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Smoking cessation (colloquially quitting smoking) is the process of discontinuing tobacco smoking. Tobacco contains nicotine, which is addictive, making the process of quitting often very prolonged and difficult. Smoking is the leading preventable cause of death worldwide, and quitting smoking significantly reduces the risk of dying from tobacco-related diseases such as heart disease and lung cancer.〔World Health Organization. WHO Report on the Global Health Epidemic, 2011: Warning about the dangers of tobacco. http://whqlibdoc.who.int/publications/2011/9789240687813_eng.pdf.〕 Seventy percent of smokers would like to quit smoking, and 50 percent report attempting to quit within the past year. Many different strategies can be used for smoking cessation, including quitting without assistance ("cold turkey" or cut down then quit), medications such as nicotine replacement therapy (NRT) or varenicline, and behavioral counseling. The majority of smokers who try to quit do so without assistance, though only 3 to 6% of quit attempts without assistance are successful. Use of medications and behavioral counseling both increase success rates, and a combination of both medication and behavioral interventions has been shown to be even more effective. Because nicotine is addictive, quitting smoking leads to symptoms of nicotine withdrawal such as craving, anxiety and irritability, depression, and weight gain. Professional smoking cessation support methods generally endeavor to address both nicotine addiction and nicotine withdrawal symptoms. == Methods == Major reviews of the scientific literature on smoking cessation include: * Systematic reviews of the Cochrane Tobacco Addiction Group of the Cochrane Collaboration. As of 2012, this independent, international, not-for-profit organization has published over 60 systematic reviews "on interventions to prevent and treat tobacco addiction"〔 which will be referred to as "Cochrane reviews." * ''Clinical Practice Guideline: Treating Tobacco Use and Dependence: 2008 Update'' of the United States Department of Health and Human Services, which will be referred to as the "2008 Guideline." The Guideline was originally published in 1996 and revised in 2000. For the 2008 Guideline, experts screened over 8700 research articles published between 1975 and 2007.〔 More than 300 studies were used in meta-analyses of relevant treatments; an additional 600 reports were not included in meta-analyses, but helped formulate the recommendations.〔 Limitations of the 2008 Guideline include its not evaluating studies of "cold turkey" methods ("unaided quit attempts") and its focus on studies that followed up subjects only to about 6 months after the "quit date" (even though almost one-third of former smokers who relapse before one year will do so 7–12 months after the "quit date").〔 抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)』 ■ウィキペディアで「smoking cessation」の詳細全文を読む スポンサード リンク
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