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Updated: Jan 9, 2026

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Pulmonary function and physical performance in adolescent e-cigarette users: a narrative review.

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  • 1Department of Exercise Science and Exercise Physiology, Kent State University, Kent, OH, United States.

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|December 1, 2025
PubMed
Summary
This summary is machine-generated.

Adolescent vaping is linked to respiratory issues and reduced exercise capacity. This review highlights the risks of e-cigarette use during critical lung development periods in youth.

Keywords:
adolescentse-cigarettesexercise tolerancephysical performancepulmonary functionrespiratory health

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Area of Science:

  • Public Health
  • Respiratory Medicine
  • Adolescent Medicine

Background:

  • Adolescent e-cigarette use (vaping) has increased globally.
  • Adolescence is a critical period for lung development and aerobic capacity.
  • Vaping poses emerging threats to adolescent respiratory health and exercise performance.

Purpose of the Study:

  • To review the physiological and behavioral effects of vaping in adolescents.
  • To synthesize current evidence on vaping's impact on pulmonary development and exercise.
  • To identify knowledge gaps and inform preventive strategies.

Main Methods:

  • Narrative review of clinical, epidemiological, and experimental studies.
  • Synthesis of evidence on vaping-related toxicants and their mechanisms.
  • Analysis of respiratory symptoms, lung function, and exercise tolerance in adolescent vapers.

Main Results:

  • Vaping adolescents report more respiratory symptoms (cough, wheezing, shortness of breath).
  • Vaping may cause early declines in lung function and exercise tolerance.
  • Nicotine, ultrafine particles, aldehydes, and flavorings contribute to oxidative stress, inflammation, and impaired lung development.

Conclusions:

  • Vaping poses significant risks to adolescent lung health and physical fitness.
  • Dual use of e-cigarettes and combustible cigarettes exacerbates these risks.
  • Further research and public health interventions are crucial to protect youth from vaping's pulmonary hazards.