European Stars and Stripes (Newspaper) - August 29, 1989, Darmstadt, Hesse                                Health follow up care for former smokers by Susan Diesenhouse new York times most smokers want to quit bul Iho task can to so daunting thai surprisingly Lowry fewer succeed and even ewer seek any help to Stop according to new statistics compiled by researchers Lor the us government the High failure Rale shows that people need help to quit and prevent a relapse said John p. Pierce Chiel epidemiologist Lor the Ollice on smoking in the National centers Lor disease control. But they Don t get it because they Don t think it will work or Don t have Access to  the researchers said that Only 5 percent of the 48.8 million smokers Over age 20 in the United slates saw themselves still smoking in live years. This indicates that the years of warnings about smoking have had some effect. Doctors say that smoking is the chief avoidable cause of death in the United states in 1985,390.000 americans died of smoking related illnesses such As lung cancer and other lung and heart disease Pierce said. But efforts to quit Are fraught with failure said Pierce and other experts who attended a conference sponsored by the smoking behaviour and policy Institute Al Harvard University in Cambridge mass during Hie 1980s, about 17.3 million have tried to quit for Al least a Day each year but Only 1.3 million stay Oil Lor a year or Mote of those about 40 percent relapse in two to 10 boats and Hall of those never try to quit again this shows the addictive nature of nicotine Pierce said indeed Lormer surgeon general c Everett Koop said last y Kir that cigarettes could be As addictive As cocaine and heroin. Pierce and Hir. New data tracked people Lor five and 10 years alter they tried to quit. One surprising finding was that fewer than 10 percent of those who try to quit get help from any product or service current cessation programs Aren t effective because people Don t use them he said it s Lime or them to change the locus from quitting to  conference participants urged More doctors to help patients Slop smoking they also concluded that More people would quit and slay away from cigarettes if cessation programs were designed and marketed to address the smokers dependency which is physical psychological and social. The most effective methods Deal with a smoker s three pronged dependency and recognize quilling As a process not a one time event thai occurs three or four limes Over five to 10 years said or. Judith Ockene director of preventive and behavioural Medicine at the University of Massachusetts medical Center in Worcester. Some participants at the conference suggested that health insurers and employers should offer coverage and economic incentives for smokers to quit As they do Lor those addicted to other drugs and alcohol. One expert said the reason people wanted to quit had changed slightly Over Lime. Fifteen or 20 years ago. Those who tried to quit were often White males with chronic health problems related to smoking said Michael Samuelson director of a private smoking cessation program in Ann Arbor Mich. Now he raid Many smokers Are motivated to quit for social reasons. They worry thai people won t like them or they won t gel a Job promotion As fast Samuelson said. Who will try to Slop smoking is determined More by educational level than by age sex or gender Pierce said. People who iry to quit also lend to be lighter smokers score lower on nicotine addiction tests see personal health benefits believe they Are Able to Stop and have support from their social environment and personal skills to Deal with the stress that quitting creates Okono said those who do not iry to Stop often need More encouragement and information on the personal health benefits she said and this information is most effectively delivered by a physician. Ockene suggested that in addition to advising patients to quit doctors should provide self help materials set up a plan Lor quilling and set follow up visits. Drinking to your health try Olive Oil by Rob Stein United press International evidence is mounting that Olive Oil is Aswood As Sunflower Oil or Corn Oil in improving cholesterol  new study conducted in the Netherland found no significant difference in the effect on cholesterol Levels of diets Rich in the fats Lound in Olive Oil compared to the fats Lound in Sunflower and Corn Oil health experts have Long recommended people reduce the amount of saturated fat in their diet because saturated fat boosts cholesterol in the blood that can build up on artery Walls setting the stage for heart attacks saturated Las Are Lound most commonly in Dairy products the butter and whole milk and in fatty red meals researchers had thought the Best substitute Lor saturated fats were polyunsaturated fats which Are Lound most commonly in Corn Oil or Sunflower Oil but in the now study researchers placed 31 women and 27 men on a diet High in polyunsaturated lats and then on a diet Rich in  fat which is found most commonly in Olive Oil the amount of Bdl cholesterol dropped by 17 9 percent during the monounsaturated fat diet and by 12 9 percent during the  lat diet. The researchers reported Bdl cholesterol which stands for Low density lip Protem cholesterol is known As bad cholesterol because it tends to build up inside arteries. In men the amount of Hal cholesterol dropped slightly but not significantly with both diets while in women Hal Levels did not change. High density Lipoprotein cholesterol is called Good cholesterol because it tends to get rid of Bdl. Page 16 the stars and stripes Sis Lynda is a a research suggests that Olive Oil May outweigh com Oil or lowering blood cholesterol. Tuesday August 29,1989 we conclude that a mixed diet Rich in monounsaturated Lal was As effective As a diet Rich in polyunsaturated lat in lowering Bdl cholesterol researchers from the agricultural University in wag Ningen wrote in a report of their findings for the new England journal of Medicine. Our findings suggest that As far As Lipoprotein Levels Are concerned it is immaterial whether saturated fatty acids Are replaced by a mixture of monounsaturated and polyunsaturated Las or by  fats alone they wrote. Both diets will lower the level of Bdl cholesterol and both will have the same effect on the Hal cholesterol level As Long As extremely Large amounts of polyunsaturated fats Are avoided they said. Or. Basil Rivkind of the National health lung and blood Institute said the findings should help More people find foods they can eat to keep their cholesterol Levels Down. It assists one in diversifying the diet. The More options you have in creating an attractive diet the More comfortable you Are with these diets he said. Or. Scott Grundy director of the Center for human nutrition at the University of Texas southwestern medical Center in Dallas said the report supports earlier studies he conducted. I think that this study helps people to understand that there s no advantage of polyunsaturated fats Over the monounsaturated fats which has been our Contention or a Long time he said. Bul Grundy said to believes monounsaturated fats Are probably Superior to polyunsaturated fats because animal studies have suggested Large amounts of polyunsaturated fat May increase the risk for cancer. Unlike diets High in polyunsaturated fats the safety of diets High in monounsaturated fats also has been Well established he said. People living in the Mediterranean have Long consumed Large amounts of Olive Oil which is High in monounsaturated fats he said