Research Overview
A New Scientific Link Between Smoking and ALS
According to a new (2024) review study, smokers were 1.12 times (12%) more likely to develop ALS, with a stronger association among current smokers.

For a long time now, I’ve tried to understand the root causes of Amyotrophic lateral sclerosis (ALS) as I lost several friends and colleagues because of this lethal disease with no cure yet.
My interest was further enhanced after reading a moving article penned by my mentor, Dr Mehmet Yildiz, who shared his journey dealing with ALS. This disease claimed his father at a relatively young age. His heartfelt narrative deeply resonated with me.
An Overview of a New Study
Staying abreast of the latest research in ALS, I recently stumbled upon a compelling study that I felt compelled to share with you.
The paper is titled Association of smoking with amyotrophic lateral sclerosis: A systematic review and meta-analysis, including dose-response analysis.
ALS poses a significant health challenge globally, affecting the voluntary motor nervous system and lacking effective treatment options.
Understanding risk factors, especially modifiable ones like smoking, is crucial for potentially preventing ALS. I wrote about my smoking experience in an article before. The good news is I live a smoke-free life now and helped many friends to quit permanently.
As researchers mentioned, despite previous studies yielding inconclusive results, investigating the smoking-ALS link remains imperative for preventive strategies and understanding ALS causes.
Led by Assistant Professor Yun Hak Kim, a team from Pusan National University examined case-control and cohort studies exploring smoking’s relationship with ALS.
They searched five databases using a predefined strategy and found 605 records. After removing 99 duplicates, they screened 314 duplicate records, 35 animal studies, and 178 non-research articles, leaving them with 78 records. They couldn’t access two records, so they reviewed 76 full-text articles. They also found 23 additional articles through other sources.
Ultimately, they selected 32 studies (28 case-control and 4 cohort studies) for systematic review and meta-analysis. They excluded review articles, Mendelian randomization studies, case reports, and cross-sectional studies lacking data or a control group.
Their analysis, published in the journal Tobacco Induced Diseases, revealed a notable association between smoking and increased ALS risk.
The findings reveal a significant link between smoking and a higher risk of ALS, especially when considering the amount smoked.
Smokers were 1.12 times (12%) more likely to develop ALS, with a stronger association among current smokers.
Previous studies have given mixed results on this matter, with some suggesting a connection between smoking and ALS risk while others did not find strong evidence supporting it.
Their study approach allowed them to identify patterns and trends across different studies, providing a more comprehensive understanding of the relationship between smoking and ALS risk.
By integrating data from various sources, they were able to confirm the association between smoking and ALS, offering valuable insights for future research and public health interventions aimed at reducing ALS risk factors, particularly among females.
A thorough analysis of various studies, known as a meta-analysis, confirms the association between smoking and ALS risk, especially among females.
Interestingly, they didn’t find a significant link between smoking and ALS in males. Varying levels of exposure to other potential ALS risk factors, such as occupational hazards, might influence this difference.
While their study sheds light on the connection between smoking and ALS, further research is needed to understand why this association exists fully.
Like these researchers, I read about several hypotheses suggesting that smoking-induced oxidative stress may harm important cellular structures like mitochondria and the endoplasmic reticulum, which could contribute to ALS development.
However, more studies are required to confirm these hypotheses and gain a deeper understanding of how smoking and associated toxins might affect ALS risk.
Final Words
Quitting smoking was one of the most courageous and rewarding decisions ever. It taught me the power of determination, resilience, and self-belief.
The benefits are immeasurable. I enjoyed improved health, increased vitality, and a renewed perspective on life.
My journey taught me that it is never too late to break free from destructive habits and embrace a life filled with wellness and vitality.
If you are a smoker and need inspiration and some tips, you may check this story by Dr Yildiz, who also smoked a bit in his younger years and now helps many people to quit it as I do.
In the previous story, I shared why and how I quit alcohol. I hope you enjoy it too.
How about you? Have you struggled with these addictions like me?
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