited a notably elevated risk of having shorter sleep duration compared to non-users, with a pooled odds ratio of 1.38 (95% CI: 1.24-1.55). Several studies reported that ecigarette users also had higher odds of sleep disturbances, such as insomnia and reliance on sleep medications. Among adolescents, e-cigarette use was associated with a 33% to 61% increased risk of inadequate sleep.Conclusion: E-cigarette use may be associated with sleep disturbances, including shorter sleep duration and increased sleep difficulties. Future long term longitudinal studies are warranted for better evidence.
Keywords: electronic cigarettes, insomnia, sleep duration, sleep issues, health problems
Received: 08 Jul 2025; Accepted: 13 Aug 2025.
Copyright: © 2025 Sulthana, Asif Jan, Verma, Sah, Mehta, ullah, Rahim, Alqudimat and Ullah. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Asmat Ullah, Spinghar University Faculty of Medicine, Jalalabad, Afghanistan
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