Osteoporosis is a condition that weakens people’s bones, putting them more at risk of fractures and falls. Although there is no cure for the condition, avoiding or quitting smoking may reduce a person’s risk of developing osteoporosis.
People with osteoporosis are more at risk of bone fractures and breaks. According to the Centers for Disease Control and Prevention (CDC), osteoporosis is more common in females than males, affecting almost
This article explores the link between smoking and osteoporosis and the relationship between smoking and bone health. It also discusses tips for managing osteoporosis and when to speak with a doctor.
A note about sex and gender
Sex and gender exist on spectrums. This article will use the terms “male,” “female,” or both to refer to sex assigned at birth. Click here to learn more.
However, the link may be due to other osteoporosis
- having low body weight
- heavy drinking of alcohol
- being less physically active
- eating a diet low in certain nutrients and vitamins, such as calcium and vitamin D
Several recent studies have investigated links between smoking and osteoporosis.
The imbalance in bone turnover caused by smoking leads to a lower bone mass. This makes people more likely to have osteoporosis and bone fractures.
The scientists found that both first and secondhand smoke negatively affected a person’s bone mass. However, they also concluded that if a person stops smoking, they could reverse this effect and improve their bone mass again.
Some researchers have also studied the effect of cadmium in cigarette smoke on a person’s risk of developing osteoporosis. Cadmium is a type of metal and a known risk factor for osteoporosis.
In a 2022 review, researchers summarized the latest research into the way smoking causes osteoporosis. They found that smoking may, directly and indirectly, induce osteoporosis in several different ways.
The researchers also noted that there are currently no effective ways to stop smoking-induced osteoporosis because scientists do not fully understand the specific mechanisms through which smoking affects bone metabolism.
Scientists believe smoking can also weaken a person’s bones and joints in other ways. In the 2018 study mentioned above, researchers found that smoking
- rheumatoid arthritis, a condition that damages a person’s joints and may cause their bones to erode
- periodontitis, a condition that damages a person’s gums and the bone that supports the teeth
Smoking may also:
- Break down hormones responsible for strong bones more quickly: Hormones, such as estrogen, are important for building and maintaining strong bones. Smoking causes estrogen to break down more quickly, leading to weaker bones.
- Increase a person’s hormone levels: Long-term smokers may have higher levels of certain hormones, such as cortisol, androstenedione, and dehydroepiandrosterone. High levels of these hormones may contribute to a decrease in bone mass and alter bone metabolism.
- Have a detrimental effect on fracture and wound healing: The harmful effects of nicotine on the production of bone-forming cells may lead to fractures taking longer to heal in smokers.
Other tips for managing osteoporosis can help people slow bone loss and reduce their risk of fractures. These tips
- avoiding activities that may cause fractures, such as golfing or situp exercises
- preventing falls by:
- eating a well-balanced diet rich in calcium and vitamin D
- limiting alcohol consumption
Healthcare professionals can help people quit smoking. Doctors may prescribe
- counseling, to help people plan and cope with quitting
- prescription or over-the-counter medication that helps people manage nicotine withdrawal symptoms and cravings
- a combination of both medication and counseling
Quitting smoking may help reduce a person’s risk of many conditions, including osteoporosis.
The CDC has a
Doctors can also find out if someone may be at risk of osteoporosis and help them reduce their risk of developing the condition. If a person does have osteoporosis, a healthcare professional can help them manage the condition.
Scientists have linked smoking to osteoporosis in several studies. While people who smoke tend to have an increased risk of developing osteoporosis, this may be due to them having other risk factors for the condition, as well.
However, stopping smoking does have many health benefits, including decreasing a person’s risk of developing osteoporosis. People can also manage osteoporosis by eating a balanced diet, avoiding activities that may cause fractures, limiting alcohol consumption, and preventing falls.
A person should speak with a doctor for further information about quitting smoking and managing osteoporosis on an individual basis.