home
RSS
Early morning smokers have higher cancer risk
August 8th, 2011
12:01 AM ET

Early morning smokers have higher cancer risk

Smokers who indulge in their first cigarette shortly after waking up have an increased risk of developing lung and head and neck cancers, according to two new studies published in Cancer, a journal of the American Cancer Society. The findings may help identify smokers who have a greater risk of developing cancer. These smokers could then be more urgently targeted for smoking cessation programs.

The first studies to show a link between cigarette smoking and cancer were published back in the 1950s, but it wasn’t until 1980 that nicotine dependence was recognized by the American Psychiatric Association as a psychological and physiological problem. The new studies out of Penn State College of Medicine look at nicotine dependence, which in part can be determined by the amount of time elapsed before a smoker lights up his or her first cigarette after waking up in the morning.

“These smokers have higher levels of nicotine and possibly other tobacco toxins in their body, and they may be more addicted than smokers who refrain from smoking for a half hour or more,” says Joshua Muscat of the Penn State College of Medicine, who led the investigation.

Subjects who smoked their first cigarette between 31 and 60 minutes after waking up were more than 30% more likely to develop lung cancer; the odds increased to nearly 80% for those who smoked in their first half-hour awake. For head and neck cancers, subjects were more than 40% more likely if they indulged in the 31-60 minute window, and nearly 60% more likely for those who smoked in their first half-hour awake.

“One of the things we use to measure dependence is called the Heavyness of Smoking Index, which includes two questions,” says Dr. Richard D. Hurt, the director of the Mayo Clinic’s Nicotine Dependence Center, who is not affiliated with the new studies. “How much do you smoke, and how long after you arise do you have your first cigarette?”

Hurt also points out that waiting a little longer before indulging in a first cigarette of the day would mean fewer total cigarettes in a day. “The more dependent are more likely to be heavier smokers,” he says. “But you also have to look at how aggressively these people are smoking. Those who inhale deeper, hold longer, and smoke their cigarettes all the way to the end are receiving more of the harmful constituents of that cigarette.” This makes them more likely to develop cancer than those who smoke less aggressively.

The half-life of nicotine is relatively short – only two hours – so after six or eight hours of sleep, your body has gotten rid of nearly all of the nicotine you’ve inhaled the day before. There’s very little left in the body in the morning and the receptors in the brain are crying out for more nicotine. Those who are the most dependent need that cigarette earlier, and often smoke more cigarettes throughout the day, more intensely.

The takeaway here is about what you’d expect. “Stop smoking as soon as you can,” says  Hurt. “We have more things to offer now than ever before. [You] can go to a physician or call a telephone quit line. We combine behavioral counseling with medications, which can double, triple, or even quadruple your chances of successfully quitting.”


soundoff (174 Responses)
  1. Vera

    The Breast Health & Healing Foundation is determined on finding the causes of breast cancer to ultimately prevent this disease. Take a look at this page to learn more: http://www.breasthealthandheal​ing.org/research/grants.html

    August 8, 2011 at 15:51 | Report abuse | Reply
  2. Vera

    Women with a genetic risk for breast cancer need to learn about all of their options including prevention strategies: http://yourlife.usatoday.com/h​ealth/medical/breastcancer/sto​ry/2011/08/Counseling-may-help​-women-at-risk-for-breast-canc​er-gene/49832658/1

    August 8, 2011 at 15:51 | Report abuse | Reply
  3. John

    Hey everyone, if you smoke more cigarettes than someone else you have a greater chance of developing cancer!

    I'm so depressed that I didn't become a research scientist and get multimillion dollar grants to prove the obvious...

    August 8, 2011 at 18:02 | Report abuse | Reply
    • jomama

      yeah–obviously youve never tried to get an R01–why dont you go back to flippin those burgers since its more your speed.

      August 8, 2011 at 20:35 | Report abuse |
  4. Chris

    or cannabis

    August 8, 2011 at 18:59 | Report abuse | Reply
  5. proamerica

    I was having withdrawal without a smoking article for a couple of days.

    August 8, 2011 at 20:11 | Report abuse | Reply
  6. sarah S

    I'm surprised how many people are so offended by cigarettes. just get over it. its none of your business how other people live. my dad died of lung cancer when i was 15 but that still doesn't give me the right to dictate what others do. i personally dont smoke but i really don't care if others choose to.

