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DoesDrinkingWaterBeforeMealsHelpYouLoseWeight?
Twoglassesbeforemealsmayhelpyoushedpoundspermanently
ByHANNADUBANSKY
Posted:November24,2010
Drinkingtwo8-ounceglassesofwaterbeforebreakfast,lunch,anddinner
maybejustthebackstopyourwillpowerneedstohelpyoushedpounds
permanentlyin2011,accordingtoarecentstudypublishedinObesity.
Researchersinstructedtwogroupsofoverweightorobesemenand
womentofollowalow-caloriediet,askingonegrouptoalsodrinktwo
cupsofwaterbeforemeals.After12weeks,thewaterdrinkershadlost
anaverageof15%pounds,comparedwith11poundsforthecontrol
group.Thosewhocontinuedthehabitforayearlostanadditional1%
poundsonaverage."Iwouldneverpromotethisasaget-slim-quick
scheme,"saysseniorstudyauthorBrendaDavy,anassociateprofessorin
thedepartmentofhumannutrition,foods,andexerciseatVirginiaTech
University,whonotesthatthepracticeslowstheemptyingofthestomach.
"Thisissimplyanadditionalstrategythatcouldhelppeoplemanagetheir
hunger."
Thestudyexaminedtheeffectonlyonmiddle-ageandolderadults,but
LiweiChen,anassistantprofessorofepidemiologyatLouisianaState
UniversityHealthScienceCenterSchoolofPublicHealth,thinksit'sa
smartstrategyforeverybody,particularlyifitcausesthemtocutbackon
soda.Americanadultsaverage28ouncesofsugar-sweetenedbeverages
perday,saysChen,wholedastudypublishedinMaythatfoundevena
smallreductioninsugarintakesignificantlyloweredbloodpressure.
"Aimtoavoidsugar-sweetenedbeveragesaltogether,"sheadvises.That
way,youbattletworiskfactorsatonce.
U.S.DietaryGuidelinesAbouttoChange-GetReadyforaSeriousFood
Fight
Newfederaldietaryguidelinescouldgobeyondhowweeattoattack
thewayfoodismarketed
ByHANNADUBANSKY
Posted:November24,2010
AfewmorethantheusualnumberofNewYear'spledgestoeatbetter,
exercisediligently,andshedflabjustmightbekeptin2011,pendingthe
federalgovernment'sabout-to-be-unveiledrevampingofthe2005
DietaryGuidelinesforAmericans.Updatedbylaweveryfiveyearsby
theDepartmentofAgricultureandDepartmentofHealthandHuman
Services,theguidelinesdirectfederalnutritionalpolicyfromthecontents
ofan8-year-old'scafeteriatraytothenumbersdisplayedonthe
nutritionallabelofacanoftomatosoup.FewAmericansareleft
untouchedbytheirrecommendations.
Thethrustanddetailsofthe2010guidelineswon'tbeknownuntilthey
arereleased,achangefrombefore,whenthegovernmentsimplyadopted
therecommendationsofanadvisorypanel.ThistimeDOAandHHSare
hammeringoutthefinalversionbehindthecurtains,witha13-member
advisorypanelprovidinginputratherthandictatingthecontent.Butthe
reportandrecommendationsreleasedbythepanelinJuneareboundto
carryheavyweight.Ifthepanel'sinputforeshadowstheshapeandscope
oftheguidelinesthegovernmentwillissue,thepublicwillseeathorough
overhaul,andonethatreflectsasenseofurgency.
Thereportmarksthefirsttimeproposedguidelineshaveconfronted
obesitydirectly.Itnotesthatnearlythree-fourthsofwomenand
two-thirdsofmenarenowconsideredoverweightorobese,anditcalls
forquickandfar-reachingchanges—notonlyinpersonaldietand
lifestylebutalsointhemarketplace,toreversethetrend."Theobesity
epidemichasonlygottenworsesince2005,"saysLindaVanHorn,chair
oftheadvisorycommitteeandprofessorofpreventivemedicineat
NorthwesternUniversity.
