August 2008

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The role that long-term, heavy smoking plays in developing lung cancer and heart disease are widely known. But it also plays a significant role in damaging dozens of other body systems and overall health.

For example, even apart from specific damage to the lungs or larynx or arteries, smoking reduces the desire to exercise in most people. By using a chemical to lower stress, that motive for exercise is reduced. By lowering oxygen concentration, constricting arteries and causing “smoker’s hack” the incentives for healthy exercise are lowered still further.

The net result is that smokers tend to be more sedentary. That reduces overall fitness. As a result, the body is less able to deal with the normal strains put on it. What would otherwise be minor health problems, become larger and harder for the immune system to deal with.

Long term, heavy smoking has more direct effects on the body, in every area. It increases the odds of acquiring a variety of other cancers, such as cancer of the esophagus, the stomach and the cervix. It causes a form of leukemia.

COPD, chronic obstructive pulmonary disease, is one of the possible conditions among long term smokers. About one in four contract it and it’s estimated that 80-90% of COPD cases are among those who smoke. Emphysema, chronic bronchitis and asthma (types of COPD) are much more prevalent among smokers than non-smokers.

Smoking ups the odds of having an aortic abdominal aneurysm (a weakening of the lining of the blood vessel). That makes it much more likely to rupture, which is generally fatal if not corrected within minutes.

Postmenopausal women smokers have, on average, a lower overall bone density than those who have never smoked. That makes it more likely for them to suffer hip fractures from falls, a problem among many of the elderly. Such bone fractures are sometimes fatal, as a result of subsequent complications.

The most well known ill-health effects from long-term, heavy smoking remain, of course, lung cancer and heart disease.

‘Long term’ is vague, but the longer the habit, the higher the odds. Some UK studies, for example, show that those in their 30s and 40s are five times more likely to have a heart attack than non-smokers. Long-term, one-pack-a-day smokers have 2-4 times the chance of developing coronary heart disease than do non-smokers.

‘Heavy’ is equally vague, but one pack per day is the most often cited figure and it correlates well with the amount most smokers consume. It’s estimated that 87% of lung cancer cases in the U.S. are the result of smoking a pack per day for 20 years or more.

Stopping now provides immediate lowering of the risk. Within 3 months the circulation improves. After a year, the odds of acquiring heart disease are half that of a smoker. After 5-15 years, the odds are that of someone who has never smoked. Don’t think it’s too late. Start today on a program to quit smoking.

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Many who consider quitting smoking think “the damage is done”. Or, “Why bother, it’s too late”. The scientific data say otherwise. It says the benefits are immediate and long-lasting.

Within the first hour after you stop smoking, blood pressure and pulse decrease and the internal temperature of the hands and feet increase. The compounds produced in the body from smoking constrict blood vessels and raise the heart rate. As they’re flushed out of the body, it returns to a normal state.

A few hours later, carbon monoxide levels in the blood return to normal. Cigarette smoke contains CO, which binds with hemoglobin - the molecule that helps transport oxygen through the blood stream. But that combination reduces the amount of available oxygen. As the CO level decreases, more oxygen is available for its intended purpose: feeding tissues that sustain your life.

After the first 24 hours, the risk of heart attack is already on the downswing. Forty-eight hours after you quit, your nerve endings will change. The stimulation induced by bathing them in nicotine products is radically reduced. You’ll begin to recover normal sensation. At the same time, the senses of taste and smell start to recover. Food will taste fresher and you’ll be able to detect odors better.

After a couple of weeks, the cravings for nicotine will taper off, only to return (if at all) at random over the next few months. The circulatory system is recovering. The ability to exercise without wheezing and shortness of breath is returning gradually. After a few weeks or months, you’ll be able to carry out a normal exercise routine.

Over the next several months, the hack and sinus congestion so common among smokers decreases considerably. Smoke-induced fatigue drops, so the overall energy level increases. The body’s systems are regenerating to function at peak level.

As you keep to that long-term commitment, the risk of stroke drops precipitously. For smokers, the risk is twice that of a non-smoker. Within a year it’s half what it was. Within 5-15 years it is down to that of someone who has never inhaled a cigarette.

At the same time, similar risks of lung or larynx cancer, as well as bladder, pancreas and others, drop to that of a lifelong non-smoker. Official estimates attribute 87% of lung cancer cases to long-term, heavy smoking. Quitting smoking takes you out of that group within a few years.

Stopping smoking is a permanent commitment to long-term health. The alternative is a greatly increased risk of coronary disease, stroke, a dozen different cancers, COPD and other serious medical problems. Don’t let the odds get you. Stop now.

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“Just stop”, we’re told. Stop smoking, that is, by just deciding to stop. Wouldn’t it be great if it were that easy? But the fact is that both physiological changes and psychological issues play a role in any stop-smoking program. Even the most determined can rarely just flip a switch and never smoke cigarettes again.

Still, a commitment to do so has to be a part of any program. Only 6% on average will successfully stop smoking their first try. Summoning up the willpower to make that decision permanent is key to succeeding in the long run.

Up your odds by understanding what willpower is and how it functions in a stop smoking program.

In any area of life, we make many small choices. But the big ones are very rarely a matter of snapping the mental fingers and choosing a course of action. It takes more thought and effort than that. Those twin helpers are the link between willpower and achievement of the goal.

Stress is one major factor that starts individuals smoking, and keeps them at it year after year. Some event occurs, it’s evaluated as a negative impact over which we have little control, and we feel stress. The next action is to reach for a cigarette to restore calm.

At several points along that moving train of events it’s possible to interrupt the journey.

Start small. Look for those times when reaching for a cigarette is just a habitual move. You get up in the morning and reach for the first cigarette. Put them out of easy reach and exert willpower to forego the effort of getting them. Delay that cigarette after dinner, first by a few extra minutes then more and more. These small victories will reduce the number of cigarettes per day and strengthen your willpower.

As you gradually gain better control over impulses, your self-confidence grows. You feel in control. That reinforces the feeling that your willpower can be effective, that you can direct events rather than have them direct you.

Now, for the long term plan. Pick a day when you’ll stop smoking. Estimate how many cigarettes you have left so you run out by that date. Just as you would resist buying an item more expensive than you could afford, remind yourself of the high price of smoking - in dollars and health impact.

The first two weeks will be hardest, making the largest demands on your willpower. The cravings are strongest during this period. The chemical changes taking place as your body adjusts to lower levels of dopamine, flushes smoke ingredient-created compounds out of the body and other physical impacts will create the urge to resume.

Help yourself by thinking of the long term consequences. Stimulate your imagination by viewing photos of diseased lungs, remember the time you were short of breath walking up the hill. Assist your willpower in every way you can.

After that, the really hard part starts: sticking to the plan for a lifetime. Willpower isn’t just about choosing an action at the moment, but directing your life toward a better horizon.

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