AACE MENA 2025-Smoking and Bone Health

Video Transcription

Video Summary

This presentation highlights smoking's detrimental effects on bone health, emphasizing its contribution to osteoporosis and fractures worldwide, including the Middle East and North Africa region. Smoking directly impacts bone tissue through nicotine and toxins, leading to decreased bone mineral density (BMD), altered hormone levels, increased frailty, and impaired bone quality beyond what BMD measures capture. Men smokers show more trabecular bone loss, while women exhibit increased cortical porosity, likely linked to estrogen deficiency. Smoking also lowers bone turnover markers and doubles nonunion risks in fracture healing; cessation before surgery reduces complications. Though smoking cessation partially reverses bone loss and fracture risk, former smokers remain at higher risk than never smokers. Data on alternative tobacco products like water pipes, vaping, and heated cigarettes are lacking, prompting ongoing research. Overall, smoking accelerates skeletal deterioration and fracture incidence, underscoring the need for preventive strategies and further studies on diverse smoking forms' impacts on bone health.

Keywords

smoking and bone health

osteoporosis and fractures

bone mineral density

smoking cessation effects

alternative tobacco products impact