Appearance and physical health affects of smoking

Here people talk about how smoking affects physical appearance and health. Some people seem to avoid any ill effects from smoking, especially if they give up when they are reasonably young, or are never heavy smokers. Everyone seems to know of a lucky person who lives to a ripe old age despite smoking and drinking much of their lives, but people we talked to were well aware that these are highly unusual examples. Blodwen, who smoked for many years, noticed no bad effects from smoking and eventually gave up more for financial reasons than because of her health.

Appearance

Both men and women were very aware of the negative effects of smoking on people’s appearance. Seeing smokers who looked much older than they were (Mariam mentioned a heavy smoker who was in her 50s but looked over 80) was sometimes a powerful motivator to stop while still fairly young. Wrinkles, nicotine-stained fingers, yellow teeth and bad breath do not appeal; some realised that if they found other smokers unattractive, they might also be unattractive to non-smokers. Angela said her teeth were getting ‘horrible’, and that her fingers were stained. Cassie said she didn’t want to end up looking like her mum, who has smoked for years.

Andy associated things like bad breath and yellow teeth with smoking as well as more serious smoking related illnesses.

Age at interview 31

Gender Male

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Minor ailments

Everyone gets coughs and colds but many smokers feel more prone to minor infections and that when they do get them take longer to recover. People said they had a ‘smokers’ cough’, regularly coughed up phlegm or had a nasty taste in their mouth on waking, especially after smoking a lot.

Andy started to realise that he was getting chesty coughs’ after colds, and this eventually moved him to give up smoking.

Age at interview 31

Gender Male

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Gareth had developed periodontal disease after years of smoking. He thought that having many of his teeth replaced with a new set of dentures might be an incentive to stop smoking7.

Age at interview 58

Gender Male

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Carol found that if flu was going around, she would be the one to get it. Since she stopped smoking two years ago she has been noticeably healthier.

Age at interview 54

Gender Female

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Andrew used to have constant ‘coughs and colds’ once he quit he recovered from them more quickly. Munir used to wake up in the night with ‘slime’ in his mouth, and Haseen said that he had phlegm and stomach acid.

Some people said they had felt OK when they were smoking but noticed a cough when they gave up – Laura said that the only ill effect she experienced from over ten years of smoking was the cough that started soon after she stopped.

Physical activity and sports

We talked to people who had been enthusiastic sportsmen and women while they were smokers. Some, like Haseen, looked back on this as a rather strange contradiction in their lives but others, knowing that smoking was bad for their health, tried to do what they could to balance this with a lifestyle that involved exercise and a healthy diet.

Haseen found it funny that he would jog with a friend and then have a cigarette immediately afterwards.

Age at interview 46

Gender Male

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As a PE teacher, Keith tried to maintain a healthy lifestyle by doing exercise and watching his diet.

Age at interview 59

Gender Male

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John had sporting role models who ran marathons and were smokers. John himself used to play hockey and found that at the time smoking “didn’t affect him much”. Munir and Khan thought that they must have been quite physically healthy as they regularly played cricket.

Others began to realise that smoking was taking a toll on their abilities. Some found that even minor exertion could leave them feeling out of breath. Angela pointed out that when you are young you seem to feel no ill effects from smoking ‘But as you start getting older you’re out of breath when you’ve just walked round. That’s when it becomes a health issue I think, as you get older’. Jules noticed that he was getting out of breath doing simple things like running up the stairs.

Looking back, Lisa realised that smoking had made her feel that exercise was rather pointless.

Age at interview 38

Gender Female

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Abdul first realised how smoking affected his fitness when he played badminton.

Age at interview 37

Gender Male

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Anna found that she needed to exercise in ways that made her feel good, rather than activities that she felt she should’ do.

Age at interview 47

Gender Female

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When people gave up smoking they often made other changes in their lives at the same time, such as taking up sport or facing health issues more seriously. For example, Tom decided to address his diet, exercise, smoking and cannabis all at the same time.

(Also see ‘Being a non-smoker‘ and ‘Effects of not smoking‘).

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