TheadvisorsalsoobservedthatAmericanseatnotonlytoomuchbutnot
enoughofwhattheyshould.The2005guidelinesurgedgreater
consumptionoffruitandvegetables,forinstance,butarecentreportfrom
theCentersforDiseaseControlandPreventionfoundthatin2009only
aboutoneinthreeadultshadmorethanasingleservingoffruitadayand
oneinfourhadmorethantwohelpingsofvegetables—farshortofthe
recommendedtwoandthreedailyservingsrespectively.
Thequestioniswhatwilltakesomeoftheairoutoftheballooning
obesityrate-atrendthatWalterWillett,professorofepidemiologyand
nutritionattheHarvardSchoolofPublicHealth,partlyblamesonthe
existingguidelines.Byvilifyingfatsandoverpromotingcarbohydrates,
hesays,"thecurrentguidelinesmayhaveindirectlycontributedtothe
obesityepidemic."Willettisamongachorusofcriticseagerforchange.
MyPyramid,theiconicvisualsummaryofthe2005guidelines,iswidely
viewedashardtodecipher(whatdothosecoloredstripesmean?)andthe
guidelinesareseenaslaggingbehindcurrentthinkingbothondesirable
amountsofnutrientssuchasproteins,carbohydrates,andtransfatsandin
focusingtoospecificallyonsuchnutrients.Advisingthepublicto"avoid
toomuchfat,saturatedfat,andcholesterol,"andto"eatfoodswith
adequatestarchandfiber,"forexample,isseenbytheadvisorypanelas
givinginsufficientattentiontootherattributesoffoodquality.
Atfirstglance,theadvisorsseemtofollowthewell-wornpathofa
generalattackonfat,sugar,andsalt(proposinga35percentdecreasein
thedailysaltallowance,forexample),exhortationtoconsumemore
vegetablesandwholegrains,andpraiseforseafood,leanmeats,poultry,
eggs,andfat-freeandlow-fatmilkasopposedtofattiersourcesof
protein.
Buttwonewchaptersinthereportsignalaclearchangeindirection.One
blendsthepanel'sfindingsintoapracticalapproachtoeating.Theother
discusseswhatitcalls"powerfulinfluencesthatcurrentlypromote
unhealthyconsumerchoices,behaviorsandlifestyles"—thebillionsof
dollarsspentonmarketingjunkfood,forone-andlaysoutwaysto
sidestepbarrierstoahealthierlifestyle.Fruitsandveggiescouldbemore
widelyavailablebyencouragingthegrowthoffarmers'markets,for
example.Andallofthepanel'sproposalsrelyonsolidfindings-theyare
"evidence-based,"inscience-speak-thatutilizetheNutritionEvidence
LibraryestablishedbytheUSDAin2009.
"Tremendouseffortwasputforthtonotstopatpointingtoproblems,but
makingspecificrecommendationsonhowtoaddressthem,"saysVan
Horn."It'sonethingtoreviewtheevidence;it'sanothertotakethose
findingsandcreateimplementablestrategiesthatwork."Andinfants,
children,andpregnantwomen,vulnerablesubgroupsignoredinprevious
reports,eachgetindividualattention.
Industryoppositionandlobbyinginresponsetothereporthavebeen
intense.Themeatlobbyopposestherecommendedshifttowardamore
"plant-based"diet.TheSaltInstitutehasaggressivelybattledthe
proposedreductioninthedailyceilingonsodium.Thedairyindustryis
waryofrecommendationsforreducedsugar,lestflavoredmilkfallsout
offavor.
Butiftheyaretohaverealimpact,thenewguidelinesmustbeaggressive,
saysVanHorn,whonotesthatpriorguidelinesmostlyaddressednutrient
deficienciesandothernutritionalmainstaysandgenerallyavoidedtaking
controversialstands."Weneedtoprioritizeobesity,"shesays."Todo
nothingmorethanwehavemeansthatfiveyearsfromnowwe'llbeinan
evenworsesituation."
