Where the 20-minute figure comes from
A 2024 paper by researchers at University College London (Sanderson et al., BMJ) re-analyzed long-running cohort data and concluded that each cigarette costs roughly 20 minutes of life expectancy on average — 17 minutes for men and 22 minutes for women. The headline figure is widely cited; the per-sex split reflects the larger relative lifespan loss observed in women smokers.
Why this is an average, not a prediction
The 20-minute number is a population-level average derived from observed differences in lifespan between smokers and non-smokers, divided by typical cumulative consumption. Any individual's actual outcome depends on genetics, other risk factors (diet, exercise, alcohol), and whether and when they quit. Treat the number as motivation, not destiny.
Quitting reverses much of the risk
Cardiovascular risk drops within months of quitting; lung cancer risk continues falling for a decade or more. Researchers consistently find that quitting at any age extends life — the earlier you stop, the more you reclaim. If you've quit, this calculator only counts the damage done, not the damage avoided.