Smoking Health Article

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Definition

Smoking is the inhalation of the smoke of burning tobacco that is used mostly in three forms: cigarettes, pipes, and cigars.

Description

Casual smoking is the act of smoking only occasionally, usually in a social situation or to relieve stress. A smoking habit is a physical addiction to tobacco products. Many health experts as of 2004 regarded habitual smoking as a psychological addiction, one with serious health consequences. Nicotine, the active ingredient in tobacco, is inhaled into the lungs, where most of it stays. The rest passes into the bloodstream, reaching the brain in about 10 seconds and dispersing throughout the body in about 20 seconds.

Depending on the circumstances and the amount consumed, nicotine can act as either a stimulant or tranquilizer. This dual role explains why some people report that smoking gives them energy and stimulates their mental activity, while others note that smoking relieves anxiety and relaxes them. The initial effect results in part from the drug's stimulation of the adrenal glands and resulting release of epinephrine into the blood. Epinephrine causes several physiological changes: it temporarily narrows the arteries, raises the blood pressure, raises the levels of fat in the blood, and increases the heart rate and flow of blood from the heart. Some researchers think epinephrine contributes to smokers' increased risk of high blood pressure.

Nicotine, by itself, increases the risk of heart disease. However, when a person smokes, he or she is ingesting a lot more than nicotine. Smoke from a cigarette, pipe, or cigar is made up of many additional toxic chemicals, including tar and carbon monoxide. Tar is a sticky substance that forms as deposits in the lungs, causing lung cancer and respiratory distress. Carbon monoxide limits the amount of oxygen that the red blood cells can convey throughout the body. Nicotine may also damage the inner walls of the arteries, which allows fat to build up in them.

Besides tar, nicotine, and carbon monoxide, tobacco smoke contains 4,000 different chemicals. More than 200 of these chemicals are known to be toxic. Nonsmokers who are exposed to tobacco smoke also take in these toxic chemicals. They inhale the smoke exhaled by the smoker as well as the more toxic sidestream smoke—the smoke from the end of the burning cigarette, cigar, or pipe.

The harmful effects of teenage smoking are both short-term and long-term. During adolescence, smoking interferes with ongoing lung growth and development, preventing the attainment of full lung function. Teenagers who smoke are less fit than their nonsmoking peers and more apt to experience shortness of breath, dizziness, coughing, and excess phlegm in their lungs. They are also more vulnerable to colds, flu, pneumonia, and other respiratory problems. Smoking for even a short time can produce a chronic smoker's cough. In addition to respiratory problems and a diminished level of overall well-being in adolescence, teenage smoking is also responsible for health problems in adulthood.

It is estimated that one third of the teenagers who start smoking each year eventually die of diseases related to tobacco use, diseases that will shorten their lives by an average of 12–15 years. Cigarette smoking is a major risk factor for cardiovascular disease, including coronary heart disease, atherosclerosis (hardening of the arteries), and stroke. Reports by the surgeon general link teenage smoking to cardiovascular disease in both adolescents and adults. The same reports cite evidence that the length of time a person has smoked has a greater impact on the risk of developing lung cancer and other smoking-related cancers than the number of cigarettes smoked; in other words, starting to smoke at an early age is an even greater health risk than being a heavy smoker.

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Author Info: Barbara Boughton Ph.D., Ken R. Wells, Thomson Gale, Gale, Detroit, Gale Encyclopedia of Children's Health, 2006
 
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