BestandWorstFastFoodKids'Meals
Anewreportsuggestsfastfoodisstillunhealthy,addingtoconcerns
aboutchildhoodobesity
ByANGELAHAUPT
Posted:November9,2010
AHappyMealatMcDonald's
Evenifyoudon'twantfrieswiththatkids'meal,chancesareyourfast
foodrestaurantwantstogiveyousome.ChainslikeMcDonald's,Taco
Bell,andBurgerKingofferunhealthysidesanddrinks84percentofthe
time,inlieuoftheirmorenutritiousofferingslikeappleslices,yogurt,
andjuice.That'samongthefindingsofanewanalysisreleasedMonday
byresearchersatYaleUniversity'sRuddCenterforFoodPolicyand
Obesity,whichexaminedfastfoodmarketingandnutritiontrends.The
fastfoodindustryhassteppedupitseffortstoreachchildrenandteens,
theresearcherssay:Lastyear,preschoolerssaw56percentmoreadsfor
Subway,21percentmoreadsforMcDonald's,and9percentmoreadsfor
BurgerKingthantheydidin2007.Andoften,they'rebombardedwith
imagesofsnacksanddesserts—childrenseemorethantwo
advertisementseachdaypromotingunhealthymenuitems.
Thereportaddsweighttoconcernsaboutthechildhoodobesityepidemic.
Asfastfoodmarketingcampaignsbecomemoreaggressive,childrenare
morelikelytochowdownongreasyfriesandburgers,RuddCenter
researcherssay,whichcouldtakeatollontheirwaistlines.And
childhoodobesityisn'tjustashort-termproblem:Obeseteensare16
timesmorelikelythantheirpeerstobecomeseverelyobesebyage30,
accordingtoastudypublishedtodayintheJournaloftheAmerican
MedicalAssociation.(Severeobesitywasdefinedasabodymassindex
of40orgreater;obesitywasdefinedasaBMIofmorethan25.)Severe
obesitycanleadtodiabetes,hypertension,asthma,arthritis,andashorter
life,saysseniorauthorPennyGordon-Larsen,anutritionresearcheratthe
UniversityofNorthCarolina-ChapelHill.
"It'sveryeasytoeatahigh-calorie,high-fatdiet,"shesays."Wehaveso
muchfoodaround-high-fat,high-sugar,tastyfoodthatweneedtobe
verycarefulof.Thosefoodsaremarketedwelltopeople,andmaking
healthierchoicestakesalotmorework."
That'swhyCaliforniaistakingstepstoblunttheinfluencefast-food
marketingcanhavebybanningtoysthatcomewithkids'mealsloaded
withcalories,fat,andsugar.Lastweek,SanFrancisco'sBoardof
Supervisorsapprovedanordinancethatwouldpreventfastfoodchains
fromofferingtoyswithkids'meals,unlesstheycontainlessthan600
calories—nomorethan35percentfromfat-and640milligramsof
sodium.Allmealswouldalsoberequiredtoincludefruitsandvegetables.
ThelegislationcouldbecomelawinDecember.
Industryofficialscitesomechains'increasingemphasisonhealthy
options:"Therecanbenodisputethattherestaurantindustryhasbeen
committedtoprovidingagrowingarrayofnutritiousofferingsfor
children,"JoyDubost,directorofnutritionandhealthylivingatthe
NationalRestaurantAssociation,saidinastatementtoreporters.
"Numeroussurveysshowtheincreasingnumberofhealthfuloptionsin
kids'meals.Andnutritiousofferingsinchildrens'mealsisthenumber
onefoodtrendin[fastfood]restaurants."
TheRuddCenterresearchersanalyzedthecalories,fat,sugar,andsodium
inmorethan3,000possiblecombinationsthatchainsmarketaskids'
meals.Themealswerethenrankedas"best"and"worst"basedon
guidelinessetin2009bytheInstituteofMedicine,anindependent
advisorypaneltotheU.S.government.Preschoolchildrenshould
consumenomorethan410caloriesand544milligramsofsodiumper
meal,accordingtotheIOM,comparedto650caloriesand636
milligramsofsodiumforelementaryschoolchildren,and700calories
and720milligramsofsodiumforolderchildren.Only12kids'meal
combosmettheIOM'Snutritioncriteriaforpreschoolers,while15met
thecriteriaforelementarykids.Another20combosmetkids'calorie
goals,butweretoohighinatleastonearea,likesodium,theRudd
researchersfound.Just36-orapproximately1percent-ofthekids'
mealcombostheyexaminedqualifiedas"best,"whichtheresearchers
ranked.
