Health Hazards of Smoking Quiz

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Questions and Answers

What health condition is directly related to approximately 90% of lung deaths?

  • Heart disease
  • Stroke
  • Chronic obstructive pulmonary disease (COPD) (correct)
  • Diabetes

How does smoking impact the cilia in the lungs?

  • It covers them in tar, hindering their function (correct)
  • It enhances their ability to clean the lungs
  • It strengthens them, making them more effective
  • It protects them from external pollutants

What is a consequence of smoking on the alveoli in the lungs?

  • They become more elastic
  • They can take in more oxygen
  • They experience permanent damage and become less stretchy (correct)
  • They efficiently remove carbon dioxide

What is the best course of action after being treated for coronary heart disease (CHD)?

<p>Engage in smoking cessation (D)</p> Signup and view all the answers

What percentage of all deaths is attributed to smoking?

<p>19% (B)</p> Signup and view all the answers

What percentage of self-quitters typically fail in their attempts to quit smoking?

<p>95-98% (B)</p> Signup and view all the answers

Why might quitting smoking lead to weight gain for some individuals?

<p>Improved metabolism and increased oral senses (A)</p> Signup and view all the answers

Which group is less likely to smoke based on income levels?

<p>High-income individuals (A)</p> Signup and view all the answers

What role does nicotine play in stress management for smokers?

<p>It acts as a temporary coping mechanism for stress. (D)</p> Signup and view all the answers

What immediate health benefit occurs with smoking cessation?

<p>Reduced risk for respiratory diseases (D)</p> Signup and view all the answers

What reduction in desire to smoke did the lozenge group experience?

<p>3 points (D)</p> Signup and view all the answers

What trend regarding smoking prevalence was observed from 1965 to 2013 in Canada?

<p>Decreased among males and females (D)</p> Signup and view all the answers

What factor is associated with an increased risk of smoking and addiction?

<p>Depression (C)</p> Signup and view all the answers

How quickly does nicotine reach the brain after smoking?

<p>Within seconds (C)</p> Signup and view all the answers

Which of the following is a long-term health hazard of smoking?

<p>Development of chronic obstructive pulmonary disease (COPD) (C)</p> Signup and view all the answers

What was the total reduction in nicotine cravings for the exercise and lozenge group?

<p>4 points (A)</p> Signup and view all the answers

What is a significant effect of exercise on smoking cravings, shortly after exercising?

<p>It decreases the strength of desire to smoke. (D)</p> Signup and view all the answers

How do expectancy beliefs towards exercise relate to cravings?

<p>They are unrelated to cravings. (A)</p> Signup and view all the answers

What is one possible way exercise alleviates cravings?

<p>By serving as a distraction from cravings. (B)</p> Signup and view all the answers

Which of the following is NOT a characteristic of nicotine?

<p>It improves cognitive functions significantly. (A)</p> Signup and view all the answers

Which group showed the most significant craving relief at time 2?

<p>Group 1 (D)</p> Signup and view all the answers

What was found to not have significant main effects on desire to smoke?

<p>Group type (A)</p> Signup and view all the answers

What psychological mechanism was identified for how exercise works to reduce cravings?

<p>Improvements in positive and negative affect. (C)</p> Signup and view all the answers

What change in cortisol levels is observed during the first two weeks of abstinence?

<p>Cortisol levels drop. (C)</p> Signup and view all the answers

What effect does exercise have on the desire to smoke immediately after the intervention?

<p>It significantly reduces the desire to smoke. (A)</p> Signup and view all the answers

What was the percentage reduction in strength of desire to smoke in the exercise group compared to the control group?

<p>34% (A)</p> Signup and view all the answers

Which of the following best describes the context under which cravings may increase after exercise?

<p>When stressors are presented together. (A)</p> Signup and view all the answers

What does the Fong et al. study primarily focus on?

<p>The effects of acute exercise following multiple concurrent stressors. (C)</p> Signup and view all the answers

What outcome showed weak evidence in relation to exercise following the trial?

<p>Time to first cigarette use. (D)</p> Signup and view all the answers

How do stress symptoms change over time according to the Fong et al. study?

<p>They score progressively increase over time. (A)</p> Signup and view all the answers

Why might the findings of cravings not entirely reflect those experienced during a complete quit attempt?

<p>Severity of desire symptoms may not fully correspond during actual attempts. (C)</p> Signup and view all the answers

What suggestion was made regarding future research on cravings and smoking cessation?

<p>To examine the combination of exercise and nicotine lozenges. (C)</p> Signup and view all the answers

What is one suggested benefit of vigorous exercise for smokers?

<p>It significantly reduces cravings due to a spike in cortisol. (D)</p> Signup and view all the answers

In the study conducted by Marcus et al., what was observed with the exercise group in comparison to the control group?

<p>The exercise group outperformed the control group at all measured time points. (C)</p> Signup and view all the answers

How did the addition of Cognitive Behaviour Therapy to exercise impact cessation rates?

<p>It improved cessation rates throughout the duration of the program. (A)</p> Signup and view all the answers

What factor contributed to significant weight gain among quitters compared to non-quitters?

