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After 1 Year of Smoking Structural Changes Begin Chest CT and HRCT scans of early smokers often show : Airway thickening Mucus gland enlargement Early emphysema-like changes Functional Impairment A study by the European Respiratory Society shows that even 12 months of smoking causes: 510% reduction in lung function Reduced capacity for pollutant clearance Increased incidence of cough, colds, and allergies After 5 Years of Smoking Lung damage, by this stage, has become more pronounced and is visible on imaging

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Fourth, the fact that some of the motivational measures were associated with smoking outcomes could be due to the fact that these are not validated measures, so they could be measuring something other than motivation to quit smoking