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duration should be considered more important than intensity or the composite pack-years in determining risk of developing smoking-related diseases, such as lung cancer (13) and coronary artery disease (4), as well as affecting disease severity in chronic obstructive pulmonary disease (COPD) (5)

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How the study was done For the study, Jacobs and his co-authors analyzed smoking information on more than 6,600 people from the United States, Australia and Finland who were followed from childhood into midlife as part of the International Childhood Cardiovascular Cohort Consortium