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E-cigarettes

 "The national trends in vaping and cigarette smoking do not support the argument that vaping is leading to smoking," said Lynn Kozlowski, the paper's lead author and a professor of community health and health behavior in UB's School of Public Health and Health Professions. 

Kozlowski, PhD, added that research in the U.S. shows that as use of e-cigarettes—the act of which is known as vaping—has increased, overall smoking rates have decreased.
 
 
 
In this study, habitual e-cigarette use was associated with a shift in cardiac autonomic balance toward sympathetic predominance and increased oxidative stress, both associated with increased cardiovascular risk.
 
Scientifiic paper: jamanetwork.com