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320-Year Study Found No Decline In Lung Function For Occasional Cannabis Smokers; Lung Function Of Most Marijuana Smokers Improves Over Time

Often, when people hear about the studies which have shown that smoking marijuana doesn’t cause lung cancer, they’ll say something like, “Well, inhaling any smoke, cancer or not, is bound to cause some breathing problems.” Guess what? It doesn’t do that, either.

A report published last year in the Journal of the American Medical Association shows that — over a 20-year period — marijuana smokers generally did not experience a loss in lung function. In fact, many actually had enhanced lung capacity, which one researcher speculated might come from the practice of “deep-lunging” hits to maximize their intoxicating effects.

Whatever the cause, the fact remains that the study showed the lung function of most marijuana smokers actually improved slightly over time.

Stefan Kertesz, University of Alabama at Birmingham, who was involved in the study, said it should reassure people who smoke marijuana for medical reasons [Boston University]

Stefan Kertesz, University of Alabama at Birmingham, who was involved in the study, said it should reassure people who smoke marijuana for medical reasons
[Boston University]

​A healthy adult man can exhale about a gallon of air in a second, according to researcher Stefan Kertesz, M.D., an assistant professor of medicine at the University of Alabama at Birmingham.

But cannabis smokers, on average, were able to blow out that gallon of air plus about 50 milliliters.

The average number of times marijuana users in the study said they smoked was two to three times per month — but even in regular users, researchers said they still saw no evidence of breathing problems.

In fact, researchers estimated that lung capacity would stay slightly larger even if a person had smoked a joint a day for seven years, or two or three joints a day for three years.

Kertesz said the study should reassure people who smoke marijuana for medical reasons.

Jeanette M. Tetrault, M.D., Yale School of Medicine: "This is a well-designed, well-described study" [Yale School of Medicine]

Jeanette M. Tetrault, M.D., Yale School of Medicine: “This is a well-designed, well-described study”
[Yale School of Medicine]

​”This is a well-designed, well-described study,” said Jeanette M. Tetrault, M.D., an assistant professor of medicine at Yale School of Medicine in New Haven, Connecticut.

Researchers said this “lung-stretching” property of cannabis may be due to the way people smoke marijuana — by taking and holding deep breaths with smoke — than it does with any actual benefit of marijuana itself.

The study didn’t have a lot of light to shed on heavy smokers — those who smoked the equivalent of a joint a day for 40 years, or smoked more than 25 times a month — because the number of such users in the study was small, and the scientists weren’t sure if a possible trend indicating slight lung irritation from heavy smoking was valid or not.

There is, however, another study — the largest of its kind ever conducted, in fact, by Dr. Donald Tashkin of the University of California at Los Angeles (UCLA) — which shows that marijuana smoking, even heavy, long-term smoking, does not lead to lung cancer.

Donald Tashkin, M.D., David Geffen School of Medicine, UCLA: "The main thrust of this paper has confirmed previous results that marijuana in the amounts in which it is customarily smoked does not impair lung function" [ReachMD]

Donald Tashkin, M.D., David Geffen School of Medicine, UCLA: “The main thrust of this paper has confirmed previous results that marijuana in the amounts in which it is customarily smoked does not impair lung function”

​Tashkin, medical director of the pulmonary function laboratory at the David Geffen School of Medicine at UCLA, who has spent his career studying the health effects of marijuana, said the new study is helpful because it was relatively large and followed people for a long time, which gives him confidence in the results.

“The main thrust of the paper has confirmed previous results indicating that marijuana in the amounts in which it is customarily smoked does not impair lung function,” he said.

His own study of heavy, habitual marijuana smokers — people who smoked the equivalent of a joint a day for 50 yearsfound no harmful effect on lung function.

Tobacco’s Another Story

Tobacco smokers, on the other hand, were found to have less capacity in the amount of air they could exhale, and also in the speed at which they could empty air from the lungs. Cigarette smokers in the study saw their lung function drop steadily over the entire 20 years.

The study included more than 5,000 people in the United States. They were studied between 1986 and 2006.

“Marijuana may have beneficial effects on pain control, appetite, mood and management of other chronic symptoms,” researchers from the University of Alabama, the University of California, and Northwestern University said in a statement.

“Our findings suggest that occasional use of marijuana for these or other purposes may not be associated with adverse consequences on lung function [emphasis added],” the researchers said.

Over the 20-year period, researchers repeatedly checked two measures of lung function, reports Brenda Goodman at WebMD. One was a test that measured the amount of air forcefully exhaled in a single second; the second test measured the total amount of air exhaled after taking the deepest possible breath.

