MINI REVIEW article
Front. Public Health
Sec. Substance Use Disorders and Behavioral Addictions
Nicotine Pouches and Youth: Emerging Patterns and Potential Cardiovascular Risks
Provisionally accepted
- 1Yale New Haven Health System, New Haven, United States
- 2Houston Methodist Hospital, Houston, Texas, United States
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The rapid rise in nicotine pouch use among teens and young adults signals a shift in nicotine consumption with significant public health implications. Marketed as discreet and "tobacco free," these products are often perceived as safer alternatives to smoking, yet their cardiovascular risks remain largely unexamined. Emerging concerns center on the high nicotine content, efficient bloodstream delivery, and growing rates of dual or poly-use with other nicotine products. Adolescents, in particular, face heightened vulnerability due to ongoing physiological development and increased addiction susceptibility. This review explores the potential cardiovascular consequences of nicotine pouch use in youth, emphasizing the urgency of evidence-based research to inform clinical guidance, regulatory action, and prevention strategies.
Keywords: Nicotine pouches, cardiovascular risk, adolescents, young adults, nicotine addiction, Tobacco harm reduction
Received: 14 Sep 2025; Accepted: 30 Oct 2025.
Copyright: © 2025 Abid¹, Aggarwal, Lau, Sethi², Iyengar¹ and Zarich². This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Abhinav Aggarwal, abhinav.aggarwal@yale.edu
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.