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Data on covariates, including age, income level (lowest quartile, second quartile, third quartile, and highest quartile), body mass index, alcohol consumption and physical activity (does not do exercise, exercises 12 times per week, exercises 34 times per week, exercises 56 times per week, and exercises almost every day), were collected from the first wave in 20022003

And smoking stunts your immune systems ability to fight infection

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The chemicals in cigarettes reduce blood flow to the skin, deplete essential nutrients, and break down collagen and elastin, resulting in premature wrinkles, sagging skin, and a dull complexion