Pirie P L, McBride C M, Hellerstedt W, Jeffery R W, Hatsukami D, Allen S, Lando H
School of Public Health, University of Minnesota, Minneapolis 55455.
Am J Public Health. 1992 Sep;82(9):1238-43. doi: 10.2105/ajph.82.9.1238.
Weight gain after smoking cessation is often cited by women smokers as a primary reason for not attempting to quit smoking or for relapsing after a cessation attempt.
A randomized trial of 417 women smokers was conducted to test the addition of two weight control strategies to a smoking cessation program. Participants received the standard smoking cessation program, the program plus nicotine gum, the program plus behavioral weight control, or the program plus both nicotine gum and behavioral weight control. Weight and smoking status were measured at the end of treatment and at 6 and 12 months posttreatment.
Smoking cessation rates were highest in the group receiving the smoking cessation program plus nicotine gum. Weight gain did not vary by treatment condition, so its effect on relapse could not be examined by group. There was no significant relationship between weight gained and relapse in individuals.
The added behavioral weight control program was attractive to the participants and did not reduce smoking cessation rates. However, it did not produce the expected effect on weight, thereby restricting our ability to examine the effect of weight control on smoking cessation and relapse.
戒烟后体重增加常被女性吸烟者视为不尝试戒烟或戒烟尝试后复吸的主要原因。
对417名女性吸烟者进行了一项随机试验，以测试在戒烟计划中增加两种体重控制策略的效果。参与者接受标准戒烟计划、该计划加尼古丁口香糖、该计划加行为体重控制，或该计划加尼古丁口香糖和行为体重控制。在治疗结束时以及治疗后6个月和12个月测量体重和吸烟状况。
接受戒烟计划加尼古丁口香糖的组戒烟率最高。体重增加在不同治疗条件下没有差异，因此无法按组检查其对复吸的影响。个体体重增加与复吸之间没有显著关系。
增加的行为体重控制计划对参与者有吸引力，且未降低戒烟率。然而，它并未对体重产生预期效果，但限制了我们研究体重控制对戒烟和复吸影响的能力。