These tests help doctors diagnose chronic, irreversible breathing problems like chronic obstructive pulmonary disease (COPD).

Cigarette smoking is a leading cause of COPD; researchers expected marijuana to irritate the lungs in a similar fashion, since it contains many of the same chemicals as tobacco smoke. But crucially, the cannabinoids in marijuana smoke seem to protect the lungs and pulmonary passageways from both irritation and from cancer.


  • The Primrose

    I know of several people over the age of 40, who have smoked marijuana since they were in their teens. None of them have lung issues.

  • Joyce Paulson

    Oct. , 2012 I was diagnosed with COPD. Is there any study you can direct me to that would give more in depth information than what is mentioned in the last two paragraphs here.

  • http://www.facebook.com/cheryl.r.adams.96 Cheryl Renee Adams

    Like I’ve been saying. there are only benefits medically for me and I don’t have the side effects that were caused by medications in the past. Bleeding, headaches, and all kinds of things. I am off all medications that did this.

  • http://www.facebook.com/cheryl.r.adams.96 Cheryl Renee Adams

    PS, medical marijuana has never caused any health problems and I am more pain free and healthier then I ever was with dr’s meds they gave me.

    whereas I was hospitalized and subjected to painful and horrible treatments because of side effects of medications.


    I am 55 and have smoked weed since I was 13. 20 years ago I had a couple of brain tumors removed and have to take nasty medicines to ward off seizures. The only thing that brings me back to normal is smoking weed every night before bed. I lost my equilibrium due to infections and it helps with that as well. My doctor is shocked by my lung capacity and wonders what I do to achieve that. My neurologist told me to keep doing whatever I am doing.

  • Mendo Bruce

    who only smoke pot have better lung function than non-smokers BUT those
    who also smoke cigarettes actually increase their risk of emphysema
    considerably if they smoke cannabis too. I am a pro-cannabis activist
    but lets not put blinders on. The science cuts both ways

  • nepenthes

    your link for Edmonton Journal doesn’t go any where. The website says its down.

  • camperben

    This is really good news for medical marijuana users in particular who may be compelled to use more regularly then just recreational users. This may get more sick people to try cannabis as a treatment now that they are assured that it will not cause additional health problems or lung issues.

  • orenlebbo

    That’s from a year ago…

  • http://www.facebook.com/alapoet Steve Elliott

    It says in the article that it’s from a year ago. What’s your point?

    Does science EXPIRE after a year?

  • http://www.facebook.com/jon.tell.3 Jon Tell

    …great news for marijuana-smokers, tho carbon-monoxide concern remains… is that relieved with water-pipe? or just a few puffs…

  • http://www.facebook.com/profile.php?id=100004403737797 Eva Lee

    Nine months of chronic chest congestion and severe asthma drove me to investigate cannabinoids. At the time, I could not complete the lung function test to the satisfaction of the person administering it. I was on two puffers and oral steroids. I had suffered with asthma since 1999.

    In 2012 I was re-evaluated. My lung function is now 104% of predicted. As my lung function specialist says – beyond perfect. I have not had an asthma attack since March of 2011 and no longer use puffers (inhalers) or steroids for asthma. I do not smoke marijuana. I eat cannabinoids in baked goods.

    You may be interested to know about this patient: Pharmaceutical compositions for the treatment of chronic obstructive pulmonary disease. You can find it through Fresh Patents at:

  • http://www.facebook.com/matthew.marshall.52493 Matthew Marshall

    Mr Neurologist seems on par…whilst the doctor seems bungfazzled :)

  • http://www.facebook.com/matthew.marshall.52493 Matthew Marshall

    I believe that medibles or vaporizing are the awesomest ways to do it…sure enough. But it’s still a good idea to ponder what has been said above though.
    “His own study of heavy, habitual marijuana smokers — people who smoked the equivalent of a joint a day for 50 years — found no harmful effect on lung function.”

    “There is, however, another study — the largest of its kind ever conducted, in fact, by Dr. Donald Tashkin of the University of California at Los Angeles (UCLA) — which shows that marijuana smoking, even heavy, long-term smoking, does not lead to lung cancer”…….. 😀

  • mjvotaw

    Does anyone have a citation for the JAMA journal article?

  • dionysus

    I am 43. have smoked cannabis very regularly for 32 of those years. I am extremely healthy and highly intelligent. I was part of a study for overachievers when I was 12 – 15. part of junior mensa at the time. the documentation should be accessible. I would welcome being part of a study on long term effects of cannabis on the mind and the body.

