Abstract
OBJECTIVES: This study estimated weight gain after smoking cessation and identified factors attenuating this gain. METHODS: We conducted a prospective follow-up of 1209 male factory workers for 2 to 4 years. The independent variables were smoking habits. age, sports activity, education, alcohol consumption, ethnicity, duration of follow-up, and body mass index (BMI, kg/m2) at entry. The dependent variable was increase in BMI during follow-up. RESULTS: The mean age-adjusted BMI at entry into the study was 26.6 kg/m2 among past smokers and 25.4 kg/m2 among current smokers. There were no differences in BMI between those who quit less than 3 years before entry and those who quit more than 6 years before entry. During follow-up, the average increase in BMI was 0.07 kg/m2 among never smokers, 0.19 kg/m2 among smokers who had stopped smoking before entry, 0.24 kg/m2 among current smokers, and 0.99 kg/m2 among those who stopped smoking after entry. Cessation of smoking after entry predicted an increased gain in BMI; older age, a higher BMI at entry, sports activity, and alcohol consumption attenuated this gain. CONCLUSIONS: The increased rate of weight gain after smoking cessation is transient. However, the weight gained is retained for at least 6 years.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Blitzer P. H., Rimm A. A., Giefer E. E. The effect of cessation of smoking on body weight in 57,032 women: cross-sectional and longitudinal analyses. J Chronic Dis. 1977 Jul;30(7):415–429. doi: 10.1016/0021-9681(77)90035-2. [DOI] [PubMed] [Google Scholar]
- Bossé R., Garvey A. J., Costa P. T., Jr Predictors of weight change following smoking cessation. Int J Addict. 1980 Oct;15(7):969–991. doi: 10.3109/10826088009040072. [DOI] [PubMed] [Google Scholar]
- Caan B., Coates A., Schaefer C., Finkler L., Sternfeld B., Corbett K. Women gain weight 1 year after smoking cessation while dietary intake temporarily increases. J Am Diet Assoc. 1996 Nov;96(11):1150–1155. doi: 10.1016/S0002-8223(96)00296-9. [DOI] [PubMed] [Google Scholar]
- Carney R. M., Goldberg A. P. Weight gain after cessation of cigarette smoking. A possible role for adipose-tissue lipoprotein lipase. N Engl J Med. 1984 Mar 8;310(10):614–616. doi: 10.1056/NEJM198403083101002. [DOI] [PubMed] [Google Scholar]
- Chen Y., Horne S. L., Dosman J. A. The influence of smoking cessation on body weight may be temporary. Am J Public Health. 1993 Sep;83(9):1330–1332. doi: 10.2105/ajph.83.9.1330. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Comstock G. W., Stone R. W. Changes in body weight and subcutaneous fatness related to smoking habits. Arch Environ Health. 1972 Apr;24(4):271–276. doi: 10.1080/00039896.1972.10666082. [DOI] [PubMed] [Google Scholar]
- Cummings S. R., Coates T. J., Richard R. J., Hansen B., Zahnd E. G., VanderMartin R., Duncan C., Gerbert B., Martin A., Stein M. J. Training physicians in counseling about smoking cessation. A randomized trial of the "Quit for Life" program. Ann Intern Med. 1989 Apr 15;110(8):640–647. doi: 10.7326/0003-4819-110-8-640. [DOI] [PubMed] [Google Scholar]
- Doll R., Peto R. Mortality in relation to smoking: 20 years' observations on male British doctors. Br Med J. 1976 Dec 25;2(6051):1525–1536. doi: 10.1136/bmj.2.6051.1525. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Emont S. L., Cummings K. M. Weight gain following smoking cessation: a possible role for nicotine replacement in weight management. Addict Behav. 1987;12(2):151–155. doi: 10.1016/0306-4603(87)90021-9. [DOI] [PubMed] [Google Scholar]
- Flegal K. M., Troiano R. P., Pamuk E. R., Kuczmarski R. J., Campbell S. M. The influence of smoking cessation on the prevalence of overweight in the United States. N Engl J Med. 1995 Nov 2;333(18):1165–1170. doi: 10.1056/NEJM199511023331801. [DOI] [PubMed] [Google Scholar]
- French S. A., Jeffery R. W., Forster J. L., McGovern P. G., Kelder S. H., Baxter J. E. Predictors of weight change over two years among a population of working adults: the Healthy Worker Project. Int J Obes Relat Metab Disord. 1994 Mar;18(3):145–154. [PubMed] [Google Scholar]
- Friedman G. D., Dales L. G., Ury H. K. Mortality in middle-aged smokers and nonsmokers. N Engl J Med. 1979 Feb 1;300(5):213–217. doi: 10.1056/NEJM197902013000501. [DOI] [PubMed] [Google Scholar]
