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Symptoms of COPD can vary in severity but typically include: tightness in the chest shortness of breath wheezing fatigue unintentional weight loss low oxygen level According to the American Lung Association, cigarette smoking is the cause of around 8590 percent of COPD cases

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This is especially significant because African Americans are more likely to experience short sleep duration and fragmented sleep compared to non-Hispanic whites as well as more deleterious health consequences associated with inadequate sleep than other racial or ethnic groups. The study authors also note their findings support recommending that doctors and others in the healthcare field to advise people who complain about sleep difficulties to limit nicotine and alcohol consumption before bedtime

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