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Factors associated with weight changes in successful quitters participating in a smoking cessation program

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KMETOVA Alexandra KRALIKOVA Eva STEPANKOVA Lenka ZVOLSKA Kamila BLAHA Milan ŠTÍCHA Michal BORTLÍČEK Zbyněk SCHROEDER Darrell R. CROGHAN Ivana T.

Rok publikování 2014
Druh Článek v odborném periodiku
Časopis / Zdroj ADDICTIVE BEHAVIORS
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
Doi http://dx.doi.org/10.1016/j.addbeh.2013.10.010
Obor Psychiatrie, sexuologie
Klíčová slova Post-cessation; Smoking; Weight gain
Popis Objective: To identify possible predictors of post-cessation weight gain in smoking abstainers. Patients and methods: A sample of 607 successful abstainers seen at the Centre for Tobacco-Dependent in Prague, Czech Republic, between 2005 and 2010, was included in this analysis. This sample was followed up for 1 year and included 47.9% women (N = 291) with the mean age of 48 years (18-85). Findings: Post-cessation weight gain occurred in 88.6% of the 607 abstainers. The mean weight gain after one year post-quit was 5.1 kg (95% confidence interval 4.7-5.5 kg). Baseline characteristics associated with increased weight gain included a higher baseline smoking rate (p < 0.001), more severe cigarette dependence (p = 0.003), less physical activity (p = 0.008), and a report of increased appetite on the baseline assessment of withdrawal symptoms (p < 0.001). Conclusions: Smokers who are more dependent and have minimal physical activity are at increased risk for post-cessation weight gain. For these smokers, incorporating interventions targeting the weight issue into tobacco dependence treatment is recommended. Further research should be done to identify reasons for this important quitting ;complication.

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