  • Big Joe

    I am 52years old and I have been smoking weed and cigarettes and weed sinse right after my 12th birthday. My Dr says my lungs are in very good condition, better 1than most my age. I read in another study that weed prtects the lungs of cigarette smokers with a finding that less get lung cancer who smokes cigarettes and weed than someone who never smoked anything.

  • http://www.facebook.com/profile.php?id=100000101043808 Emma Santoro-Adkison

    I’ve been smoking for years.Never gave it much thought. I only know I can sleep. Now Age + 60 & Full Blown Fibromyalgia, Asthma, Allergies up the wazoo. This is the only true natural medicine I can tolerate.Every time I’m sick, Doc says, here’s a new drug, try it. NO more drugs for me that I have not taken before without Allergic Reactions. Bring Hemp Back. ~!!!!!!!!!!!

  • http://www.facebook.com/profile.php?id=100000101043808 Emma Santoro-Adkison

    I guess that proves it will make you crazy . NOT~!!!

  • weeshug

    to all the unbelievers out there ,,c,&mon have a toke & believe in it,,its an amazing plant,,

  • Jenn

    couldn’t agree more
    the meds i was taking were making me sicker, and the side effects were unbearable. Since I got medicinal cannabis everything has improved. I even quit cigarettes, which was extremely beneficial to my overall health and chronic pain. My only problem now, is that I moved and no longer have the same Dr. or really any Dr. for that matter. im kind of in Limbo with health care practioners. -.-

  • debbiea

    years ago a Dr told me to quit cigaretts and smoke pot as it woulg keep my lungs clearer from the coughing, cigs caused me to get phuemonia in July in Fla! Also had migraines, helped alot

  • Fightingforfreedom

    I am new to the cannabis world and I had been raised that if you smoked pot you would go to hell. what a joke! I have started creating creams and ointments to help with the effects of physical pain without the munchie effects of smoking. I have found that this was a great solution for those that do not want to smoke, but still believe that cannabis can help them. So far I have seen an ointment help cramps, head aches, muscle aches, nerve pain, and I’m still learning more. I hope it can also help my grandfathers shingles pain.
    Since I started smoking I have less anxiety and attacks, less stress, and less overall pain. I thank the Goddess everyday for this wonderful plant in my life.

  • http://www.facebook.com/RobertHPike Robert H. Pike

    So it’s the deep breathing – breath holding strategy that accounts for the larger than average capacity. I’d like to see a study done comparing deep divers (those who hyperventilate, “gulp” air ; see this study from Journal of Applied Physiology http://jap.physiology.org/content/102/3/831.full. I’m sure it’s the action, not the 100+ chemicals and hot ash from inhaling Cannabis smoke that cause the increased capacity.

  • Debra Diroll

    I just had a cardiac doctor tell me that being a pot smoker was ok. She thinks it should be legalized for the benefits it has. I’ve smoked since 1968 mostly everyday. I recently quit smoking cigarets and have noticed big improvement in breathing. I no longer get winded on long walks or going up and down stairs. Legalize it. It also helps a lot with back spasms and my migraines.

  • anthrogeek

    after 24 years on ssri antidepressants, I became very Ill wilth pancreatitus and liver problems, I had to quit the meds , so I used and still use cannabis everyday. I am more in my right mind (noo depression) than I was for those 24 years…ssri meds are very dangerous..pot is perfect.

  • Jerry

    I`ll be 66 in Nov.I smoked my first Joint in 1964,and have smoked ever sense.I took a stress test not long ago,and the Doc kept asking me,”Hold old are you?” i stopped the test because i got bored.

  • Bill Nye

    Blaze it

  • Mary

    What if you have a rare lung disease like pulmonary hypertension???

  • John Eshuis

    I smoke pure weed, so without tobacco. I do this for 45 years now on a daily routine. Three years back I suffered on a nasty double-pneumonia. On rontgenpictures in the after treatment, the lungspecialist told me that he was not able to recognise any damage due smoking.

  • thomas white

    I have never used any drugs before till one day a friend told me to try smoking some weed it will help spasm and the pain doctor drugs don’t do any thing so i try it and wow he was right it helped here in florida they give you THC pills that don’t work makes me sleepy or sleep all day but when i smoke mellows me out stop the pain the spasm florida needs to make it legal for medical only i remember growing up in a indian family seeing my father as a medcine man of the tribe smoke and it helped him for many many yrs.

