CClinicalTrials.gg
CompletedNCT04219189Updated Dec 5, 2023Results posted

The Acute Effect of Vaping on Food Intake

An interventional study of Vaping condition and Control condition in Energy Intake, Food Intake and E-Cig Use, sponsored by Virginia Commonwealth University. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-12-05.

Sponsored by Virginia Commonwealth University · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study assesses the acute effects of a standardized 20-minute vaping episode compared to a non-vaping control condition on ad libitum food intake during a 30-minute buffet meal, occurring approximately 45 minutes after the vaping episode

Read the detailed description

Weight control is a common motive for cigarette smoking and nicotine has been shown to suppress appetite and increase resting metabolic rate, and also serves as a behavioral alternative to eating or a distraction from hunger or food craving. Data on the acute effect of e-cigarette use ('vaping') on ad libitum food intake are non-existent. Given that many e-cigarette users report vaping for weight control and that certain e-cigarettes are being actively marketed for weight management and/or suppression of food cravings, addressing this research gap is of the utmost importance.

02

Conditions studied

  • Energy Intake
  • Food Intake
  • E-Cig Use
  • Appetite
03

In context

Lead sponsor

Virginia Commonwealth University is the lead sponsor of 641 studies on the registry; 82 are open to participants now.

Of its 88 completed or terminated interventional studies of FDA-regulated products, 62 (70%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • 18 - 65 years of age (ID card verified)
  • Reports either everyday e-cigarette use with liquid containing at least 0.3% (\~3 mg/ml) nicotine or some day e-cigarette use ( at least 3 days a week) with liquid containing at least 3% (\~30 mg/ml) nicotine for the past 30 days.

Exclusion criteria

Exclusion Criteria:

  • being unwilling to consume the foods provided due to: a) dietary limitations or preferences or b) allergies to the foods provided.
  • being unwilling to take 20 puffs from a JUUL device containing a 5% nicotine pod
  • self-reported current, diagnosed medical condition(s) will be excluded automatically: heart-related conditions (e.g., recent heart attack/stroke, coronary heart disease), severe immune system disorders (e.g., HIV/AIDS, multiple sclerosis), respiratory disorders (e.g., COPD, asthma), kidney diseases, liver diseases (e.g., cirrhosis), or seizures
  • observed high blood pressure at screening (systolic >140; diastolic >90)
  • other self-reported current, diagnosed medical conditions (e.g., specific food allergies, diabetes, thyroid disease, lyme disease) will be considered for exclusion after consultation with the PI and medical monitor
  • self-reported current, diagnosed psychiatric conditions or who report current psychiatric treatment or psychotropic medication use
  • past month use of cocaine, opioids, benzodiazepines, methamphetamine, or other (non-cannabis) illicit drugs
  • self-report of >25 days out of the past 30 for alcohol use or >20 days out of the past 30 for cannabis use.
  • women who are breast-feeding or test positive for pregnancy (by urinalysis at screening)
  • women using progestin-IUDS for birth control
  • women using birth control injections (e.g., Depo-Provera)
  • women who received a hysterectomy and still have ovaries present
  • self-report intending to quit tobacco/nicotine products in the next 30 days
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Vaping to Control Group

    Participants in this arm will undergo the vaping condition during the first visit and the control condition during the second visit.

    Other: Vaping condition · Other: Control condition

  • Experimental
    Control to Vaping Group

    Participants in this arm will undergo the control condition during the first visit and the vaping condition during the second visit.

    Other: Vaping condition · Other: Control condition

Interventions

  • OtherVaping condition

    Participants will be asked to use a JUUL device to vape 20 puffs over 20 minutes. Participants will use JUUL pods with \~5% nicotine by weight. The anticipated amount of nicotine that will be absorbed with 20 puffs is approximately 1.6 mg, which is equal to approximately 1.5 cigarettes.

  • OtherControl condition

    Participants will have access to an uncharged JUUL device with an empty pod for 20 minutes.

06

What researchers measure

Primary outcomes

  1. Energy Intake

    Energy intake in kilocalories (kcal) during the ad libitum buffet meal will be measured via directly weighed food provision and waste (food/energy intake is calculated by difference).

