{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T20:40:47Z","timestamp":1793133647260,"version":"4.5.0"},"reference-count":145,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,3,1]]},"abstract":"<jats:p>Recently, there has been a significant increase in the use of noncombustible nicotine\u2013containing products, including electronic cigarettes (e-cigarettes). Of increasing popularity are e-cigarettes that can deliver high doses of nicotine over short periods of time. These devices have led to a rise in nicotine addiction in adolescent users who were nonsmokers. Use of noncombustible nicotine products by pregnant mothers is also increasing and can expose the developing fetus to nicotine, a known teratogen. In addition, young children are frequently exposed to secondhand and thirdhand nicotine aerosols generated by e-cigarettes, with little understanding of the effects these exposures can have on health. With the advent of these new nicotine-delivery systems, many concerns have arisen regarding the short- and long-term health effects of nicotine on childhood health during all stages of development. Although health studies on nicotine exposure alone are limited, educating policy makers and health care providers on the potential health effects of noncombustible nicotine is needed because public acceptance of these products has become so widespread. Most studies evaluating the effects of nicotine on health have been undertaken in the context of smoke exposure. Nevertheless, in vitro and in vivo preclinical studies strongly indicate that nicotine exposure alone can adversely affect the nervous, respiratory, immune, and cardiovascular systems, particularly when exposure occurs during critical developmental periods. In this review, we have included both preclinical and clinical studies to identify age-related health effects of nicotine exposure alone, examining the mechanisms underlying these effects.<\/jats:p>","DOI":"10.1542\/peds.2019-1346","type":"journal-article","created":{"date-parts":[[2020,2,11]],"date-time":"2020-02-11T13:46:43Z","timestamp":1581428803000},"source":"Crossref","is-referenced-by-count":150,"title":["The Effects of Nicotine on Development"],"prefix":"10.1542","volume":"145","author":[{"given":"Sharon A.","family":"McGrath-Morrow","sequence":"first","affiliation":[{"name":"Julius B. 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Richmond Center of Excellence, American Academy of Pediatrics, Itasca, Illinois;"},{"name":"Department of Environmental Health and Engineering, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Wilson","sequence":"additional","affiliation":[{"name":"Julius B. Richmond Center of Excellence, American Academy of Pediatrics, Itasca, Illinois;"},{"name":"Department of Pediatrics, Icahn School of Medicine at Mount Sinai and Kravis Children\u2019s Hospital, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne E.","family":"Tanski","sequence":"additional","affiliation":[{"name":"Julius B. 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