Thevastmajority,however,wereplacedinthe"worst"categoryand
weren'tranked,sincetheywereall"equallybad,"saysstudyleader
JenniferHarris,directorofmarketinginitiativesattheRuddCenter.
Instead,researchersdescribedtheworstthreekids'mealsateach
restaurant.Butifparentsareturningtoafastfoodrestaurantfordinner,
anyofthe"best"optionsareallreasonable,shesays:"Wefeel
comfortablerecommendingthosemealstochildren."
These,accordingtotheresearchers,aresomeofthebestandworstkids'
mealcombinationsateightpopularfastfoodchains:
Subway
Best:VeggieDelitesandwich(wheatbread,nocheese);appleslices;100
percentjuice.
Rank:#1
?Calories:285calories
?Salt:295milligramsSaturatedfat:0calories
Worst:None."Theyonlyoffermilkand100percentjuice,andtheyhave
applesandyogurtassides.Andtheirsandwichesareallprettylowinfat,"
Harrissays.
BurgerKing
Best:Macaroniandcheese;apple"fries"(withoutcaramelsauce);
fat-freemilk.
?Rank:#6
?Calories:285
?Salt:490milligrams
?Saturatedfat:14calories
Worst:Cheeseburger;Frenchfries;Dr.Pepper
?Calories:635
?Salt:1,106milligrams
Saturatedfat:86calories
KentuckyFriedChicken
Best:Grilledchickendrumstick;cornonthecob;unsweetenedtea;string
cheese.
?Rank:#16
?Calories:270
?Salt:545milligrams
?Saturatedfat:23calories
Worst:Extracrispychickendrumstick;potatowedges;MountainDew;
stringcheese
?Calories:680
?Salt:1,330milligrams
?Saturatedfat:54calories
Sonic
Best:Jr.Burger;appleslices;unsweetenedtea.
?Rank:#20
?Calories:350
?Salt:620milligrams
Saturatedfat:45calories
Worst:Twochickenstripswithranchsauce;Frenchfries;greenapple
slush
?Calories:708
?Salt:1,012milligrams
?Saturatedfat:51calories
Wendy's
Best:Crispychickensandwich;mandarinorangecup;low-fatmilk.
?Rank:#26
?Calories:520
?Salt:815milligrams
?Saturatedfat:41calories
Worst:Fourchickennuggetswithsweetandsoursauce;Frenchfries;
VanillaFrostyJr.
?Calories:610
?Salt:760milligrams
?Saturatedfat:68calories
McDonald's
Best:Hamburger;appledippers(withoutcarameldip);low-fatmilk.
?Rank:#30
?Calories:385
?Salt:645milligrams
?Saturatedfat:45calories
Worst:Cheeseburger;Frenchfries;Hi-COrangeLavaburst
?Calories:650
?Salt:910milligrams
?Saturatedfat:68calories
DairyQueen
Best:Chickenstripswithketchup;applesauce;Sprite;vanillaice-cream
cone.
?Rank:#33
?Calories:628
Salt:1,000milligrams
?Saturatedfat:32calories
Worst:Cheeseburger;Frenchfries;MountainDew;chocolateDillyBar
?Calories:973
?Salt:1,450milligrams
?Saturatedfat:171calories
TacoBell
Best:None.TacoBelldidnotmeettheresearchers'criteriaforhealthy
options.
Worst:Beanburrito;cinnamontwists;MountainDewBajaBlast
?Calories:760
?Salt:1,530milligrams
?Saturatedfat:32calories
CancerPrevention:RethinkYourDietasWellasYourSmoking
ManycancerscouldbepreventedifAmericansquitsmokingandate
differently
ByDEBORAHKOTZ
Posted:September8,2010
Ifeveryoneweretoquitsmokingtoday,nearly450,000fewerAmericans
woulddieannuallyfromsmoking-relateddiseases.Yetevenwithallthe
smokingbansacrossthecountry,oneinfiveAmericansstilllightsup
regularly-aratethat'splateauedsince2005afterfourdecadesofdecline,
accordingtoareportissuedTuesdaybytheCentersforDiseaseControl
andPrevention.Whilethesmoking-lungcancerconnectionisanoldstory,
everyweek,itseems,anotherheadlinetellsyouwhatyoushouldor
shouldn'teattoavertthe"bigC".Eatacolorfularrayoffruitsand
vegetablestowardofflungcancer,saysonerecentstudy;avoidsoft
drinksifyoudon'twanttodieofpancreaticcancer,warnsanother.Wine
isgoodforyourheart,butmayincreaseyourriskofbreastcancer,others
suggest.
