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Yoon used their responses about smoking between the ages of 12 and 18 to identify three patterns of cigarette use: stable low/no use (61 percent of respondents), gradually increasing use (30 percent) and sharply increasing cigarette use (9 percent)

More recently, it has been reported that adolescents smoking hookah had significantly lower vascular endothelium growth factor (VEGF) levels [174], which might adversely affect vascular growth and function in this population