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But hookah can cause many of the same health problems as smoking cigarettes, says Jennifer Folkenroth, national senior director of tobacco programs at the American Lung Association in Cincinnati

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Multinomial regression showed that, compared to older adults, youth and young adults were more likely than older adults to select the plain pack, rather than saying there was no difference between packs, as having more dangerous chemicals (OR: 1.692, CI: 1.120-2.55

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There is no direct evidence linking vaping to increased belly fat, but lifestyle changes associated with vaping, such as reduced physical activity or increased calorie intake, could cause weight gain which may accumulate in the abdominal area