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Clearly, teens find it difficult to quit, with 84% of smokers 12 to 17 years of age in one study reporting they "needed" or "were dependent" on cigarettes, and in another, fewer than 20% were able to remain free of tobacco for more than one month
The benefits of exercise are well known
[ 5 , 49 ] A meta-analysis from 2020 found that adolescents and young adults who had ever smoked hookah at baseline had 2.54 times the odds of cigarette smoking initiation and 2.04 times the odds of current cigarette smoking at follow-up, which ranged across the studies from 6 months to 3 years
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