Andwhowouldn'tbewillingtogiveuptheDietCokeorchardonnayto
sidestepthediseasewefearmost?Ityoutookactionbasedonresearch
publishedthisweekintheAnnalsofInternalMedicine,youmightfind
yourselfforgoinghamburgersandchickenwingsandembracingsoy
burgers,tofu,andpeanutbutterinstead.Thatstudyfoundthatan
Atkins-styledietthatemphasizedvegetableproteinoveranimalprotein
loweredtheriskofcancer.Butallthingsconsidered,howmuchdo
dietarychangesreallymatterintermsofcancerprevention?"Rightafter
smoking,dietranksrightupthereastheNo.2modifiableriskfactor,"
saysDemetriusAlbanes,aseniorinvestigatorandmedicalepidemiologist
attheNationalCancerInstitute."Twenty-fivepercentofcancerscanbe
relatedbacktoeatingpractices."Doesthatmeanwereallyneedtoavoid
softdrinksifwedon'twanttogetpancreaticcancer,aswassuggestedby
arecentstudyinthejournalCancerEpidemiology,Biomarkers&
Prevention?"Idon'tthinkwecansaythat,"Albanessays,"That
particularstudyfromSingaporedidn'tcontrolverywellforsmoking,
whichisanimportantriskfactorforpancreaticcancer."Inotherwords,it
couldbethatthosewhodowndailysix-packsofFantaarealsomore
likelytolightup.
Thereinliestherub.Unlikesmoking,whichisclearlycarcinogenic,no
singlefoodornutrientreallyimpactsyouroverallriskofgettingalungor
breasttumor,saysAlbanes,whohelpedconductthe1994clinicaltrial
showingthatsmokersrandomlyassignedtotakeeitherbetacaroteneor
vitaminEsupplementsdidn'tgetanylesslungcancerthanthosewho
weregivenplacebos.It'sreallyaboutthecompositionofyouroveralldiet.
What'sclear,hesays,isthatthevarietyofnutrientspackedintofoods
likegreenleafyproduce,orangesweetpotatoes,andbrightpink
nectarinesallworkinsynergytohelpthebodyfendoffcancercells.
Mostlikely,followingaMediterranean-styledietbasedonfruits,
vegetables,fish,nuts,andwholegrainshelpsloweryourcancerrisk.And
thelatestresearchsuggeststhattweakingthisplantoincludelessbread
andpastaandmoreplantproteinlikesoycouldhaveaddedbenefits.
"Researchshowsthataplant-baseddietisideal,thelessprocessedthe
better,"saysAliceBender,anutritionistattheAmericanInstitutefor
CancerResearch,anonprofitresearchorganizationinWashington,D.C.
"Avoiddeep-friedfoodsandaddedsaltandsugar,thesortsoffoodsthat
aredenseincalories."Agoodruleofthumb:Twothirdsofyourplate
shouldbefilledwithvegetablesandlegumes,whilejustonethirdshould
provideanimalprotein.Thetypeofanimalproteinmatters.Tryto
minimizeyourintakeofdelimeats,hotdogs,andotherprocessed
meats-whichareprettystronglyassociatedwithcolorectalcancer-and
limityourconsumptionofredmeattonomorethan18ouncesperweek
sincemorealsoincreasescancerrisk.
Whatalsomattersishowmuchyouweighandhowmanycaloriesyou
burn.Beingoverweightandinactiveappearstofostercelldivisionand
proliferation,whichmaygiverisetotumors.Obesityalsogoeshandin
handwithhighinsulinlevelsandinflammation,twometabolicstatesthat
helpcancersgrowandspread."Itisjustnowbecomingapparentthat
obesityisamajorriskfactorforseveralcancers,"sayscancerresearcher
JuneStevens,chairofthedepartmentofnutritionattheUniversityof
NorthCarolina."Physicalactivitytendstobeprotective.Sopeople
shouldthinkaboutlosingweightandbeingphysicallyactivetoprevent
cancer.Ofcourse,iftheyloseweightbybeingmorephysicallyactiveand
eatingmorefruitsandvegetablesandlessredmeatandalcohol—so
muchthebetter!"
