Many of the health problems caused by the use of tobacco are well known. The Centers for Disease Control and Prevention reports that smoking-related illnesses cost Americans more than $75 billion each year. Cigarette smoking causes heart disease, lung and esophageal cancer, and chronic lung disease. Additionally, several research studies have identified smoking as a risk factor for osteoporosis and bone fracture.
Facts About Osteoporosis
Osteoporosis is a condition in which bones weaken and are more likely to fracture (break). Fractures from osteoporosis can result in pain, disability, and sometimes death. Osteoporosis is a major health threat for an estimated 44 million Americans, 68 percent of whom are women.
In addition to smoking, risk factors for developing osteoporosis include:
being thin or having a small
frame
having a family history of the
disease or of fractures after the age of 50
being postmenopausal or having
had an early menopause
having an abnormal absence of
menstrual periods
using certain medications, including
glucocorticoids, for a long time
not getting enough calcium
not getting enough physical activity
drinking too much alcohol.
Osteoporosis can often be prevented. Osteoporosis
is a ?silent? disease: it can progress for many years without symptoms until
a fracture occurs. It has been called ?a pediatric (childhood) disease with
geriatric (old age) consequences,? because building healthy bones in youth
helps prevent osteoporosis and fractures later in life. However, it is never
too late to adopt new habits for healthy bone.
Smoking and Osteoporosis
Cigarette smoking was first identified as a risk factor for osteoporosis more than 20 years ago. Recent studies have shown a direct relationship between tobacco use and decreased bone density. Analyzing the impact of cigarette smoking on bone health is complicated. It is hard to determine whether a decrease in bone density is due to smoking itself or to other risk factors common among smokers. For example, in many cases smokers are thinner than nonsmokers, tend to drink more alcohol, may be less physically active, and have poor diets. Women who smoke also tend to have an earlier menopause than nonsmokers. These factors place many smokers at an increased risk for osteoporosis apart from their tobacco use.
In addition, most studies on the effects of smoking suggest that smoking increases the risk of having a fracture. Not all studies have supported these findings, but the evidence is mounting.
For example:
The longer you smoke and the more cigarettes you consume, the greater your
risk of fracture in old age.
Smokers who fracture may take longer to heal than nonsmokers and may experience
more complications during the healing process.
Significant bone loss has been found in older women and men who smoke.
At least one study suggests that exposure to second-hand smoke during youth
and early adulthood may increase the risk of developing low bone mass.
Women who smoke often produce less estrogen (a sex hormone) and tend to experience
menopause earlier than nonsmokers, which may lead to increased bone loss.
Quitting smoking appears to reduce the risk of low bone mass and fractures.
However, it may take several years to lower a former smoker's risk. Source http://www.niams.nih.gov/
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