    August 8, 2011 at 22:39 | Report abuse | Reply
    • Rinsewind

      I agree with you in part. I can't stand being in a smoky room, because the smoke smells awful and leads to all kinds of respiratory symptoms. I think the rules about no smoking in restaurants, public buildings and airplanes are good ones. However, if people want to smoke in their own cars, houses, yards, etc. it's none of my business. They can do what they want. I think that laws banning cigarette smoking outdoors, on sidewalks, and so forth are excessive–I don't really see how someone who chooses to smoke outside is really bothering anyone.

      August 9, 2011 at 08:07 | Report abuse |
    • Child with asthma

      really.. well smokers make my son sick.. it is a health hazard to everyone. I think smokers are the most selfish, ignorant people on the planet. Go smoke your brains out..but not around children and pets who have no say. The drain on Health Care and on the air quality are staggering.. get a grip.. your Dad robbed his kid of a parent.. how selfish is that!!??

      August 9, 2011 at 11:58 | Report abuse |
    • Danimal

      The problem is, unless you are really isolated somewhere, smoking almost ALWAYS bothers someone else. Us non-smokers have a right to sit on an outdoor patio or walk down the street without breathing in your cancerous smoke. Not to meantion we all pay the price for your high medical bills.

      August 9, 2011 at 18:08 | Report abuse |
  7. yarah

    I am so tired of hearing this causes cancer and this causes cancer. There are people in different companys who are making hundreds of millions of dollars every years because cancerr is BIG business. I wouldn't be surprised if they had a cure for the darn thing already. It's just so sad how the people with cancer have to suffer. I have seen stats that since they have beeb raising money for cancer, there have been one trillion dollars made so far. How sick is that?

    August 9, 2011 at 04:06 | Report abuse | Reply
    • Sargento

      Streets are dirty wear covered shoes. You will SEE just about anniythg in New York but you do not want to CATCH anniythg in NY! I almost NEVER wear sandals or open shoes, unless I park under Lincoln Center to see a concert or opera, and only am walking IN Lincoln Center!So wear pants and a neutral shoe.

      September 13, 2012 at 23:59 | Report abuse |
  8. I wonder

    A recent CNN article reported how tall people are at greater risk for cancer. I guess if your tall and smoke as soon as you get up, your doomed as doomed can be.

    August 9, 2011 at 06:14 | Report abuse | Reply
  9. AZ

    The article states that those who smoke in the first 30 minutes of waking up are more at risk that others. But what was the scientific reason behind it? Is it my assumption that those who smoke in the first 30 minutes of waking up are at more risk just because they might be more dependent on nicotine and might smoke more and aggressively throughout the day? Is that the only reason?

    August 9, 2011 at 08:52 | Report abuse | Reply
    • Billy

      you pose a very good question. another question is Who did this study? Who paid for this study? Where was the results published( in what medical journal)? last of all "who profited from this study"?

      August 10, 2011 at 10:02 | Report abuse |
    • David

      There is no Vegetarian Law. You do what you think is ethical and live by your own molras.Personally, I don't eat meat not because I think it's wrong to eat meat, but because I can't stand the conditions the animals live in, and how they are slaughtered. I consider it more of a life-time boycott of the industry.So, I would certainly wear leather if it was something that I found in a thrift shop or something. I wouldn't put my wallet behind supporting the industry or the byproducts of the industry but I also believe that if that animal died regardless I would rather see that all of it is used than just to have it go through that torture only to be thrown away.Anyway you decide what you think is right. It doesn't matter what I think or what any of these posters think. Consider all opinions, sure, but the bottom line is that you should be able to live with yourself.

      September 11, 2012 at 04:14 | Report abuse |
  10. mrPhillipKarnes

    This just in..... smoking unsafe at night too!

    August 9, 2011 at 09:28 | Report abuse | Reply
  11. yarah

    They will never get out of the Laboratory. Like I said, Cancer is BIG business.

    August 9, 2011 at 10:18 | Report abuse | Reply
    • DCLaw-1

      If cancer is big business, why would they want to keep a cure in the lab? You cant make money by hiding your discovery. Further, what about the countries with socialized medicine that your ilk are so enamored with? There is no profit motive there, so how come they havent produced and introduced a cure? By the way, I have scene the Chris Rock comedy special you copied this from.