12ReasonstoReallyQuitSmoking
Nevermindcancerorheartdiseaseforamoment.Herearesome
nonobviousreasonstosnubcigarettes
ByLINDSAYLYON
Posted:November14,2008
We'llspareyouthelecture.(Seriously,though.Stampoutthatbuttand
flushthepack,already.)Tobaccouse,namelycigarettesmoking,isthe
chiefcauseofpreventabledeathintheUnitedStates.Leftunbridled,
smokingcouldkillmorethanabillionpeoplethiscentury,accordingto
theWorldHealthOrganization.Thatequalsthenumberwhowoulddieif
aTitanicsankevery24minutesforthenext100years,asformerU.S.
SurgeonGeneralC.EverettKoopsostarklyputitataMarchpress
conference.
Still,itmaybeharderthanevertoquit:Threequartersoftoday'ssmokers
tryingtoshedthehabitareheavilyhookedonnicotine,up32percent
fromalmosttwodecadesago,accordingtoresearchpresentedatthe
AmericanCollegeofChestPhysicians'annualmeetinginOctober.So
quitting,formost,isnotmerelyamatterofwillpower.Nonetheless,the
reasonstodosokeepamassing—andthey'renotallaboutheartdisease,
lungcancer,orrespiratoryproblems.Here'safewdownsidesyoumight
nothaveconsidered.
1.Itfogsthemind.Smokingmaycloudthemind,accordingto
accumulatingresearch.AJunestudyintheArchivesofInternalMedicine
foundthatsmokinginmiddleageislinkedtomemoryproblemsandtoa
slideinreasoningabilities,thoughtheserisksappearedlessenedforthose
who'dlongquit;thisisimportant,theauthorswrote,becauseother
researchhasshownthatpeoplewithmildcognitiveimpairmentinmidlife
developdementiaatanacceleratedrate.Theirreportpiggybackson
severalfocusedontheolderset:A2007analysisof19priorstudies
concludedthatelderlysmokersfaceaheightenedriskofdementiaand
cognitivedecline,comparedwithlifelongnonsmokers.Andin2004,
researchersreportedinNeurologythatsmokingappearedtohasten
cognitivedeclineindementia-freeelderlysmokers,bringingitonseveral
timesfasterthanintheirnonsmokingpeers.
2.Itmaybringondiabetes.Asifweneedanymoreriskfactorsfor
diabetes,ananalysispublishedintheJournaloftheAmericanMedical
Associationlastyearfoundthatacross25priorstudies,currentsmokers
havea44percentgreaterchanceofdevelopingtype2diabetesthan
nonsmokersdo,andtheriskwasstrongestforthosewiththeheaviest
habit,whoclocked20ormorecigarettesperday.Inanaccompanying
editorial,researchersmadeastrikingestimation:Thatsome12percentof
alltype2diabetescasesnationwidemightbeattributabletosmoking.
3.Itinvitesinfections.InOctober,thefederalAdvisoryCommitteeon
ImmunizationPracticesmadeitsfirsteverrecommendationthatall
smokersages19to64beaddedtoashortlistofcandidatesforthe
pneumococcalvaccine.That'sbecausethereareverystrongdatashowing
thattheriskofinfectionbypneumonia-causingbacteriaissubstantially
greaterforsmokersthanfornonsmokers,saysPekkaNuorti,amedical
epidemiologistattheCentersforDiseaseControlandPrevention.Exactly
whyisunclear,thoughthere'sevidencethatsmokingmaydamagethe
respiratorysystem'sprotectivemucousmembranes,makingiteasierfor
infectiousorganismstolatchonandcausedisease,saysNuorti.Other
researchsuggeststhatsmokingmayinterferewithimmunity,
compromisingpeople'sabilitytofightinfections,headds.
Heightenedsusceptibilitytoinfections,itappears,isn'tlimitedjustto
thosewhodothesmoking:AMaystudyinTobaccoControlfoundthat
childrenexposedtosecondhandsmokeathomeduringearlyinfancy
(especiallythosebornprematurelyorwithalowbirthweight)aremore
pronetoathrongofsevereillnessesthatmaylandtheminthehospitalat
somepointduringchildhood.Thefindingswerebasedonananalysisof
morethan7,000Chinesechildrenfrom1997to2005.