    Time frame: intake was assessed over a 30 minute meal

Secondary outcomes

  1. Dietary Added Sugar Intake

    Dietary added sugar intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  2. Dietary Sugar Intake

    Dietary sugar intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  3. Dietary Fat Intake

    Dietary fat intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  4. Dietary Carbohydrate Intake

    Dietary carbohydrate intake

    Time frame: intake was assessed over a 30 minute meal

  5. Dietary Protein Intake

    Dietary protein intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  6. Dietary Calcium Intake

    Dietary calcium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  7. Dietary Cholesterol Intake

    Dietary cholesterol intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  8. Dietary Fiber Intake

    Dietary fiber intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  9. Dietary Iron Intake

    Dietary iron intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  10. Dietary Potassium Intake

    Dietary potassium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  11. Dietary Sodium Intake

    Dietary sodium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  12. Dietary Saturated Fat Intake

    Dietary saturated fat intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  13. Dietary Vitamin D Intake

    Dietary Vitamin D Intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

    Time frame: intake was assessed over a 30 minute meal

  14. Difference in Food Cravings

    Total score in the Food Cravings Questionnaire State (FCQ-State) after the vaping vs after the non-vaping condition. Fifteen items are rated on a 5-point Likert Scale (Strongly Disagree=1, Disagree=2, Neutral=3, Agree=4, Strongly Agree=5) with higher scores indicating higher food cravings. For a total score, all 15 items were summed together and higher scores indicate a higher intensity or craving to eat (Meule, 2020). The range for total scores is around 15-75.

    Time frame: The FCQ-State was administered about 30 minutes after either the vaping or non-vaping (control) condition and about ~20 minutes before the ad lib buffet meal.

07

Results

Posted Nov 13, 2023

Participant flow

Participant flow — Overall Study
MilestoneVaping to Control GroupControl to Vaping Group
Started1921
Completed1816
Not completed15
Withdrew: Withdrawal by subject12
Withdrew: Protocol violation01
Withdrew: Lost to follow-up01
Withdrew: Participant blood pressure out of range for the study , withdrawn by pi01

Outcome measures

PrimaryEnergy Intake

Energy intake in kilocalories (kcal) during the ad libitum buffet meal will be measured via directly weighed food provision and waste (food/energy intake is calculated by difference).

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · Kilocalories
Energy Intake
KilocaloriesVaping to Control GroupControl to Vaping Group
Kilocalories (active )1102.1 ± 615.31003.4 ± 577.5
Kilocalories (control)910.4 ± 529.4868.3 ± 443.6
SecondaryDietary Added Sugar Intake

Dietary added sugar intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Added Sugar Intake
gramsVaping to Control GroupControl to Vaping Group
Added Sugar (active)28.4 ± 27.543.0 ± 28.9
Added sugar (control)25.0 ± 19.737.7 ± 24.4
SecondaryDietary Sugar Intake

Dietary sugar intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Sugar Intake
gramsVaping to Control GroupControl to Vaping Group
Sugar (active)32.9 ± 28.054.0 ± 41.3
Sugar (control)29.2 ± 20.150.0 ± 38.0
SecondaryDietary Fat Intake

Dietary fat intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Fat Intake
gramsVaping to Control GroupControl to Vaping Group
Fat (active)40.9 ± 27.652.9 ± 27.6
Fat (control)37.7 ± 24.351.2 ± 28.4
SecondaryDietary Carbohydrate Intake

Dietary carbohydrate intake

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Carbohydrate Intake
gramsVaping to Control GroupControl to Vaping Group
Carb (active)82.2 ± 51.8106.6 ± 62.0
Carb (control)72.8 ± 34.8105.3 ± 55.1
SecondaryDietary Protein Intake

Dietary protein intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Protein Intake
gramsVaping to Control GroupControl to Vaping Group
Protein (active)51.7 ± 33.758.3 ± 34.1
Protein (control)46.7 ± 29.053.1 ± 34.1
SecondaryDietary Calcium Intake

Dietary calcium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · milligrams
Dietary Calcium Intake
milligramsVaping to Control GroupControl to Vaping Group
Calcium (active)287.1 ± 332.5404.5 ± 269.8
Calcium (control)294.4 ± 294.9404.2 ± 349.2
SecondaryDietary Cholesterol Intake

Dietary cholesterol intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · milligrams
Dietary Cholesterol Intake
milligramsVaping to Control GroupControl to Vaping Group
Cholesterol (active)121.0 ± 82.3143.2 ± 103.8
Cholesterol (control)113.1 ± 75.7146.3 ± 112.9
SecondaryDietary Fiber Intake

Dietary fiber intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Fiber Intake
gramsVaping to Control GroupControl to Vaping Group
Fiber (active)3.2 ± 2.64.4 ± 3.9
Fiber (control)3.2 ± 2.64.9 ± 4.3
SecondaryDietary Iron Intake