      August 9, 2011 at 11:23 | Report abuse |
    • yarah

      Seen is not spelled "Scene" Read what you wrote regarging what I said. You can't spell or read.

      August 9, 2011 at 12:11 | Report abuse |
  12. way screwed

    I just googled "smoking is good for you. Most of the websites were saying that smokers had better memory and concentration skills. 1/3 of smokers die of cancer (not specifically lung cancer). All smokers that die are recorded to have died of smoking related illness. The numbers are skewed for the obvious reason to demonize those that chose to do what they want to. Every smoker in my family died in their late 80's or 90's. Cancer is a by product of bad genes and living longer. Cancer was relatively unheard of before we started nuclear testing and forging into the industrialized world. I don't recall the American Indians having a word for cancer....the original people who smoked tobacco. So my argument is that all this talk of smoker related cancer is a smoke screen.

    August 9, 2011 at 11:21 | Report abuse | Reply
    • DCLaw-1

      Cancer was unheard of before the industrial revolution because it was not diagnosed. The Indians did not have microscopes, CAT scans, or X-Rays. The high incidence of cancer post 1900 is due to the high incidence of diagnosis.

      August 9, 2011 at 11:27 | Report abuse |
    • way screwed

      Exactly – X-rays. Hmmm. Sure that does not causes cancer. Sarcasm.

      August 9, 2011 at 11:28 | Report abuse |
    • Jayleigh

      wayscrewed, you sound ignorant.

      Before society knew any better people probably though that someone that died of cancer just died. Also, because the people you know lived to be 80 or 90 and smoked does not mean that happens for everyone. Check the stats, it says smokers die younger on average. Out of my wife's and my grandparents 5/8 dies before 65 due ot smoking related cancers. the other 3 did not smoke and lived to be in their mid-80's. Think outside your little box and do the world a favor.

      August 9, 2011 at 16:46 | Report abuse |
    • Piper

      I read last year that some of the dinosaurs died of cancer, so cancer has been around for a very, very long time, but here's the thing, we are only meant to live for so long and we all have to go someway and it's usually by disease.

      August 9, 2011 at 17:07 | Report abuse |
    • Str8whtguy

      Actually, people have known about cancer and have been treated for it for a much longer time. Nabby Adams Smith, the daughter of our second president, John Adams, suffered from breast cancer, and had a mastectomy. It saved her life at least for several years, when a second bout killed her at age 48 in 1813.

      August 11, 2011 at 17:57 | Report abuse |
  13. yarah

    I don't need some foul mouthed person to help me with what I wrote. ABout a Trillion $$$$$ made since they started collecting for cancer? They either have a cure or don't want it on the market at the very least.

    August 9, 2011 at 12:05 | Report abuse | Reply
  14. yarah

    Cancer brings in hundreds of millions of dollars a year. If that's not BIG business then I don't know what is.

    August 9, 2011 at 12:08 | Report abuse | Reply
  15. Lori

    The world is better off with fewer people. Done thru lack of basic healthcare.

    August 9, 2011 at 12:57 | Report abuse | Reply
    • Manjula

      Yes they should, but it denpdes on how vegetarian you are,but also there is aing vegetaranism too far. The definition of a vegetarian is someone who does not eat any ddea animal products, so there is no reason why not that you can not wear leather shoes. I am a vegetarian and i wear leather shoes, because i am not eating the leather. But its all up to the individual.

      September 11, 2012 at 17:24 | Report abuse |
    • Pat

      Take it from me, I wanted to wear shoes that loekod good with my trendy skirts as well if you spend the day out on the town in shoes not worn for comfort, you will mess up your feet, remember you have to keep up the pace walking through the City. I know it's not your typical choice for fashion but you will see that most New Yorkers wear tennis shoes. However if you're just going out for dinner or a play, then wear your favorite shoes.

      September 13, 2012 at 23:11 | Report abuse |
  16. Lori

    The world, in many ways, is banking on fewer people to sustain and pay for.

    August 9, 2011 at 12:58 | Report abuse | Reply
  17. Mike Hammond

    NO KIDDING

    August 9, 2011 at 16:44 | Report abuse | Reply
  18. Capercorn

    BREAKING NEWS: SMOKING IS BAD FOR YOU.