  • thomas white

    people don’t under stand if the legal it here in florida the drug industy will be hurting that the ones are say bad things about the marjuana but they need to start thinking about amercan poeple

  • thomas white

    my girlfriend has copd started smoking weed and the dr can’t believe she don’t need the air to sleep at night

  • thomas white

    God put everything here to use it for a reason

  • thomas white

    because who raised you really didn’t believe it what the was belieing in
    THE BIBLE says I the father of earth has put everything here on earth to be used man will make the choice to how to use it. God has put everything on earth to be used


    I have smoked weed from age 12 to this day.35yrs ago I was diagnosed with MS.1yr.ago was diagnosed with lung cancer(sure it came from cigs I smoked for 20yrs).I quit cigs 5yrs ago.the doc gave me 3months to live.I used MMJ more often to deal with the cemo and rad.to the doctors surprise my toumor shrunk away.I’m still kicking and continue to smoke MMJ everyday.None of my doctors can figure out the toumors disappearing.I know that MMJ has saved my life twice,and continues to do so as long as I use my MMJ.I was totally honest,and told my doctor what I was doing.He lives in a ‘Free’state and can not prescribe it,tho totally will admit there’s no other reason I could be alive!Just one more case where MMJ does and will work saving a life!MINE.51 and still alive!

  • Devon R Benton

    Get yourself a vaporizer that’s all you have to do. :)
    I recommend Vaporbros.

  • Bruce Walker

    I have COPD , I have smoked weed and found I did not need my inhaler’s , it seems to open the air ways . I still keep the inhalers around , just to remind me , what them damn Cig’s did to me .

  • johnny555

    I will say for normal activities, there is no change in lung function, but for high intensity it’s a problem. A few of my bboy friends and I gave up smoking green for a few months and we could dance so much harder and longer. Also when training for Nationals in Taekwondo I quit for a few months and I could handle the workouts so much better.

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    It would be helpful if you can give a link to studies backing that up…

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  • Senayt Tesema

    can you tell me if you ever get a response, ive been wondering the same thing for a while

  • xbj

    Such crap. Believing studies funded by big tobacco and big pot are like idiots in the 30’s believing “More doctors smoke Camels” ads.

    Lung capacity is crap if you have tumors. And all smokers have tumors, it’s a matter of when their body is no longer able to fight them. And all over the body, the carcinogens are spread via blood and lymph.

    All smoke is carcinogenic. Period. And once big tobacco gets their murderous hands on big pot (and it will) and puts in all those highly addictive additives and people start chain-smoking it because they can, you’re going to get billions of smoking deaths. JUST as we were about to wisely eradicate smoking forever.

    The only good out of legal pot is consumables. Smart people will use pot this way; dumb people will not and die.

  • Rafael Espericueta

    Dr Taskin’s study showed (among other things) that smoking cannabis and tobacco reduced one’s chance of contracting lung cancer as compared with people who only smoked tobacco.

    Mendo, it’s possible you’re correct, but I’m highly suspicious. We have quite a few decades of NIDA funded studies, where the conclusion is known a priori (reefer-madness “science”). Back in 1969 Dr. Lester Grinspoon (of Harvard Medical School) published his study of all the marijuana studies that had been done (back then). This showed that every time a lab came up with something negative concerning marijuana, several other labs weren’t able to replicate the study. In science, when a study isn’t reproducible, it’s thrown on the trash heap. I’ve continued to observe this recurrent pattern through the subsequent decades.

    Can you cite the study you mentioned? It’s worth taking a close look at.

  • Rafael Espericueta

    It’s better to inhale vapor rather than smoke (then you inhale 0 carcinogens!). And the medical benefits are probably greater too.

  • Rafael Espericueta

    There’s a recipe for an anointing oil in the Bible, and it’s made from pounds of quality buds.

  • Rafael Espericueta

    The volcano is the gold-standard among vaporizers.

  • Rafael Espericueta

    You have your opinion, but Dr. Tashkin’s study shows you are wrong. And he’s the one who found cannabis smoke to contain carcinogens to begin with. He believed the smoke would increase lung cancer odds, and his study (cited in the article) was meant to quantify that increased risk. Much to his surprise, marijuana smoking seemed to be reducing the risk rather than increasing it. He had to change his opinion (and peeve those who funded his research too!). His conclusion was that the anti-cancer properties of the cannabinoids had counteracted the carcinogens present in the smoke.

    Still, I agree with you that it’s better to not inhale carcinogens! Edibles and vapor are better alternatives.

  • Rafael Espericueta

    There is an ever growing body of GOOD research these days. The hippies knew that cannabis was relatively benign, but they never dreamed that it could actually be healthful in so many different ways! It kills cancer, protects your brain from Alzheimer’s, reduces inflammation (which helps with a host of health problems, including diabetes), helps with dyskinesia (as from MS), etc, etc.