<p>Reduced physical activity levels post-cessation. (A)</p> Signup and view all the answers

What was the observed trend regarding cessation rates post-treatment in the studies discussed?

<p>Cessation rates began to drop off as treatment concluded. (D)</p> Signup and view all the answers

What remains unclear regarding the relationship between exercise and smoking cravings?

<p>The physiological basis of cravings post-exercise. (B)</p> Signup and view all the answers

Why did exercise during the program help prevent weight gain?

<p>Exercise boosts metabolic rates significantly. (D)</p> Signup and view all the answers

What is a potential effect on smoking behavior observed in individuals who engage in exercise?

<p>They smoke their cigarettes less intensely. (A)</p> Signup and view all the answers

Flashcards

Nicotine's rapid brain impact

Nicotine is a stimulant that rapidly enters the bloodstream and reaches the brain, triggering the release of dopamine.

Nicotine's addictive properties

Nicotine's effects on the brain are similar to those of addictive drugs, such as cocaine, leading to cravings and dependence.

Quitting smoking isn't just willpower

Smoking cessation often involves psychological and behavioral changes that are crucial for success. Relying solely on willpower is often insufficient.

Exercise as a coping mechanism

Exercise can be a powerful tool to manage stress and cravings, reducing the desire to smoke.

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Exercise for weight management

Exercise can help prevent weight gain, a common concern for those quitting smoking.

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Exercise: A heart-healthy choice

Regular exercise reduces the risk of cardiovascular disease, a significant health benefit for those quitting smoking.

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Exercise for immediate cravings

Exercise can help reduce the immediate desire to smoke, acting as a competitive behavior.

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Weight gain after quitting

Quitting smoking can initially lead to weight gain as the body adjusts to the absence of nicotine and the return of taste and smell.

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How does smoking affect cilia?

Smoking causes a sticky tar buildup that coats the cilia, tiny hairs in your lungs, making them ineffective at cleaning out dirt and germs, leading to an increased risk of disease and cancer.

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What does smoking do to the alveoli?

Smoking permanently damages the alveoli, tiny balloon-like structures in your lungs, making it harder to breathe. Damaged alveoli are less stretchy, making it difficult for your lungs to take in oxygen and release carbon dioxide.

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What are the health hazards of smoking?

Smoking increases the risk of getting various health problems like heart disease, stroke, lung diseases, diabetes, and COPD (emphysema and chronic bronchitis).

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What is the mortality rate associated with smoking?

Smoking drastically contributes to death, accounting for 19% of all deaths globally.

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What health benefits occur from smoking cessation?

Quitting smoking significantly reduces the risk of coronary heart disease and other cardiovascular diseases.

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How have smoking rates changed in Canada?

Smoking rates have decreased dramatically in Canada from 1965 to 2013, with a significant decline in both men and women.

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How does income relate to smoking prevalence?

Higher income groups are less likely to smoke compared to lower income groups, who show a higher prevalence of smoking.

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What is COPD and its connection to smoking?

COPD (chronic obstructive pulmonary disease) is a lung disease characterized by chronic bronchitis and emphysema, and it is strongly linked to smoking.

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Exercise and Smoking Cravings

Desire to smoke decreases during exercise but increases again after exercise is finished.

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Fong et al. Study: Concurrent Stressors

The study examines the effects of exercise on smoking cravings in a more realistic setting with concurrent stressors, such as temporarily abstaining from smoking and performing challenging cognitive tasks.

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Controlled Lab Setting

The study uses a controlled lab setting to simulate real-world scenarios where smokers attempt to quit by incorporating multiple stressors, such as abstaining from smoking and engaging in demanding tasks.

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Acute Exercise and Cravings

The study investigates the impact of acute (short-term) exercise on smoking cravings after exposure to multiple stressors.

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Exercise Reduces Cravings

Exercise significantly reduced craving intensity in individuals facing multiple stressors compared to a control group.

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Control Group

The Fong et al. study included a control group that did not engage in exercise to provide a comparison for the exercise group's results.

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Exercise and Time to First Cigarette

The study indicates that exercise may not have a significant effect on the time it takes for smokers to resume smoking after a period of abstinence.

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Potential for Combined Strategies

The study suggests that incorporating a craving-reducing product alongside exercise might enhance the effectiveness of smoking cessation efforts, but further research is needed.

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Lozenge & Exercise Effect

Nicotine lozenges combined with acute moderate-intensity exercise resulted in a greater reduction in cigarette cravings compared to using lozenges alone.

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Expectancy Effect

Beliefs about how effective exercise is in reducing cravings have no impact on actual craving reduction.

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Exercise as Distraction

Exercise may distract from cravings, providing a temporary relief, but this effect is likely short-lived.

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Exercise & Mood Regulation

Exercise has been shown to reduce negative mood states like depression and irritability, potentially leading to reduced cravings.

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Evidence & Cravings

Participants receiving clear evidence that exercise reduces cravings showed greater craving reduction compared to groups with mixed or no evidence.

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Exercise Impact on Cravings

Exercise itself does not significantly impact craving reduction. All groups showed similar reductions in desire to smoke despite varying levels of expectancy.

