Smoking increases the risk of lung cancer,
heart disease, stroke, emphysema and
infertility — and now, a new study says it could also increase the risk of developing Alzheimer’s disease. Heavy smoking — at least two packs a day — in middle age increases the risk of
later developing Alzheimer’s disease by 157 percent, and vascular dementia by 172 percent, according to the study. Vascular dementia is dementia caused by reduction or loss of blood supply to the brain. The findings add to previous work linking smoking and development of dementia. However, this study is different in that the researchers followed a large group of study participants over a long period of time — which was necessary for finding a link to an age-related disease like Alzheimer’s, said study researcher Rachel Whitmer, a research scientist at the
Kaiser Permanente Division of Research
in California.
“You need a study of a large group of people with several decades of follow-up, and enough smokers who make it to an age where they are at risk for dementia,” Whitmer told MyHealthNewsDaily.
Researchers still aren’t completely sure why smoking affects brain function. But smoking is known to cause
inflammation and oxidative stress — cell damage from toxic free radicals in the body — conditions that are associated with the onset of Alzheimer’s, she said.
“If you are an
elderly person who smokes, and you’re lucky enough to not have cardiovascular disease,
respiratory disease or cancer, you’re still at a greater risk of dementia throughout late life,” Whitmer said.
The new study was published online today (Oct. 25) in the
journal Archives of Internal Medicine.
Up in smoke
In the study, 21,123 California residents ages 50 to 60 participated in a health survey from 1978 to 1985, in which they indicated whether they had never never smoked, or were former or current smokers.
Researchers followed up with them about 23 years later, between 1994 and 2008, and found that 5,367 of the people, or 25.4 percent, had been diagnosed with dementia. Of those , 1,136 were diagnosed with Alzheimer’s disease and 416 were diagnosed with vascular dementia.
Researchers found that people who smoked more than two packs of cigarettes a day had a higher risk of developing either type of dementia than nonsmokers.
Former smokers, and people who smoked less than half of a pack a day, did not seem to have an increased risk of dementia than nonsmokers, the study said.
Conflicting evidence
Past studies have found a link between smoking and dementia. However, not all of them
report the same relationship.
A 2003 study of 218 middle-aged Japanese-American men in the journal Neurobiology of Aging found the more cigarettes a man smoked, the greater his risk of developing Alzheimer’s disease.
But a 10-year study of 1,436 elderly Taiwanese people found past and current smokers were one-third less likely to be cognitively impaired than people who had never smoked. That finding, published in September in the journal Archives of Gerontology and
Geriatrics, suggested smoking is a protective factor in cognitive function.
That seemingly protective effect may come from nicotine’s action as a stimulant, prompting smokers to perform better on cognitive tests, Whitmer said.
However, that effect was not found in the new study, and was not found among long-term smokers with Alzheimer’s and dementia particularly, she said.
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Disclaimer: All the information is collected from different websites and sources
Being unemployed can be stressful, but the psychological toll of having a poorly paid, demanding job can be just as bad for mental
health as having no job at all, a new study finds. In addition, becoming employed isn’t always a boon for mental health. Study participants who transitioned from being unemployed to being employed in a poor-quality job showed a worsening of their mental health, the researchers, from The Australian National University in Canberra, Australia, say. The findings suggest
government policies shouldn’t focus solely on reducing unemployment. The conditions of those jobs, including benefits, hours and flexibility, should be considered as well, said Joseph Grzywacz, an associate professor of family and community medicine at
Wake Forest University School of Medicine in Winston-Salem, N.C., who was not involved with the study.
“The people who look at employment and unemployment tend to think that all jobs are created equal,” Grzywacz told MyHealthNewsDaily. “This is further evidence suggesting that all jobs are not created equal.”
Employment and mental health
The researchers examined results from a nationally representative household
survey of more than 7,000 people living in Australia. They looked at seven years’ worth of responses, beginning in 2001.
Job quality was graded based on four factors: stress and level of demand, amount of control employees said they had over their work, job
security (or potential for a future) and whether or not the pay was fair.
Participants also filled out a mental health
questionnaire that assessed symptoms of depression and anxiety as well as positive emotions, including feeling happy and calm.
Overall, those who were employed had better mental health than those who were unemployed.
But after taking into account factors that could influence the findings — such as an individual’s age, gender, marital status and level of education – the mental health of unemployed individuals was on par with, or better than, the mental health of those with poor-quality jobs.
Those with the poorest-quality jobs showed a greater drop in mental health over time compared with those who were unemployed.
People who became employed in a high-quality job saw their mental health score go up an average of 3 points. But if they took on a poor-quality job, their mental health declined by 5.6 points. The mental health of this group was worse than those who remained unemployed throughout the study period. A difference of just 4 or 5 points on this test is considered clinically relevant, meaning you can see changes in a person’s mental health, the researchers say.
The findings suggest that “employment
strategies seeking to promote positive outcomes for unemployed individuals need to also take account of job design and workplace policy,” the researchers write online in the
journal Occupational and Environmental Medicine.

What can be done?
One way to improve job quality would be to put protections in place to promote job security, Grzywacz said. For instance, not having an
employment contract creates a sense of insecurity because “people don’t know what tomorrow is going to bring,” he said. Employers could reduce the amount of independent
contract work and bring back the notion that “if you toil for a company, you have a future with that company.”
Organizations could also try and reduce the number of “forced choices” employees are required to make, such as the choice between finishing something at work or taking care of a sick child, Grzywacz said. Employers could create flexible leave policies so that employers aren’t forced to choose between their job and their family, he said.
Finally, the idea jobs can be created by cutting full-time jobs in half might not be the best thing for employees. The benefits of these part-time jobs may not be enough for a family to survive, Grzywacz said.
“You may not be getting any additional gain from putting everybody back to work,” he added.
Pass it on: A job with poor conditions, including low pay and high stress, can be just as bad for mental health as no job at all.