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Most smokers start smoking before 18, and only 5% start after age 20

These consist of a heating device (containing electronics and a battery) where a special tobacco stick is placed and heated up to 350C using a battery-powered heating system to generate an aerosol that contains nicotine, flavors, and other chemicals

It is noteworthy that a recent meta-analysis reported an odds ratio of association between hookah tobacco smoking and heart disease of 1.67 (95% CI = 1.25, 2.24) [154], which supports the notion that hookah is indeed detrimental to the cardiovascular system