Early smokers (before age 16) have significantly worse bone density later in life compared to late smokers and never smokers.

“Uh, but there there are actually data looking at never smokers, early smokers, and late smokers. Early smokers were defined as people who started smoking before the age of 16. And late smokers, well, it's hard to believe late is considered after 16. Um, but the early smokers were far more impacted.”

“So you barely think of this person as a former smoker because they've been so long without smoking but you know they did smoke for 20 years prior to quitting. Um and that is an independent risk factor for low uh BMD which in this case this patient had very low BMD.”

“Early smokers were defined as people who started smoking before the age of 16. And late smokers, well, it's hard to believe late is considered after 16. Um, but the early smokers were far more impacted. So when you look at these people later in life, the never smokers, not surprisingly, had the best bone density. the early smokers had the worst and the late smokers were in the middle.”

“So, when you look at these people later in life, the never smokers, not surprisingly, had the best bone density. The early smokers had the worst, and the late smokers were in the middle.”