In Turkey, “
Maras Powder,” which is a kind of powder yielded from the shields of tobacco, is widely used as smokeless tobacco through buccal mucosa or together with cigarette.
Maras powder, composed of ash and a plant named Nicotiana Rustica Linn, is sometimes used to give up smoking. The present study was aimed to investigate the effects of
Maras powder use on respiratory functions of healthy subjects who do not have any chronic disease. We found statistically significant differences in percentage of forced expiratory volume in the first second (FEV
1%) (
p = 0.001), the ratio of FEV
1 to forced vital capacity (FEV
1/FVC) (
p = 0.024), percent of maximum expiratory flow rate (FEF
25-75%) (
p = 0.002) and percent of peak expiratory flow (PEF%) (
p = 0.037) between cigarette smokers with
Maras powder use (
n = 23) and control subjects (
n = 24). Likewise, when cigarette smokers (
n = 24) and control subjects were compared, the differences for all these parameters were significant (
p = 0.022,
p = 0.048,
p = 0.011 and
p = 0.047, respectively). Only FEV
1% and FEF
25-75% were significantly lower in cigarette smokers with
Maras powder use than in
Maras powder users (
n = 28) (
p = 0.011 and
p = 0.022, respectively). There was a negative correlation between forced vital capacity and
Maras powder use (
r = −0.315,
p = 0.03). The present study suggests that
Maras powder does not cause serious bronchial obstruction. This may be due to usage of the smokeless tobacco through buccal mucosa but not through inhalation as in case of cigarette smoking.
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