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Psychological Pathway

Exercise may work through a psychological mechanism by improving mood and reducing negative affect, leading to reduced cravings.

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Biological Pathway

There is no evidence to suggest that exercise affects cravings through biological mechanisms such as cortisol levels.

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Exercise and Cravings

Exercise, especially vigorous exercise, can temporarily reduce tobacco cravings in people trying to quit smoking.

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Cortisol and Cravings

Higher levels of cortisol, a stress hormone, released during intense exercise are linked to reduced tobacco cravings.

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Exercise and Cravings - Mechanisms

While exercise can help reduce cravings, it's not fully understood how it works. More research is needed to understand the specific mechanisms.

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Exercise and CBT for Quitting

Combining exercise with traditional Cognitive Behavioral Therapy (CBT) for smoking cessation leads to higher and longer-lasting abstinence rates.

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Exercise and Weight Gain

Despite the initial success, the benefits of exercise alone in preventing weight gain in smokers quitting were not sustained over time.

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Long-term Success of Exercise and CBT

Abstinence rates are particularly high when using combined exercise and CBT, indicating that the benefits persist for a significant period.

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Exercise and Natural Reduction in Smoking

Smokers who exercise may reduce their smoking behavior naturally, without needing to actively decide to quit, suggesting a potential correlation.

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Exercise and Smoking Intensity

The exact impact of exercise on the intensity or enjoyment of smoking is unknown, requiring further investigation to understand how cravings are modified.

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Study Notes

Health Hazards of Smoking

  • Smoking causes cancer, heart disease, stroke, lung diseases, diabetes, and chronic obstructive pulmonary disease (COPD).
  • COPD includes emphysema and chronic bronchitis.
  • Smoking is directly linked to about 90% of lung deaths and 80-90% of COPD deaths.

Smoking Damage to Lungs

  • Smoking chemicals combine to form sticky tar, lining the lungs' interior.
  • Cilia (tiny hairs) in the lungs help remove dirt and germs.
  • Tar prevents cilia from working properly, allowing germs and chemicals to stay in the lungs, leading to disease and cancer.

COPD from Smoking

  • Smoking permanently damages the alveoli (air sacs) in the lungs, making breathing harder.
  • Alveoli act like balloons, absorbing oxygen and releasing carbon dioxide.

Smoking Risks and Statistics

  • Tobacco kills approximately 37,000 Canadians and 480,000 Americans annually.
  • Smoking prevalence in Canada has decreased significantly from 1965-2013.
  • In 2020, 8% of Canadians smoked daily, and 2% smoked occasionally.
  • Smoking rates tend to be higher in lower-income groups compared to higher-income groups.

Benefits of Quitting Smoking

  • Quitting smoking dramatically reduces the risk of coronary heart disease and other cardiovascular diseases.

Relapse Rates of Smokers

  • Relapse rates for people quitting smoking are high, often reaching 95-98%.
  • Relapse frequently occurs within two weeks of quitting.

Challenges of Quitting Smoking

  • Nicotine acts as a relaxing drug and a coping mechanism for stress.
  • Quitting can lead to weight gain due to changes in oral senses and metabolism.
  • Psychological factors and habit/sensory cues contribute to the difficulty of quitting.

Nicotine Metabolism

  • Nicotine is metabolized into cotinine, which is further metabolized by the liver enzyme cytochrome P450 2A6.

Exercise and Smoking Cessation

  • Exercise can improve mood and self-efficacy, making quitting easier.
  • Exercise can also be a useful coping mechanism during smoking cessation.
  • Exercise can reduce craving relief, especially if combined with nicotine lozenges.

Acute Exercise and Smoking Cessation

  • Acute exercise during smoking cessation periods can reduce cravings and improve mood in some cases.
  • But there are limitations with the current studies due to factors such as single stressors in a lab. More ecologically valid research is required.

Stressors and Smoking Cessation

  • Studies have shown that exercising while dealing with other stressors also aids in reducing cravings.
  • Exercise during periods of abstinence can offer relief via reduction of cravings and stress.

Biological Mechanisms of Exercise on Smoking

  • Exercise positively affects mood and reduces negative feelings.
  • This can reduce cravings and aid in smoking reduction.
  • However, there is no clear biological mechanism to explain how it works.

Cortisol and Smokers

  • Smokers typically have higher cortisol levels compared to nonsmokers.
  • Cortisol levels can drop within the initial weeks of quitting.
  • Exercise could contribute to normalizing cortisol levels.

Long-Term Smoking Cessation

  • Exercise programs, such as the 12-week program in Marcus et al, can support long-term smoking cessation.
  • Exercise and Cognitive Behavioral Therapy (CBT) combined often lead to better long-term results during abstinence.

Smoking Topography and Exercise Intervention

  • Studies have examined how smoking behaviour changes (topography) in individuals undertaking exercise programs before cessation.
  • Data shows decrease in cigarettes smoked and consistent decline in smoking-related behaviour patterns.
  • Exercise before cessation often has a positive impact on smoking cessation efforts.

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