Dietary iron intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · milligrams
Dietary Iron Intake
milligramsVaping to Control GroupControl to Vaping Group
Iron (active)2.9 ± 1.73.3 ± 2.5
Iron (control)2.5 ± 1.33.5 ± 2.4
SecondaryDietary Potassium Intake

Dietary potassium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · milligrams
Dietary Potassium Intake
milligramsVaping to Control GroupControl to Vaping Group
Potassium (active)606.4 ± 304.1739.1 ± 470.5
Potassium (control)544.4 ± 222.9808.6 ± 509.2
SecondaryDietary Sodium Intake

Dietary sodium intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · milligrams
Dietary Sodium Intake
milligramsVaping to Control GroupControl to Vaping Group
Sodium (active)2045.5 ± 1215.12350.4 ± 1393.2
Sodium (control)1865.3 ± 1047.62255.8 ± 1376.1
SecondaryDietary Saturated Fat Intake

Dietary saturated fat intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · grams
Dietary Saturated Fat Intake
gramsVaping to Control GroupControl to Vaping Group
Sat_Fat (active)14.5 ± 13.219.5 ± 11.5
Sat_Fat (control)13.6 ± 9.818.4 ± 12.3
SecondaryDietary Vitamin D Intake

Dietary Vitamin D Intake was calculated across all food consumed during the ad lib buffet meal and summed to estimate total intake and compare between active and control conditions.

Time frame:
intake was assessed over a 30 minute meal
Reported as:
Mean · mcg
Dietary Vitamin D Intake
mcgVaping to Control GroupControl to Vaping Group
Vit D (active)0.16 ± 0.220.25 ± 0.22
Vit D (control)0.16 ± 0.200.25 ± 0.30
SecondaryDifference in Food Cravings

Total score in the Food Cravings Questionnaire State (FCQ-State) after the vaping vs after the non-vaping condition. Fifteen items are rated on a 5-point Likert Scale (Strongly Disagree=1, Disagree=2, Neutral=3, Agree=4, Strongly Agree=5) with higher scores indicating higher food cravings. For a total score, all 15 items were summed together and higher scores indicate a higher intensity or craving to eat (Meule, 2020). The range for total scores is around 15-75.

Time frame:
The FCQ-State was administered about 30 minutes after either the vaping or non-vaping (control) condition and about ~20 minutes before the ad lib buffet meal.
Reported as:
Mean · units on a scale
Difference in Food Cravings
units on a scaleVaping to Control GroupControl to Vaping Group
Total FCQ (active)49.8 ± 10.648.7 ± 8.4
Total FCQ (control)46.5 ± 12.352.2 ± 10.0

Adverse events

Collected over Data were collected following enrollment (screening/baseline visit) until completion of the final session or last date of contact with the participant (if withdrawn). The typical length of the study participation was approximately 2-4 weeks.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Vaping to Control Group0/18 (0%)0/18 (0%)1/18 (5.6%)
Control to Vaping Group0/16 (0%)0/16 (0%)0/16 (0%)
Most frequent other events
Most frequent other events
EventVaping to Control GroupControl to Vaping Group
DizzinessGeneral disorders1/180/16

Baseline characteristics

Age, Continuous
Age, Continuous(years)Vaping to Control GroupControl to Vaping GroupTotal
Mean24.6 ± 6.726.9 ± 10.125.7 ± 8.4
Sex/Gender, Customized
Sex/Gender, Customized(Participants)Vaping to Control GroupControl to Vaping GroupTotal
Female5712
Male12921
Non-Binary101
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Vaping to Control GroupControl to Vaping GroupTotal
American Indian or Alaska Native000
Middle Eastern314
Asian145
Native Hawaiian or Pacific Islander000
Black or African American415
Prefer to self describe112
White8715
More than one race123
Unknown or not reported000
Hispanic or Latino325
Not Hispanic or Latino151429
Unknown ethnicity or not reported000
08

Study locations

1 site
  • Center for the Study of Tobacco Products
    Richmond, Virginia 23220, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Aug 4, 2023
  • Informed consent form · Jul 21, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 5, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04219189
Lead sponsor
Virginia Commonwealth University
Collaborators
Pennington Biomedical Research Center, National Institute on Drug Abuse (NIDA)
Responsible party
Sponsor
First posted
Jan 6, 2020
Start date
Sep 22, 2021
Primary completion
Sep 21, 2022
Completion
Sep 21, 2022
Results posted
Nov 13, 2023
Last update
Dec 5, 2023

Study contacts

Caroline Cobb (Amey), PhD
principal investigator · Virginia Commonwealth University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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