    August 9, 2011 at 17:27 | Report abuse | Reply
  19. CureAll

    The cure is out there, look it up, HEMP OIL from medical grade marijuana. Go to youtube and lookup Rick Simpson-Run from the Cure. Now if the scientists were able to research this plant, everything would be found, but like you say, TREATING cancer is big money!!!!! phoenixtears.ca

    August 9, 2011 at 18:18 | Report abuse | Reply
  20. Danimal

    That's right everyone. Smoking is completely safe and natural. It's healthy for you and cancer is big business so they are hiding the cure. It's also true that being obese is actually healthier than being fit, 911 was self-inflicted, the moon landing was faked and the earth is flat. All the doctors and scientists in the world are dumber than you. Keeps smoking evryone! Enjoy your morning cough, raspy voice, bad breath, brown teeth and your phlegm. It's good for you.

    August 9, 2011 at 18:28 | Report abuse | Reply
    • Mohd

      I would wear comfortable, coerevd shoes while walking and riding the subway, and something stylish when you reach your destination. The nicer pair of shoes will fit into a large purse or bag, and you can change shoes as you reach the sites you are going to visit.

      September 14, 2012 at 00:03 | Report abuse |
  21. WixNoo

    OK wow that makes a lot of sense dude Wow.

    http://www.real-anonymity.us.tc

    August 10, 2011 at 09:54 | Report abuse | Reply
  22. Billy

    the problem with this is that there has been no scientific proof that cigarette smoke(even second hand smoke) creates the problems associated with it. true that there are carcinogens in cigarette smoke , But by the same token there are carcinogens in all the air that we breathe from so many other factors that cigarette smoke is but a small part. And the fact that to get the carcinogens from second hand smoke you would have to be in that persons face for so long that you would have to be joined at the nose.. Sorry but I want to see the data that shows this to be true. I am tired of a few scare mongers causing so much trouble for the masses.

    August 10, 2011 at 09:58 | Report abuse | Reply
  23. thecure

    they have a cure for cancer – it's called Vitamin B17
    Check out this link for all the info you need.... http://www.worldwithoutcancer.org.uk/

    August 10, 2011 at 15:51 | Report abuse | Reply
    • Bhosxz

      Thank you Mike and Carla for letting me work at the new shop. It has been fun. And thank you Dino and Anita. Even tghouh we go through some pretty tough customers, I am very happy that there are ones understanding of a newbie.

      September 11, 2012 at 19:17 | Report abuse |
    • Miho

      Ovarian Cysts No More Has anyone tried this and it does relaly work? I got the ebook I not sure it yet. 8.26.2011This is from the book..It’s the perfect holistic ovarian cysts solution. Ovarian Cysts can be cured. Ovarian Cysts No More handles all the symptoms of ovarian cysts using a unique relief treatment that works for almost all types of ovarian cysts.They offers 24 email ebook and counseling once you buy the program which is $39.00 8.26.2011 is when I made my purchase. Steps given to cure ovarian cysts permanently, not just alleviate the symptoms, and how to prevent their recurrence. This program was written by a real person who suffered from this condition for years. Reversing ovarian cysts permanently can never be achieved as long as your body is in a state of imbalance. Ovarian cysts are not a problem with your ovaries or reproductive system, no matter what your doctor tells you. It’s taking responsibility for your body and about restoring it to a state of balance where no disease can exist, not only ovarian cysts. The system show you how to rebuild your organs or elimination and supplies dietary supplementation, mental and lifestyle plans aimed at restoring your body back to balance. You will be able to overcome many illnesses and dysfunctions you may have had before the treatment such as constipation and obesity, hormone imbalance and fatigue, but you will also feel younger, healthier and more vibrant. Treating Ovarian Cysts is not a fast process it requires persistence and patience. Results may only come after 6 or ever 8 weeks.By leaning the conditions needed for ovarian cysts environment to exist and how to neutralize these conditions so you ovarian cysts will vanish forever; restoring your body back to balance.Has anyone here tried this book or knew anyone who has.Sounds like a good book it not a great answer.

      September 14, 2012 at 01:22 | Report abuse |
  24. surfsouthbay

    do any of your comment posting boards actually work? rarely do they make it on the list

    August 10, 2011 at 17:22 | Report abuse | Reply
  25. john

    are there any studies on dick smokers?