- Hall S. M., Ginsberg D., Jones R. T. Smoking cessation and weight gain. J Consult Clin Psychol. 1986 Jun;54(3):342–346. doi: 10.1037//0022-006x.54.3.342. [DOI] [PubMed] [Google Scholar]
- Jousilahti P., Tuomilehto J., Vartiainen E., Pekkanen J., Puska P. Body weight, cardiovascular risk factors, and coronary mortality. 15-year follow-up of middle-aged men and women in eastern Finland. Circulation. 1996 Apr 1;93(7):1372–1379. doi: 10.1161/01.cir.93.7.1372. [DOI] [PubMed] [Google Scholar]
- Kawachi I., Troisi R. J., Rotnitzky A. G., Coakley E. H., Colditz G. A. Can physical activity minimize weight gain in women after smoking cessation? Am J Public Health. 1996 Jul;86(7):999–1004. doi: 10.2105/ajph.86.7.999. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Klesges R. C., Winders S. E., Meyers A. W., Eck L. H., Ward K. D., Hultquist C. M., Ray J. W., Shadish W. R. How much weight gain occurs following smoking cessation? A comparison of weight gain using both continuous and point prevalence abstinence. J Consult Clin Psychol. 1997 Apr;65(2):286–291. doi: 10.1037//0022-006x.65.2.286. [DOI] [PubMed] [Google Scholar]
- Leischow S. J., Stitzer M. L. Smoking cessation and weight gain. Br J Addict. 1991 May;86(5):577–581. doi: 10.1111/j.1360-0443.1991.tb01811.x. [DOI] [PubMed] [Google Scholar]
- McGill H. C., Jr The cardiovascular pathology of smoking. Am Heart J. 1988 Jan;115(1 Pt 2):250–257. doi: 10.1016/0002-8703(88)90645-x. [DOI] [PubMed] [Google Scholar]
- Meyers A. W., Klesges R. C., Winders S. E., Ward K. D., Peterson B. A., Eck L. H. Are weight concerns predictive of smoking cessation? A prospective analysis. J Consult Clin Psychol. 1997 Jun;65(3):448–452. doi: 10.1037//0022-006x.65.3.448. [DOI] [PubMed] [Google Scholar]
- Nides M., Rand C., Dolce J., Murray R., O'Hara P., Voelker H., Connett J. Weight gain as a function of smoking cessation and 2-mg nicotine gum use among middle-aged smokers with mild lung impairment in the first 2 years of the Lung Health Study. Health Psychol. 1994 Jul;13(4):354–361. doi: 10.1037//0278-6133.13.4.354. [DOI] [PubMed] [Google Scholar]
- Noppa H., Bengtsson C. Obesity in relation to smoking: a population study of women in Göteborg, Sweden. Prev Med. 1980 Jul;9(4):534–543. doi: 10.1016/0091-7435(80)90048-1. [DOI] [PubMed] [Google Scholar]
- Rabkin S. Relationship between weight change and the reduction or cessation of cigarette smoking. Int J Obes. 1984;8(6):665–673. [PubMed] [Google Scholar]
- Rodin J. Weight change following smoking cessation: the role of food intake and exercise. Addict Behav. 1987;12(4):303–317. doi: 10.1016/0306-4603(87)90045-1. [DOI] [PubMed] [Google Scholar]
- Stevens J., Cai J., Pamuk E. R., Williamson D. F., Thun M. J., Wood J. L. The effect of age on the association between body-mass index and mortality. N Engl J Med. 1998 Jan 1;338(1):1–7. doi: 10.1056/NEJM199801013380101. [DOI] [PubMed] [Google Scholar]
- Streater J. A., Jr, Sargent R. G., Ward D. S. A study of factors associated with weight change in women who attempt smoking cessation. Addict Behav. 1989;14(5):523–530. doi: 10.1016/0306-4603(89)90072-5. [DOI] [PubMed] [Google Scholar]
- Swan G. E., Carmelli D. Characteristics associated with excessive weight gain after smoking cessation in men. Am J Public Health. 1995 Jan;85(1):73–77. doi: 10.2105/ajph.85.1.73. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Talcott G. W., Fiedler E. R., Pascale R. W., Klesges R. C., Peterson A. L., Johnson R. S. Is weight gain after smoking cessation inevitable? J Consult Clin Psychol. 1995 Apr;63(2):313–316. doi: 10.1037//0022-006x.63.2.313. [DOI] [PubMed] [Google Scholar]
- Weekley C. K., 3rd, Klesges R. C., Reylea G. Smoking as a weight-control strategy and its relationship to smoking status. Addict Behav. 1992;17(3):259–271. doi: 10.1016/0306-4603(92)90031-p. [DOI] [PubMed] [Google Scholar]
- Williamson D. F., Madans J., Anda R. F., Kleinman J. C., Giovino G. A., Byers T. Smoking cessation and severity of weight gain in a national cohort. N Engl J Med. 1991 Mar 14;324(11):739–745. doi: 10.1056/NEJM199103143241106. [DOI] [PubMed] [Google Scholar]
