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Older adults and smoking.

A Z LaCroix1, G S Omenn

  • 1Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington.

Clinics in Geriatric Medicine
|February 1, 1992
PubMed
Summary

Quitting smoking after age 65 significantly reduces the risk of death, heart events, and cancer. Smoking cessation in older adults improves physical function and quality of life, extending lifespan.

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Area of Science:

  • Gerontology
  • Public Health
  • Preventive Medicine

Background:

  • Continued smoking in older adults is linked to chronic diseases, reduced mobility, and poorer physical function.
  • Smoking cessation offers substantial health benefits, even when initiated later in life.

Purpose of the Study:

  • To review the benefits of smoking cessation in older adults.
  • To provide evidence supporting physician encouragement of smoking cessation in this demographic.

Main Methods:

  • This is a review of existing literature on smoking cessation in older adults.
  • The review synthesizes findings on mortality, cardiovascular events, cancer risk, respiratory diseases, bone health, and functional outcomes.

Main Results:

  • Smoking cessation reduces all-cause mortality, with risks approaching those of never-smokers within 15-20 years.
  • Benefits include reduced risk of coronary events, cardiac deaths, smoking-related cancers, and chronic obstructive pulmonary disease (COPD) mortality.
  • Quitting improves respiratory symptoms, slows pulmonary function decline, enhances physical function, and may positively impact bone health and quality of life.

Conclusions:

  • Smoking cessation after age 65 yields significant improvements in life expectancy and quality of life.
  • Encouraging smoking cessation in older adults is a crucial public health intervention with excellent population-level prospects.
  • While individual benefits vary, the overall impact of quitting smoking late in life is profoundly positive.

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