Smoking’s Shocking Effect on Brain Shrinkage – New Study Highlights Dementia Risks

December 16, 2023
1 min read
Smoking's Shocking Effect. Dhilung Kirat (CC BY 2.0)

In a groundbreaking study conducted by the Washington University School of Medicine in St. Louis, researchers have uncovered significant insights into the Smoking’s Shocking Effect on brain health. Published in Biological Psychiatry: Global Open Science, this study is pivotal in understanding how smoking contributes to brain shrinkage and accelerates brain aging, factors closely linked to an increased risk of dementia and Alzheimer’s disease.

Senior author Laura J. Bierut, MD, emphasized the importance of this new focus, saying, “Up until recently, scientists have overlooked the effects of smoking on the brain… But as we’ve started looking at the brain more closely, it’s become apparent that smoking is also really bad for your brain” (Washington University School of Medicine News Hub).

The study analyzed data from 32,094 individuals, drawing from the UK Biobank. This included over 40,000 participants who underwent brain imaging to determine brain volume. The findings were clear and concerning: there is a direct correlation between smoking and reduced brain volume. More significantly, this reduction in brain size was dose-dependent, meaning the more a person smoked, the greater the reduction in brain volume.


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One of the more startling revelations of the study was the permanence of the brain damage caused by smoking. Even those who had quit smoking years earlier were found to have smaller brains than those who never smoked. Yoonhoo Chang, the first author of the study, pointed out, “You can’t undo the damage that has already been done, but you can avoid causing further damage” (Washington University School of Medicine News Hub & Neuroscience News).

The research team also explored the genetic aspects of smoking behavior. They found that while both brain size and smoking behavior are heritable, the actual shrinking of the brain is more directly caused by smoking itself rather than genetic factors. This was determined through a mediation analysis approach, which showed that a genetic predisposition leads to smoking, which then leads to decreased brain volume.

The study’s thorough approach, using Bradford Hill’s criteria for causation in epidemiological studies, adds robustness to its conclusions. It underscores the long-term global adverse consequences of smoking on the brain, adding a critical dimension to public health policies aimed at reducing smoking rates and highlighting the urgency of quitting smoking to prevent further brain damage.

This research is a stark reminder of the pervasive dangers of smoking. It moves beyond the conventional focus on respiratory and cardiovascular risks, spotlighting the significant impact of smoking on brain health. The insights from this study are invaluable, especially considering the growing concerns around dementia and cognitive decline in aging populations.

Rahul Somvanshi

Rahul, possessing a profound background in the creative industry, illuminates the unspoken, often confronting revelations and unpleasant subjects, navigating their complexities with a discerning eye. He perpetually questions, explores, and unveils the multifaceted impacts of change and transformation in our global landscape. As an experienced filmmaker and writer, he intricately delves into the realms of sustainability, design, flora and fauna, health, science and technology, mobility, and space, ceaselessly investigating the practical applications and transformative potentials of burgeoning developments.

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