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So what's worse: being a smoker or being overweight/obese?

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  • LAT1963
    LAT1963 Posts: 1,375 Member
    edited February 2017
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    Your use of statistics is flawed. If smoking deaths fall below obesity deaths, it's not because smoking is less dangerous but fewer people are smoking in the modern era than are fat in the modern era. You have to look at smoking morbidity/#smokers and obesity morbidity/#obese if you want to compare morbidity or mortality rates between smokers and obese people.

    You can't look at smoking morbidity/total population vs. obesity morbidity/total population because the prevalence of each condition in the population differs.

    As others have observed, smokers behavior impacts not only their own health but of everyone around them (I hate the way they linger in doorways where smoking indoors is prohibited; when I exit a building I can get blindsided by their leavings and have an asthma attack).
  • Allterrain_Lady
    Allterrain_Lady Posts: 421 Member
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    Is this an actual debate?! Like 'would you rather die from...'??!!
    I'd say consider both of those things depends on ourselves, one should focus on avoiding both. (Coming from an ex-obese, ex-smoker who plans on living forever! ;))
  • Need2Exerc1se
    Need2Exerc1se Posts: 13,576 Member
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    Is this an actual debate?! Like 'would you rather die from...'??!!
    I'd say consider both of those things depends on ourselves, one should focus on avoiding both. (Coming from an ex-obese, ex-smoker who plans on living forever! ;))

    This is good advice because on a personal level either may kill you, whether or not one kills more or less won't matter then.

    But this is the debate forum.

    I don't know the statistics but on a personal level I know far more people who have died prematurely from smoking related illness than obesity. I have 5 living aunts who are all in their 70's or 80's and all have been obese for as long as I can remember. Tomorrow one of them will bury her granddaughter who at age 38 died from cancer that began in her lungs. She was a smoker.
  • cwolfman13
    cwolfman13 Posts: 41,874 Member
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    Is this an actual debate?! Like 'would you rather die from...'??!!
    I'd say consider both of those things depends on ourselves, one should focus on avoiding both. (Coming from an ex-obese, ex-smoker who plans on living forever! ;))

    I don't think it's a debate in terms of should you do one or the other...it's an interesting statistical discussion of what is worse for your health, though I think the statistics are a bit skewed because we're comparing total population and the statistics don't seem to take into account that smoking is on the decline and obesity is on the rise....still, it's interesting and nobody is suggesting that either is healthy for you.
  • mommarnurse
    mommarnurse Posts: 515 Member
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    Well, there's not a blanket answer as time spent / how much smoking , and time spent/ how much obese are going to affect the outcomes of either. If both are even (smoking for a lifetime or obesity for a lifetime) I think smoking is more likely to have concrete negative outcome (COPD, cardiac disease) than obesity.
  • mommarnurse
    mommarnurse Posts: 515 Member
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    ninerbuff wrote: »
    Well, seeing both my mother (@ age 67) and my oldest sister (@ age 54) both die from lung related issues, and both being normal weight (actually sister was underweight at time of death), I will opt for smoking being more hazardous to overall health. Meanwhile, none of my sisters or father (who are/were overweight) died from being overweight. Plus smokers put those around them at risk with second hand smoke.
    Plus everyone has to eat to survive, no one has to smoke.
    BTW OP, my mother (lifelong smoker) emphysema.
    Sister, lifelong smoker. Breast cancer @ 36. Brain, lung, adrenal cancer @ 54 died of pneumonia ultimately and no spare fat on her to help her survive longer.
    No way will you convince me smoking is better for you than being over weight.

    PS OP, have you ever watched a loved one die, struggling for every breath?
    Not gonna try to convince you. I'm just going off the statistics. And in the US we have a much bigger issue with weight correlated deaths than lung cancer. Again, not condoning smoking, but it's odd to see that something that everyone thinks is really bad, isn't killing us off as much as weight related issues. Again, those are the stats, not my opinion.
    I have had several relatives smoke throughout their life and not die from lung cancer, my grandmother being one of them.

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    True, true. However the % of Obese Americans is sharply higher than the % of smokers (in today's society) and have to take that into account. It takes years of smoking for it to kill you, and in that time the obesity rate has skyrocketed, while the % of Americans who smoke is going in the opposite direction.
  • mommarnurse
    mommarnurse Posts: 515 Member
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    lizery wrote: »
    @ninerbuff re: medical marijuana ...

    I appreciate the anecdotal evidence regarding benefits for some patient cohorts.

    I support research into canabinoids and medicine such as looking further into anti epileptic properties, analgesia ect

    However, there is proven links between first episode psychosis, schizophrenia and other mental disorders and that in my opinion should not be brushed over.

    I think many people need to Google 'marijuana and schizophrenia' as well as 'medical marijuana' for a balanced picture.

    Can you provide a source for these links? Just right off the top of my head my immediate thought is that of course there's some correlation between marijuana use and onset of Schizophrenia...first symptoms of schizophrenia are typical in the late teens early 20's, which is the same typical time of first or heavy marijuana use...
  • crackpotbaby
    crackpotbaby Posts: 1,297 Member
    edited March 2017
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    lizery wrote: »
    @ninerbuff re: medical marijuana ...

    I appreciate the anecdotal evidence regarding benefits for some patient cohorts.

    I support research into canabinoids and medicine such as looking further into anti epileptic properties, analgesia ect

    However, there is proven links between first episode psychosis, schizophrenia and other mental disorders and that in my opinion should not be brushed over.

    I think many people need to Google 'marijuana and schizophrenia' as well as 'medical marijuana' for a balanced picture.

