John U, Meyer C, Rumpf H-J, Schumann A, Dilling H, Hapke U
University of Greifswald, Institute of Epidemiology and Social Medicine, Medical Faculty, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany.
Eur J Cancer Prev. 2005 Jun;14(3):289-95. doi: 10.1097/00008469-200506000-00016.
The aim of the study was to analyse predictors of the body mass index (BMI) after smoking cessation. The sample included 4075 residents aged 18-64 years in a northern German area (participation rate 70.2%), drawn randomly from the resident registration files, among them 1545 current and 903 former daily smokers. The current smokers were followed up 36 months after baseline. Face-to-face in-home computer-aided interviews (Composite International Diagnostic Interview) including questions about body weight and height at baseline and postal questionnaires at follow-up were employed. The data reveal that the number of cigarettes smoked at time of peak consumption in life contributed substantially, and years of abstinence from daily smoking contributed marginally to the BMI in a general linear model. It is concluded that the contribution of smoking cessation to the BMI increase was practically negligible. Efforts to prevent weight gain after smoking cessation should focus especially on heavy smoking.
该研究的目的是分析戒烟后体重指数（BMI）的预测因素。样本包括德国北部地区4075名年龄在18至64岁之间的居民（参与率70.2%），这些居民是从居民登记档案中随机抽取的，其中有1545名当前每日吸烟者和903名既往每日吸烟者。对当前吸烟者在基线后36个月进行随访。采用面对面的家庭电脑辅助访谈（综合国际诊断访谈），其中包括询问基线时的体重和身高问题，并在随访时采用邮寄问卷。数据显示，在一般线性模型中，一生中吸烟量峰值时的吸烟支数对BMI有很大贡献，而戒烟年限对BMI的贡献很小。得出的结论是，戒烟对BMI增加的影响实际上可以忽略不计。戒烟后预防体重增加的努力应特别关注重度吸烟。
