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The American Academy of Pediatrics has linked high caffeine intake in adolescents to anxiety, irregular heart rhythms, and chronic sleep deprivation, which is an independent risk factor for cardiovascular disease Combined use compounds cardiovascular stress: When vaping and energy drink consumption overlap, as they frequently do, the cumulative stimulant load places added strain on the heart

Health risk behaviors among youth vary over time and across the nation, making the YRBS an important tool to better understand youth

Studies also suggest that exposure to secondhand marijuana smoke impairs vascular endothelial function

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