4.Itmaystultifyasexlife.IfmenwanttohopaboardtheViagra
bandwagon,mountingevidencesuggeststhatpuffingcigarettesmightbe
justtheirticket.Smokersaremoreapttoexperienceerectiledysfunction
thannonsmokersare,andthisriskclimbsasthenumberofcigarettes
smokedincreases.AstudyintheAmericanJournalofEpidemiologyin
2007trackedmorethan7,500Chinesemenwithlowriskfor
artherosclerosis,achiefunderlyingcauseoferectiledysfunction,and
foundthatsmokingcouldindependentlyhikeaman'schanceof
wranglingwiththesexualcondition.Preventingsmokingisan"important
approach"forcuttingtheriskofED,theresearchersconcluded.
5.Itmayleadtowrinkles…everywhere.Notonlydoessmoking
contributetoprematurefacialwrinkles,buta2007studyintheArchives
ofDermatologyfoundthatitmayalsoleadtowrinklingofskinthat
rarelyseesthelightofday-inareassuchastheinnerarmandperhaps
thebuttocks.
6.Itmayhastenmenopause.Womenwhosmokefaceanincreasedrisk
ofinfertility,andtheymayexperiencenaturalmenopauseatayounger
agethandononsmokers,accordingtothe2004andthe2001Surgeon
General'sReports,respectively.Furtherevidence:A2001animalstudyin
NatureGeneticsfoundthatchemicalsincigarettesmokecanhurry
menopausebykillingoffeggcellsmadebyovaries,therebydwindling
theeggcellreserve.Sincethetimingofmenopauseisdictatedbythesize
ofawoman'seggcellreserve-whichisstockedwithaboutamillion
eggsatbirthandvanishesbymenopause-anythingthatspeedsupits
losscouldlogicallyleadtoamuchearlieronsetoffertilitytroubles,notes
JonathanTilly,oneofthestudy'sauthorsanddirectoroftheVincent
CenterforReproductiveBiologyatMassachusettsGeneralHospital.
Moreworrisome:Womenwhosmokeduringpregnancymaybe
compromisingnotonlytheirownfuturefertilitybutthefertilityoftheir
unborndaughters.Instudiestestingthatidea,miceexposedtochemicals
incigarettesmokeduringgestationwerebomwithshrunkeneggreserves.
"Evenunderthebest-chancescenario—you'reanonsmoker,you're
healthy,you'reyoung,youeatwell,you'reinshape-humanfertilityisn't
100percent,"saysTilly."Anythingyoucandotomakeitbetteris
certainlyworthyourwhile."
7.Itmaydullvision.Severalstudieshavefoundarobustlinkbetween
smokingandeyedisease,specificallyage-relatedmaculardegeneration,
whichcanpermanentlyblurvisionorcauseblindness.A2005reviewof
17studiesinthejournalEyereportedthatactivesmokersmayfacetwoto
threetimestheriskfordevelopingthediseaseexperiencedbythosewho
haveneversmoked.
8.Ithurtsbones.Smokingweakensthebody'sscaffoldingandisa
seriousriskfactorforosteoporosis,accordingtotheNationalInstituteof
ArthritisandMusculoskeletalandSkinDiseases.It'sbeenshowntofritter
awaybonedensityinpostmenopausalwomenandtohiketheriskofhip
fracturesinbothsexes,accordingtothe2004SurgeonGeneral'sReport.
(Peoplewhoendurehipfracturesare12to20percentmorelikelytodie
thanthosewhodon't,theReportnotes,thoughthereareways
osteoporosissuffererscanprotectthemselves.)Smokersmayalso
experienceslowerhealingofbrokenbonesandwoundedtissuesthando
nonsmokers.
9.Itmayinjuretheinsides.Sure,cigarettesmaybesmoothtoinhale,
buttheycanroughupthedigestivesystem,leadingtoheartbum,peptic
ulcers,andpossiblygallstones,accordingtotheNationalInstituteof
DiabetesandDigestiveandKidn
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