Weight gain prevention and smoking cessation: cautionary findings

Objectives. Weight gain is a consistent sequela of smoking cessation. A successful intervention might attract smokers who fear weight gain. if the gain causes smoking relapse, such an intervention might reduce smoking relapse risk. Methods. Using a sample of 158 smokers who completed a 2-week smokin...

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Bibliographic Details
Published in:American journal of public health (1971) 1992-06, Vol.82 (6), p.799-803
Main Authors: Hall, S.M. (Veterans Affairs Medical Center, San Francisco, CA), Tunstall, C.D, Vila, K.L, Duffy, J
Format: Article
Language:English
Subjects:
ACTIVIDAD FISICA
ACTIVITE PHYSIQUE
Addictive behaviors
Adult
Adult and adolescent clinical studies
ADULTE
ADULTOS
Analysis of Variance
Attitude to Health
Behavior Therapy - standards
Biological and medical sciences
COMPORTAMIENTO
COMPORTEMENT
Diet, Reducing - standards
DIETA
EFFICACITE
EFICACIA
Exercise Therapy - standards
Female
GAIN DE POIDS
GANANCIA DE PESO
Humans
Intervention
Male
Medical sciences
NUTRICION HUMANA
NUTRITION HUMAINE
Obesity - etiology
Obesity - prevention & control
Obesity - psychology
PESO
POIDS
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recurrence
REGIME ALIMENTAIRE
SEXE
SEXO
Smoking
Smoking cessation
Smoking Cessation - methods
Smoking Cessation - psychology
Social research
TABAC
TABACO
VALEUR CALORIQUE
VALOR CALORICO
Weight control
Weight Gain
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Summary:Objectives. Weight gain is a consistent sequela of smoking cessation. A successful intervention might attract smokers who fear weight gain. if the gain causes smoking relapse, such an intervention might reduce smoking relapse risk. Methods. Using a sample of 158 smokers who completed a 2-week smoking treatment program, we compared an innovative weight gain prevention intervention with both a nonspecific treatment and standard treatment. Subjects were assessed on weight and smoking behavior and followed for 1 year. Results. A disturbing, unexpected finding was that subjects in both the innovative and nonspecific conditions had a higher risk of smoking relapse than did standard treatment subjects. Some differences were observed between abstinent and smoking subjects in weight gain by treatment condition. Conclusions. Both active interventions may have been so complicated that they detracted from nonsmoking. Also, caloric restriction may increase the reinforcing value of nicotine, a psychoactive drug, thereby increasing smoking relapse risk, The magnitude of weight gain after smoking cessation may not merit interventions that increase smoking risk. Perhaps attitudinal modifications are the most appropriate
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.82.6.799