    Can you provide a source for these links? Just right off the top of my head my immediate thought is that of course there's some correlation between marijuana use and onset of Schizophrenia...first symptoms of schizophrenia are typical in the late teens early 20's, which is the same typical time of first or heavy marijuana use...

    I did provide a link in one of my previous posts if you scroll back to the UK college of psychiatry stance on this issue,

    ETA: here is the link I posted a few pages back

    http://www.rcpsych.ac.uk/healthadvice/problemsdisorders/cannabis.aspx?theme=mobile

    If you are interested in further research on this topic I suggest access psychiatric journal articles directly though, which may be more easily accessible via a hospital or univesity research library.
  • FatPorkyChop
    FatPorkyChop Posts: 83 Member
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    Smoking smoking smoking - is orse, I wasn't overweight at all and quite fit but a smoker.... after few years I started to have some serious health issues due to my smoking ... I stopped it and became soooo healthier and happier (and richer and you smell nicer too) ... I have been smoke free for 7 years and I d rather put on weight than smoking again...
    That guy is cocky and if he does not watched out he might learnt the hard way....
  • born_of_fire74
    born_of_fire74 Posts: 776 Member
    edited March 2017
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    CarShelley wrote: »
    Smoking smoking smoking - is orse, I wasn't overweight at all and quite fit but a smoker.... after few years I started to have some serious health issues due to my smoking ... I stopped it and became soooo healthier and happier (and richer and you smell nicer too) ... I have been smoke free for 7 years and I d rather put on weight than smoking again...
    That guy is cocky and if he does not watched out he might learnt the hard way....

    Has anyone disputed that smoking is worse than not smoking or that obesity is worse than maintaining a healthy BMI? The question is whether smoking is the same, better or worse than obesity; you have not addressed that at all in your comment. You suppose it is worse to smoke than to be obese and likely receive a fair bit of reinforcement in your environment for this position because smoking is so demonized that many believe there is utterly no benefit to it whatsoever but there's no way you can really be certain based on your anecdotal experience, having never been obese. Who's to say how your health would have compared if you had been obese instead of a smoker or, worst case scenario, obese and a smoker? This discussion was intended to be based on science not feelings, opinions and suppositions.

    Good for you for quitting smoking though. It's not my intent to diminish that in any way and you are most certainly better off for having done so :)
  • perkymommy
    perkymommy Posts: 1,642 Member
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    I saw two different people in my family (my dad and mother-in-law) die from lung cancer both smoked and one was overweight and the other was not.
  • FitbitConnor
    FitbitConnor Posts: 143 Member
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    Some more anecdotal evidence here, I went to my GP as I was being treated for another condition. At the time i was obese and smoking around 10-20 cigarettes per day. In order to help my other condition he told me i needed to lose weight but that as smoking is ultimately more harmful to me at that time, i should quit smoking first then tackle my weight problem. If I were morbidly obese or SUPER-morbidly obese he might have said otherwise i dont know? Dont forget cigarettes increase cholesterol as well, so smoking will be much more harmful to an obese person.
  • VictoriaHazelwood
    VictoriaHazelwood Posts: 23 Member
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    So both sets of my grandparents smoked from the time they were probably 13 until their deaths. They all died from old age or diseases not related to their smoking. They all rolled their own cigarettes. I firmly believe it's the chemicals in the filters that make them worse for you rather than just smoking the tobacco. As someone that smoked for a while and has been smoke free for almost two years now ( yay!) I think they are both bad for you, but that obesity will probably get you sooner rather than later like lung cancer, emphysema , etc.
  • tomteboda
    tomteboda Posts: 2,171 Member
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    So both sets of my grandparents smoked from the time they were probably 13 until their deaths. They all died from old age or diseases not related to their smoking. They all rolled their own cigarettes. I firmly believe it's the chemicals in the filters that make them worse for you rather than just smoking the tobacco. As someone that smoked for a while and has been smoke free for almost two years now ( yay!) I think they are both bad for you, but that obesity will probably get you sooner rather than later like lung cancer, emphysema , etc.

    If you read the journals of Lewis and Clark you will discover that even during their time, the bad health effects of tobacco were common knowledge, and the addictive nature of tobacco openly known, but the enjoyment of the habit outweighed all logic for many.
  • marelthu
    marelthu Posts: 184 Member
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    jgnatca wrote: »
    My dad has adult onset diabetes and COPD. He got his diet under control and quit smoking years ago. The COPD will kill him.

    When I lost significant weight I re-ran my risk factors in to a mortality algorithm and my improved weight added a decade to my life expectancy; a pleasant surprise. I'm a lifetime non-smoker and at this late date I don't intend to turn myself in to an n=1 trial. I'll skip the smoking.

    I think another worthwhile question is whether quitting smoking, losing significant weight, or good dental hygiene improves your quality of life more.

    Smokers take more regular work breaks.

    Too much weight takes a toll on all the joints. Losing mobility is truly miserable.

    Bad teeth, well, can be a one way ticket to a heart attack.

    Apparently the bad teeth = heart attack thing has been disproven.
  • marelthu
    marelthu Posts: 184 Member
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    I don't really know which is worse but I do know that the weight loss clinic I go to - the eventual goal of which is bariatric surgery - will not take anyone who smokes. Period.
  • jaylas_mom21
    jaylas_mom21 Posts: 311 Member
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    Both are bad. I work in a vascular surgeon's office and see the effects of smoking on a daily basis. Lots of people having strokes due to carotid artery stenosis and can barely walk due to blockage in their legs which can also lead to amputation.