National Development and Research Institutes, Inc, Public Health Solutions of NYC, New York, NY, USA
Asia Pacific R&D, Mead Johnson Nutrition (Thailand) Ltd, Bangkok, Thailand.
Asia Pac J Public Health. 2014 Sep;26(5):481-93. doi: 10.1177/1010539511426473. Epub 2011 Dec 20.
This study examined the relationship between dietary intake, body weight, and body mass index (BMI) in adult Thais as a function of smoking status. A cross-sectional, nationally representative survey using health and dietary questionnaires and anthropometric measurements were used. Participants were 7858 Thai adults aged 18 years and older recruited from 17 provinces in Thailand. Results demonstrated that smoking is associated with lower weights and BMI. However, when smokers were stratified by smoking intensity, there was no dose-response relationship between smoking and body weight. There is no conclusive explanation for weight differences across smoking groups in this sample, and the results of the present study did not clearly support any of the purported mechanisms for the differences in body weight or BMI. In addition, because the substantial negative health consequences of smoking are far stronger than those associated with modest weight differences, smoking cannot be viewed as an appropriate weight management strategy.
本研究考察了吸烟状况对泰国成年人饮食摄入、体重和体重指数（BMI）的影响。采用健康和饮食问卷以及人体测量学测量方法，对来自泰国 17 个省的 7858 名 18 岁及以上的泰国成年人进行了横断面、全国代表性调查。结果表明，吸烟与较低的体重和 BMI 有关。然而，当按吸烟强度对吸烟者进行分层时，吸烟与体重之间没有剂量反应关系。在这个样本中，吸烟组之间的体重差异没有明确的解释，本研究的结果也没有明确支持任何关于体重或 BMI 差异的假定机制。此外，由于吸烟的严重健康后果远强于与适度体重差异相关的后果，因此不能将吸烟视为一种合适的体重管理策略。
