New England Medicine: It’s better to quit smoking than to quit smoking.

A recent study by the Zong Geng Research Group of the Shanghai Institute of Nutrition and Health, Chinese Academy of Sciences, and the Nutrition Department of the Harvard School of Public Health found that although weight gain caused by smoking cessation increases the risk of type 2 diabetes in the short term, this is not enough to offset The protective effect of smoking cessation on the risk of long-term death. Related research results were recently published online in the internationally renowned medical journal New England Journal of Medicine.

This study is the world's first systematic study of weight loss after smoking cessation and long-term type 2 diabetes risk, cardiovascular mortality and total mortality.

Although smoking cessation can effectively reduce the risk of multiple diseases, weight gain is common among quitters. This is because tobacco can effectively suppress appetite, and after the inhibition disappears, the increase in food intake will cause weight gain. Current research shows that the weight gain of quitters lasts about 6 years, and the growth rate is up to more than 10 kilograms.

The study found that among new quitters who weighed more than 15 kilograms, the risk of type 2 diabetes increased, peaking in 5 to 7 years and gradually decreasing over the next 20 years. In new smokers who did not gain weight, the risk of diabetes did not change significantly compared with smokers, and then decreased, approaching non-smokers. More importantly, regardless of changes in body weight, cardiovascular mortality and all-cause mortality of new quitters are rapidly declining and remain at around 70% of smokers for a long time. The results suggest that in order to prolong life, smokers should give priority to quitting smoking, and on this basis, control weight and monitor diabetes risk as much as possible.

The first step in quitting smoking is to get yourself first!

I am willing to give up my heart: don’t hesitate to pay at the bottom of the pot

Sun Yongchang, the chief physician of the smoking cessation clinic of Beijing Tongren Hospital, often sees such a phenomenon. Many smokers try to “quit smoking cessation”, stipulate that they should draw a pack today, smoke half a pack tomorrow, and then halve the day after tomorrow. The two are thrown away, but often they want to throw and throw, and the effect of quitting smoking is not good.

"From the clinical experience, sudden withdrawal is much higher than the success rate of gradually reducing cigarettes," Sun Yongchang suggested, instead of gradual quit smoking, it is better to find a special day as a smoking cessation day, such as birthday, wedding anniversary, starting from the same day. Stop smoking. Make a smoking cessation plan for yourself. For example, when you insist on 30 days, you will reward yourself with a small gift. When you are 50 days old, please invite friends and family to eat and celebrate. After 100 days, you can reward yourself for a trip. Spend the money you originally bought for a healthy way, and get more.

Stay away from the smoke environment: learn to break away

When people quit smoking, their willpower is relatively weak, and a little bit of smoke may summon the escaping that is about to be eliminated. Therefore, smoking cessation must learn to break away. All people and things related to smoke should be kept away. The ashtrays and cigarette cases in the house are thrown away. Some friends gather to smoke. If they can not participate, they will not participate. KTV, billiard room, chess room should not be Go, it is best to quit smoking with people in the same office.

Divert attention: chew things when your mouth is licking

Professor Zhi Xiuyi, executive director of the China Tobacco Control Association, said that in the days when he first quit smoking, he might feel that he would feel empty when he did not smoke. He could use a pen instead. Analyze your smoking habits, such as getting used to getting up in the morning to smoke, use a cup of coffee instead; use it after eating, then drink tea or eat fruit instead. Use another good habit to replace the bad habit of smoking. When you are really licking your mouth, you can also chew gum or eat nuts. In addition, you can force yourself to look at some pictures of smoking hazards, yellow teeth, dark lungs, gorgeous mouth, and even set these pictures as mobile phones or computer desktops. When you want to smoke, look at these horrible pictures and disgust yourself. It also has a certain effect.

Recommend a smoking cessation clinic for you -

You can also turn to a professional smoking cessation clinic where doctors will develop a smoking cessation program and use some alternative medicines to ease your addiction. Several large smoking cessation clinics in Beishangguang are:

Beijing: Beijing Chaoyang Hospital, China-Japan Friendship Hospital, Beijing Anzhen Hospital, Beijing Fuxing Hospital, Zhongguancun Hospital, etc.

Shanghai: Shanghai Ruijin Hospital, Shanghai Chest Hospital, Huashan Hospital affiliated to Fudan University, Huadong Hospital affiliated to Fudan University, and Tongji Hospital affiliated to Tongji University.

Reference material

1 Zhongxin.com: Chinese and foreign scientists argue that “getting fat after quitting smoking” is better than “not quitting smoking”

2Health Times, December 11, 2014: Quit smoking to get yourself


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