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Open AccessJournal ArticleDOI

Smoking and weight change after new health diagnoses in older adults.

Patricia S. Keenan
- 09 Feb 2009 - 
- Vol. 169, Iss: 3, pp 237-242
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TLDR
Across a range of health conditions, new diagnoses can serve as a window of opportunity that prompts older adults to change health habits, in particular, to quit smoking.
Abstract
Background Smoking and patterns of diet and activity are the 2 leading underlying causes of death in the United States, yet the factors that prompt individuals to adopt healthier habits are not well understood. Methods This study was undertaken to determine whether individuals who have experienced recent adverse health events are more likely to quit smoking or to lose weight than those without recent events using Health and Retirement Study panel survey data for 20 221 overweight or obese individuals younger than 75 years and 7764 smokers from 1992 to 2000. Results In multivariate analyses, adults with recent diagnoses of stroke, cancer, lung disease, heart disease, or diabetes mellitus were 3.2 times more likely to quit smoking than were individuals without new diagnoses ( P P P Conclusions Across a range of health conditions, new diagnoses can serve as a window of opportunity that prompts older adults to change health habits, in particular, to quit smoking. Quality improvement efforts targeting secondary as well as primary prevention through the health care system are likely well founded.

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Citations
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Trends in tobacco use among US adults with chronic health conditions: National Survey on Drug Use and Health 2005-2013.

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TL;DR: Both observed and modelled COPD prevalence varies considerably across England, and the inclusion of GP numbers in the analysis yielded a stronger regression relationship, suggesting primary care supply affects diagnosis.
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Obesity paradox or inappropriate study designs? Time for life-course epidemiology.

TL;DR: The scientific literature on the topic has increased exponentially over the last decade, leading some to question the wisdom of targeting overweight and obesity in patients with prior CVD, as is currently recommended by European and American guidelines for (secondary) prevention and cardiovascular risk reduction therapy.
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Dietary antioxidants and forced expiratory volume in 1 s decline: the Health, Aging and Body Composition study

TL;DR: The intake of nutrients with antioxidant properties may modulate lung function decline in older adults exposed to cigarette smoke and there was little or no association of diet and rate of decline in FEV1.
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A longitudinal examination of the interrelationship of multiple health behaviors.

TL;DR: It is suggested that population-level intervention efforts targeting multiple modifiable behavioral risk factors may not need to occur simultaneously because health behaviors are not independent but rather interrelated.
References
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Journal ArticleDOI

Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults.

TL;DR: Current patterns of overweight and obesity in the United States could account for 14 percent of all deaths from cancer in men and 20 percent of those in women, and increased body weight was associated with increased death rates for all cancers combined and for cancers at multiple specific sites.
Journal ArticleDOI

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TL;DR: The most prominent contributors to mortality in the United States in 1990 were tobacco, diet and activity patterns, alcohol, microbial agents, toxic agents, firearms, sexual behavior, motor vehicles, and illicit use of drugs.
Journal ArticleDOI

Actual causes of death in the United States, 2000.

TL;DR: These analyses show that smoking remains the leading cause of mortality in the United States, however, poor diet and physical inactivity may soon overtake tobacco as the lead cause of death.
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The task force.

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