Charakida M, et al. - Researchers investigated how arterial stiffness at 17 years can be affected by smoking and alcohol exposure during adolescence. They examined 1,266 participants (425 males and 841 females) from the ALSPAC study for smoking status (smokers and non-smoker) and intensity (“high” ≥ 100, “moderate” 20–99, and “low or never” < 20 cigarettes in lifetime) and frequency (low or high) and intensity of drinking (light [LI < 2], medium [MI 3–9], and heavy [HI > 10 drinks on a typical drinking day]). They found that, individually as well as together, smoking exposure, even at low levels and intensity of alcohol use were related to increased arterial stiffness. For the preservation or restoration of arterial health, public health strategies need to address preventing these habits in adolescence.