Association of electronic cigarette use and risk of COPD: a systematic review and meta analysis npj Primary Care Respiratory Medicine The Impact of Vaping on Lung Health: What You Need to Know Dr. Syed Arshad Husain Pulmonologist Dubai The evolving epidemiology, disease trajectories and etiotypes of COPD ScienceDirect A new study published in Nicotine & Tobacco Research found that those using e cigarettes alone were more than twice as likely to develop COPD than people who didn't use any tobacco products,