Smoking Cessation for Older
Adults: it's Not Too Late!
By Amy Scholten, MPH
• "But I've been smoking for 45 years."
• "The damage has already been done."
• "Why shouldn't I enjoy my cigarettes? It doesn't matter at
my age."
The
truth is, it does matter. Seniors who quit smoking tend
to enjoy better health and quality of life than their peers who
continue to smoke.
Why it's Not Too Late
Many people don't realize that smoking cessation has immediate as well
as long-term benefits. Here are some benefits found in individuals,
both young and old, who stop smoking:
In one day:
Blood circulation increases.
Carbon monoxide levels in the
blood decrease.
Heart rate and blood pressure
decrease.
The risk of having a heart attack
decreases.
In several days to several weeks:
Sense of taste and smell improves.
Lung capacity increases.
Breathing becomes easier.
In several weeks to nine months:
Energy level increases.
Lungs become cleaner and more functional.
Colds and other respiratory tract infections become less
common.
Sinus congestion decreases.
Shortness of breath decreases.
Long-term benefits (several
years to 10+ years):
Risk of lung cancer decreases.
(Risk can eventually be
similar to that of a lifelong nonsmoker.)
Risk of cancers of the mouth, esophagus, larynx, bladder,
pancreas, and kidney decreases.
Other Health Benefits
Quitting smoking has additional
health benefits such as
decreased risk of heart disease, stroke, and chronic lung disease
(bronchitis, emphysema, asthma). Giving up cigarettes may also reduce
your risk of cataracts, macular degeneration, thyroid conditions,
hearing loss, erectile dysfunction, dementia, and osteoporosis.
Even if you already have a chronic disease, quitting
smoking may help reduce the severity of your symptoms and keep you
healthier longer. Still think it's too late?
Teaching an Old Smoker New Tricks
"But
I've been smoking for 45 years!" you say. "I'll never be able to quit
smoking at this point."
You may be surprised to hear that
older smokers are usually
more successful at quitting smoking than younger smokers.
This is especially true if they already have health
problems, particularly those associated with smoking.
Before You Get Off Your Butts...
List all the reasons you want to
quit smoking and look at
your list often.
Get help from your doctor, a smoking cessation specialist,
or a group cessation program. Discuss using nicotine replacement
products (patch, chewing gum, or nasal spray) along with a behavior
change program.
One week before you quit, keep a journal of when and where
you smoke each cigarette. Record how you are feeling each time (happy,
anxious, relaxed, angry, sad, lonely, etc.). This will help you be more
aware of your smoking patterns.
Choose a method of quitting, such as gradually cutting back
or quitting all at once. Quitting all at once tends to be most
effective.
Set a quit date on your calendar.
Kick Some Ashes!
On quit day, throw out all your
cigarettes and ashtrays.
Review your smoking journal and identify your smoking
patterns. If you regularly smoke in certain places at certain times (in
the kitchen after a meal, for example), change your routine (get up
from the table after eating). Identify other high-risk situations such
as stress, depression, and being around other smokers. Have a plan for
every situation.
Create a list of ways to distract yourself from a cigarette
craving. Examples include calling a friend, taking a walk, chewing gum,
or taking a warm bath.
Reward yourself with a treat (not food) for every week you
don't smoke. Put the money you save in a jar and watch it grow.
Have a supportive "buddy" (preferably an ex-smoker) you can
call during the rough times.
Withdrawal symptoms should go away in a few days. Nicotine
replacement products and bupropion often help. Try to get more rest and
relaxation.
To avoid weight gain, eat low-fat meals and snacks with
lots of fruit, vegetables, and whole grains. Drink lots of water.
Exercise daily. Consult a nutritionist if weight gain becomes a problem.
If You Fall on Your Butts
Again...
Many people go back to
smoking?sometimes years after
quitting?when a crisis hits. Plan ahead for how you will handle a
stressful event such as a death, divorce, retirement, illness, etc.
That way, you won't be caught off guard.
Most ex-smokers make several attempts to quit before they
are successful.
If you start smoking again,
don't let feelings of regret, guilt, or failure get a handle on you.
Learn from your setbacks and get right back on the program. It's not
too late!
RESOURCES:
American Lung Association
http://www.lungusa.org
Tobacco Information and Prevention Source
Centers for Disease Control and Prevention
http://www.cdc.gov
See also
On cannabis - a short history of
the weed
|