Zimlichman Eyal, Kochba Ilan, Mimouni Francis B, Shochat Tzippora, Grotto Itamar, Kreiss Yitshak, Mandel Dror
Medicine Branch, Medical Corps, Israel Defense Forces, Israel.
Addiction. 2005 Jul;100(7):1021-5. doi: 10.1111/j.1360-0443.2005.01103.x.
The aim of this work was to study the association between obesity and smoking habits in young adults. Specifically, we tested the hypothesis that obesity does not prevent young adults from smoking and conversely smoking does not protect against obesity.
Trained nurses interviewed participants concerning demographic data and health behaviors such as smoking. At the time of the interview, weight and height were measured. Data were analyzed retrospectively.
A representative sample of Israel Defense Force (IDF) personnel upon discharge from compulsory service, usually at the age of 20-21 years.
Overall, 29 745 participants were included during the 13-year study (16,363 males and 13,382 females). Smoking rates were higher among obese participants than among overweight and non-obese participants (34.9%, 37.1%, 43.6% for non-obese, overweight and obese, respectively; P < 0.001). Mean number of cigarettes smoked per day were also higher among smokers that were obese and overweight compared to the non-obese (15.2 +/- 9.2, 15.6 +/- 10.7, 18.0 +/- 9.8, respectively; P < 0.001). Overweight and obesity were associated with the father's lower academic educational level. In logistic regression analysis, obesity, year of study and parental academic education were correlated independently with smoking (P < 0.001).
The positive association between obesity and smoking suggests that obesity is not a deterrent to smoking and also that smoking does not help to prevent obesity.
本研究旨在探讨年轻成年人肥胖与吸烟习惯之间的关联。具体而言，我们检验了以下假设：肥胖不会阻止年轻人吸烟，反之，吸烟也不能预防肥胖。
训练有素的护士就人口统计学数据和吸烟等健康行为对参与者进行访谈。在访谈时，测量体重和身高。对数据进行回顾性分析。
以色列国防军（IDF）义务兵役期满退伍人员的代表性样本，年龄通常在20 - 21岁。
在为期13年的研究中，共纳入29745名参与者（男性16363名，女性13382名）。肥胖参与者的吸烟率高于超重和非肥胖参与者（非肥胖、超重和肥胖参与者的吸烟率分别为34.9%、37.1%、43.6%；P < 0.001）。与非肥胖吸烟者相比，肥胖和超重吸烟者每天的平均吸烟支数也更高（分别为15.2±9.2、15.6±10.7、18.0±9.8；P < 0.001）。超重和肥胖与父亲较低的学历水平相关。在逻辑回归分析中，肥胖、研究年份和父母学历与吸烟独立相关（P < 0.001）。
肥胖与吸烟之间的正相关表明，肥胖不是吸烟的阻碍因素，吸烟也无助于预防肥胖。