    August 31, 2011 at 15:49 | Report abuse | Reply
  26. nature

    You can definitely see your skills in the work you write. The world hopes for even more passionate writers like you who are not afraid to say how they believe. All the time go after your heart.

    July 30, 2012 at 11:31 | Report abuse | Reply
  27. Sheikh

    any tips on how to dull patent lhaeter to make it look like regular lhaeter? i have heard milk and/or rubbing alcohol works. i have a pair of nice shoes, problem is parts of the shoe are patent while the rest is regular lhaeter, im just not a fan of patent, any advice would be greatly appreciated, thank you.

    September 11, 2012 at 18:36 | Report abuse | Reply
    • Angela

      I suffer from Breast Cancer, which for me, is basically a Death Sentence on my life, the thoughts of having Breast Cancer burns and itches simultaneously in my heart that i was dead alive (and looks hideous). I heard that Hemp Oil could help, and for the price i was willing to try anything that would save my My Life. What I found out was astonishing! It was instantly getting better and better and most of the virus are gone and just little medication left for me. It’s also a light, i am very grateful to Doctor Henderson for Selling the Hemp Oil for me and his Medical Advises, for all those that have problems with Cancer Please Please Kindly let the Doctor Know at:hendersonmedicalservice@gmail.com,
      He saved my Life that is why i will keep on giving his testimonies.
      Angela
      United State of America

      February 4, 2013 at 04:46 | Report abuse |
    • pg2109

      Warning:
      There is no Dr. Nathan Kisper, Dr. Mike Henderson, Dr. Smith Williams, Dr. Sedney Carey, Dr. Mac Donnald etc.. Only the big scammers hiding behind these names. Unfortunately I am the one of their victims. Be careful and don't trust them and in any of their "stories"!!!

      March 25, 2013 at 09:05 | Report abuse |
  28. Grace

    I am so grateful to Doctor Henderson for saving my life with his Hemp Oil Medical service. I give thanks to God almighty for having the opportunity to meet him and i am so happy that i am no more a cancer patient anymore. Thank you so much Doctor Henderson for helping to save my life. For all those who have issue with Cancer should take the problem to Doctor Henderson and see it solved for life. contact: hendersonmedicalservice@gmail.com
    Grace
    USA

    February 4, 2013 at 04:47 | Report abuse | Reply
    • pg2109

      Warning:
      There is no Dr. Nathan Kisper, Dr. Mike Henderson, Dr. Smith Williams, Dr. Sedney Carey, Dr. Mac Donnald etc.. Only the big scammers hiding behind these names. Unfortunately I am the one of their victims. Be careful and don't trust them and in any of their "stories"!!!

      March 25, 2013 at 09:07 | Report abuse |
  29. lurtherdavis

    Hello everyone with the problem of cancer, God has been so amazing in my family life since we met Started using Doctor Henderson Hemp Oil.
    My Son who is 19 years old was diagnosed with Cancer of the lung and the cancer was in it final stage when we heard about Doctor Henderson Hemp Oil and we where lucky to contact him and bought his Medical Hemp Oil which my son started treatment with. It now 3 months and my son is done with treatment. My son didn't die, instead he is living in healthy condition with his lungs cancer totally gone. Doctor Henderson, God will give you prosperity in all your endeavor in life. You shall be blessed abundantly. You gave my family a new meaning in life. Thank you Doctor Henderson. for those that believe that they will die, please contact Doctor Henderson on: hendersonmedicalservice@gmail.com and have you cancer of types cure. have your life, love, family back with Doctor Henderson Hemp Oil.
    Thank God for you Doctor Henderson. hendersonmedicalservice@gmail.com

    February 4, 2013 at 04:47 | Report abuse | Reply
    • pg2109

      Warning:
      There is no Dr. Nathan Kisper, Dr. Mike Henderson, Dr. Smith Williams, Dr. Sedney Carey, Dr. Mac Donnald etc.. Only the big scammers hiding behind these names. Unfortunately I am the one of their victims. Be careful and don't trust them and in any of their "stories"!!!

      March 25, 2013 at 09:06 | Report abuse |
  30. epapieros

    Hmmm, yup no uncertainty Google is finest in favor of blogging but now word press is also pleasant as a blogging because its Search engine marketing is pleasant defined already. epapieros http://technorati.com/people/Norberto07/

    February 23, 2013 at 16:43 | Report abuse | Reply
1 2

Post a comment


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.