Tobacco smoking in relation to body fat mass and distribution in a general population sample

OBJECTIVE: To investigate the effects of variable amounts of tobacco smoking on body mass index and waist-to-hip ratio among current smokers. DESIGN: Population-based cohort study. SUBJECTS: A total of 22 059 apparently healthy men and women, who enrolled in the Greek EPIC cohort, aged 25–84 years,...

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Bibliographic Details
Published in:International Journal of Obesity 2004-08, Vol.28 (8), p.1091-1096
Main Authors: Bamia, C, Trichopoulou, A, Lenas, D, Trichopoulos, D
Format: Article
Language:English
Subjects:
Biological and medical sciences
Body fat
Body mass index
Cancer
Cigarettes
Cohort analysis
Energy
Epidemiology
Ethanol
Health aspects
Health Promotion and Disease Prevention
Internal Medicine
Lifestyles
Measurement
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Obesity
Public Health
Questionnaires
Risk factors
Smoking
Smoking cessation
Tobacco
Tobacco, tobacco smoking
Toxicology
Womens health
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Summary:OBJECTIVE: To investigate the effects of variable amounts of tobacco smoking on body mass index and waist-to-hip ratio among current smokers. DESIGN: Population-based cohort study. SUBJECTS: A total of 22 059 apparently healthy men and women, who enrolled in the Greek EPIC cohort, aged 25–84 years, who had never smoked (14 751) or were current cigarette smokers (7308). MEASUREMENTS: Body mass index and waist-to-hip ratio (by anthropomentry), amount of tobacco smoking and energy expenditure (by an interviewer-administered, lifestyle questionnaire), energy intake and ethanol intake (by an interviewer-administered, validated, semiquantitative, food frequency questionnaire), at enrollment. RESULTS: In comparison to nonsmokers, smokers of the average number of cigarettes have lower body mass index. Among smokers, however, increased amount of smoking tends to be positively associated with body mass index, particularly among men. Waist-to-hip ratio is positively associated with amount of cigarettes smoked per day, among both men and women. CONCLUSION: Among smokers, tobacco smoking is positively associated with body mass index and waist-to-hip ratio. Our data suggest that the lower body mass index of smokers compared to nonsmokers reflects personality characteristics of those who choose to smoke and that the tendency to gain weight after smoking cessation may have behavioral rather than tobacco-related pharmacological roots.
ISSN:0307-0565
1476-5497
DOI:10.1038/sj.ijo.0802697