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Parents can get a better handle on what their kids are playing by watching them play and talking with them about the content, Koval said

There will be more cases than they are reporting, that's worrying

However, the fact that the prevalence of household passive smoke exposure and serum cotinine levels were both not significantly different between children with and without allergic sensitization suggests that confounding alone is unlikely to explain the observed association

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Whereas a cigarette smoker will most likely struggle due to lower VO2, or maximal oxygen uptake, because of the inhaled smoke and the many chemicals found in cigarettes