Assessing the gastrointestinal and psychological impacts of nicotine pouch use among adults in Saudi Arabia: A cross-sectional study
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47.9% of ONPs users reported nausea.
“47.9% of ONPs users reported nausea”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
46.5% of ONPs users reported stomach pain.
“46.5% of ONPs users reported stomach pain”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
Among ONP users, 39.3% reported some psychological impact of ONPs (19.9% mild, 10.2% moderate, 6% severe, and 3.1% very severe).
“39.3% of ONPs users reported some psychological impact of ONPs (19.9% of ONP users reported mild psychological impact, 10.2% moderate psychological impact, 6% severe psychological impact and 3.1% very severe psychological impact of ONPs) (Al-Nafisi et al. 2025)”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
Among ONP users, gastrointestinal symptoms include bloating (66.7%), nausea (47.9%), heartburn (46.7%), stomach pain (46.5%), constipation (45.3%), and diarrhea (36.6%).
“gastrointestinal symptoms among ONP users, including bloating (66.7% of respondents), nausea (47.9% of respondents), heartburn (46.7% of respondents), stomach pain (46.5% of respondents), constipation (45.3% of respondents) and diarrhea (36.6% of respondents) (Al-Nafisi et al. 2025).”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
66.7% of ONPs users reported bloating.
“66.7% of ONPs users reported bloating (Al-Nafisi et al. 2025)”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
36.6% of ONPs users reported diarrhea.
“36.6% of ONPs users reported diarrhea”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
45.3% of ONPs users reported constipation.
“45.3% of ONPs users reported constipation”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
46.7% of ONPs users reported heartburn.
“46.7% of ONPs users reported heartburn”
From Comparison of the Health Effects Associated with the Use of Snus and Tobacco-Free Oral Nicotine Pouches: A Systematic Review (2026) · cites this paper as Al-Nafisi et al. 2025
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Cites
No references could be resolved yet.
Research works printed but not linked: 11
- [1]Mahyoub MA, Al-Qurmoti S, Rai AA, et al. Adverse physiological effects of smoking cessation on the gastrointestinal tract: A review. Medicine (Baltimore). 2023; 102(38): e35124. doi: 10.1097/MD.0000000000035124 37747027 PMC10519547 · DOI
- [2]Sushanthi S, Doraikannan S, Indiran MA. Assessment of anxiety, depression and nicotine dependence among construction workers in Chennai - A cross sectional study. J Oral Biol Craniofac Res. 2022; 12(2): 263- 267. doi: 10.1016/j.jobcr.2022.03.004 35321414 PMC8935505 · DOI
- [3]Stanfill S, Tran H, Tyx R, et al. Characterization of Total and Unprotonated (Free) Nicotine Content of Nicotine Pouch Products. Nicotine Tob Res. 2021; 23(9): 1590- 1596. doi: 10.1093/ntr/ntab030 34233354 · DOI
- [4]Dowd AN, Thrul J, Czaplicki L, Kennedy RD, Moran MB, Spindle TR. A cross-sectional survey on oral nicotine pouches: characterizing use-motives, topography, dependence levels, and adverse events. Nicotine Tob Res. 2024; 26(2): 245- 249. doi: 10.1093/ntr/ntad179 37712111 PMC10803111 · DOI
- [5]Awan T, Awan T, Khalid F, Awan I. Perception, beliefs and health effects of nicotine pouches. Khyber Medical University journal. 2024; 16(2): 177- 178. doi: 10.35845/kmuj.2024.23552 · DOI
- [6]Farooqi W, Hussamuldin A, Alabdullah A, et al. Prevalence of gastroesophageal reflux disease (GERD) among electronic cigarette-smoking university students in Riyadh, Saudi Arabia. Cureus. 2024; 16(12): e74999. doi: 10.7759/cureus.74999 39749097 PMC11693786 · DOI
- [7]Debnath M, Debnath D, Singh P, Wert Y, Nookala V. Effect of electronic cigarettes on the gastrointestinal system. Cureus. 2022; 14(7): e27210. doi: 10.7759/cureus.27210 35903484 PMC9322142 · DOI
- [8]Aldhahir AM, Siraj RA, Alqarni AA, et al. The prevalence and sociodemographic determinants of tobacco and nicotine use among students in healthcare disciplines in Saudi Arabian universities: a cross-sectional survey. Front Public Health. 2024; 12: 1348370. doi: 10.3389/fpubh.2024.1348370 38515594 PMC10954892 · DOI
- [9]Albarrak DA, Alotaibi AB, Alotaibi RF, et al. The association between nicotine dependence and mental health in the general population of Saudi Arabia: a cross-sectional analytical study. Int J Gen Med. 2023; 16: 5801- 5815. doi: 10.2147/IJGM.S429609 38106979 PMC10723076 · DOI
- [10]Rungraungrayabkul D, Gaewkhiew P, Vichayanrat T, Shrestha B, Buajeeb W. What is the impact of nicotine pouches on oral health: a systematic review. BMC Oral Health. 2024; 24(1): 889. doi: 10.1186/s12903-024-04598-8 39097712 PMC11297755 · DOI · Paper page
- [11]Alizadehgharib S, Lehrkinder A, Alshabeeb A, Östberg AK, Lingström P. The effect of a non-tobacco-based nicotine pouch on mucosal lesions caused by Swedish smokeless tobacco (snus). Eur J Oral Sci. 2022; 130(4): e12885. doi: 10.1111/eos.12885 35853092 PMC9540014 · DOI
Cited by
Sorted by citations
Kopa-Stojak, P. N., & Pawliczak, R. (2026) · Exposure and Health · doi:10.1007/s12403-026-00812-w
- Authors
- AlNafisi, A. M., Alsulami, Z. B., AlsulamI, M. B., Alhazmi, A. K., ALKHRASHI, B. A., Alzakari, M. A., ALSHUTWI, A. S., Bokhari, K. Y., Alzkari, F., & Al-Ahmari, O. T.
- Venue
- Tobacco Prevention & Cessation
- Publisher
- European Publishing
- Published
- 2025-08-18
- Volume
- 11
- Issue
- August
- Pages
- 1-9
- ISSN
- 2459-3087
- PMC
- PMC12359081
- Cited by
- 8
- References
- 0
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