hahahhahahahaha~

iye,,
rokok masuk ke menu wajib,,
huh,,,
padahalkan bisa ngerusak paru2...

Quitting Smoking, Increased Calcium May Lower BMD Loss Linked to DMPA Use
Laurie Barclay, MD

December 31, 2009 — The increased risk for bone mineral density (BMD) loss associated with use of depot medroxyprogesterone acetate (DMPA) may be lowered by smoking cessation and increasing calcium intake, according to the results of a study reported in the January issue of Obstetrics & Gynecology.

"Bone mineral density loss is not a significant concern for all women who choose DMPA," says senior author Abbey B. Berenson, MD, MMS, from the Center for Interdisciplinary Research in Women's Health at the University of Texas Medical Branch (UTMB), Galveston. "Based on these findings, clinicians have the information they need to recommend basic behavior changes for high risk women to minimize BMD loss."

The goal of this study was to determine factors that could predict higher bone loss at the spine or femoral neck with time in 240 white, African American, and Hispanic women using DMPA. BMD at the lumbar spine and femoral neck was measured every 6 months, and higher BMD loss was defined as at least 5% BMD loss from baseline value at either site after 24 months of DMPA use.

Factors predicting higher BMD loss were determined with use of logistic regression analysis. Of 95 DMPA users who completed 24 months of follow-up, 45 (47.4%) had at least 5% BMD loss at the lumbar spine or femoral neck.

"These losses, especially among women using DMPA for many years, are likely to take an extended period of time to reverse," said first author Mahbubur Rahman, MD, PhD, MPH, also from the Center for Interdisciplinary Research in Women's Health.

Factors associated with higher BMD loss, based on multivariable logistic regression analysis, were current smoking (adjusted odds ratio [OR], 3.88; 95% confidence interval [CI], 1.26 - 11.96), calcium intake (in 100 mg; OR, 0.81; 95% CI, 0.65 - 0.99), and parity (OR, 0.49; 95% CI, 0.29 - 0.82). Factors not predictive of higher BMD loss were age, race or ethnicity, previous contraceptive use, and body mass index.

"The risk of higher BMD loss associated with DMPA use may be reduced by quitting smoking and increasing calcium intake," the study authors write. "Having had a child is also protective."

Limitations of this study include small sample size, recall bias, lack of randomization, and not enough women in the higher bone loss group who were observed after DMPA discontinuation to examine the reversibility of these findings.

"Women who have not delivered a child, smoke, and do not consume much calcium in their diet are at risk for higher bone loss while using DMPA," the study authors conclude. "These women require additional counselling on how to decrease their risk of BMD loss to avoid putting their bone health at risk."

The study authors have disclosed no relevant financial relationships.

Obstet Gynecol. 2010;115:35-40.

sebenarnya tergantung niat kita aja sih untuk berhenti merokok atau tidak, karena kalau sudah niat mah walupun bnyak godaan juga tetap tidak digubris.
Jadi ya tergantung kita aja memilih, sama kaya hidup ini mau dibawa kemana
Berhenti atau Terus Merokok adalah pilihan kita untuk tetap hidup.
 

Banyak orang beranggapan bahwa mengisap rokok berlabel light atau mild tidak sebahaya rokok kretek. Risiko kesehatan apa sebetulnya yang mengintai para pengisap rokok nonkretek tersebut?

Inilah jawaban dari Prof Dr Tjandra Yoga Aditama, SpP(K), MARS, DTM&H, spesialis paru yang kini menjabat sebagai Dirjen Pengendalian Penyakit dan Penyehatan Lingkungan (P2PL) Departemen Kesehatan RI.

-    Jika semula biasa mengisap rokok 10 batang per hari, lalu pindah ke jenis mild juga 10 batang per hari, bahaya yang mengancam kesehatan kemungkinan turun sekitar 30 persen. Artinya, kalau mengisap rokok biasa bagaikan jatuh dari lantai 30, sementara bila mengisap rokok mild seperti jatuh dari lantai 20. “Sama-sama remuk, kan,” kata Dr Tjandra.

-    Orang yang merokok mild umumnya merasa mengisap rokok yang aman. Oleh karena itu, ia akan merokok lebih banyak hingga akibat buruknya tetap sama saja, bahkan bisa lebih dari rokok biasa.

Dua alasan tersebut yang antara lain membuat Framework Convention on Tobacco Control (FCTC) melarang penjualan rokok mild dan sejenisnya, yang sebetulnya telah menyesatkan masyarakat.

Sayangnya, Indonesia hingga saat ini termasuk dalam sejumlah negara yang belum menandatangani atau meratifikasi FCTC, yakni perjanjian (traktat) internasional pertama di bidang kesehatan masyarakat dunia untuk menanggulangi masalah merokok.

Upaya menyanggah risiko merokok dengan menuding polusi asap kendaraan bermotor lebih berbahaya acap kali dilakukan banyak orang. Menurut Dr Tjandra, asap kendaraan bermotor dikeluarkan di jalan raya sehingga asapnya menyebar ke luar di udara dan tidak semuanya masuk ke paru-paru orang yang ada di pinggir jalan sekalipun. Sebaliknya, rokok diisap langsung dari sumber asapnya.

“Kira-kira sama dengan orang yang mengisap asap kendaraan bermotor langsung dari knalpotnya,” katanya. Jelas, kan!

http://kesehatan.kompas.com/read/2010/03/05/0819021/.quot.Mild.quot..atau.Kretek.Sama.Bahayanya

ohoo~
ada orang bilang, orang2 yg merokok kadang kala bisa jauh lebih sehat daripada org yg tidak merokok...
asalkan para perokok itu rutin olahraga..
apalagi mreka para perokok isap rokok mreka.. berarti daerah bidang penyerapan pun jadi besar terutama yg olahraga jg..
tapi kalo yg ga olahraga ya bahayaaa...

itu itu itu,
betul ga ya...?
pendapatnya please..

yup...