We all know that cigarette is injurious to health and but  Smoking tobacco through Hookah is alsoaffect our health to a great extent. According to the study published in the American Heart Association's journal, called Circulation, states that a single session of hookah, that typically lasts 30 or more minutes, typically results in greater exposure to carbon monoxide than a cigarette and that the toxic chemicals, in addition to tobacco, damages the heart and blood vessels.

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The tobacco for hookah comes in various flavours and often colourful packaging, which appeals to the youth. The sweetness of the flavours masks the harshness of smoke that makes it easier to continue smoking hookahs.
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co-author Aruni Bhatnagar said, "Many young people mistakenly believe that smoking tobacco from a hookah is less harmful than cigarette smoking because the tobacco is filtered through water, but there is no scientific evidence that supports that claim. However, there is evidence to suggest that hookah smoking is addictive and can lead to the use of other tobacco products such as cigarettes.”

The Hookah users inhale huge smoke filled with large quantities of particulate matter at higher concentrations than cigarettes. Even short-term exposure to carbon monoxide in hookahs is toxic and can interfere with exercise capacity. In addition to carbon monoxide, hookah smoke contains other potentially harmful chemicals that can affect the cardiovascular system, including nicotine, air pollutants, particulate matter, volatile organic chemicals, polycyclic aromatic hydrocarbons, acrolein, lead, cadmium and arsenic. Most of these toxins are higher in hookah than cigarette smoke.

The study also claims that Hookah when smoked, impacts heart rate and blood pressure. Constant use of Hookah has been linked with increased coronary artery disease risk.