基线体重对戒烟热线中戒烟及体重增加的影响。
Impact of baseline weight on smoking cessation and weight gain in quitlines.
作者信息
Bush Terry M, Levine Michele D, Magnusson Brooke, Cheng Yu, Chen Xiaotian, Mahoney Lisa, Miles Lyndsay, Zbikowski Susan M
机构信息
Alere Wellbeing, 999 Third Avenue, Ste 2100, Seattle, WA, 98104, USA,
出版信息
Ann Behav Med. 2014 Apr;47(2):208-17. doi: 10.1007/s12160-013-9537-z.
Abstract
BACKGROUND
The use and effectiveness of tobacco quitlines by weight is still unknown.
PURPOSE
This study aims to determine if baseline weight is associated with treatment engagement, cessation, or weight gain following quitline treatment.
METHODS
Quitline participants (n = 595) were surveyed at baseline, 3 and 6 months.
RESULTS
Baseline weight was not associated with treatment engagement. In unadjusted analyses, overweight smokers reported higher quit rates and were more likely to gain weight after quitting than obese or normal weight smokers. At 3 months, 40 % of overweight vs. 25 % of normal weight or obese smokers quit smoking (p = 0.01); 42 % of overweight, 32 % of normal weight, and 33 % of obese quitters gained weight (p = 0.05). After adjusting for covariates, weight was not significantly related to cessation (approaching significance at 6 months, p = 0.06) or weight gain.
CONCLUSIONS
In the first quitline study of this kind, we found no consistent patterns of association between baseline weight and treatment engagement, cessation, or weight gain.
摘要
背景
按体重划分的戒烟热线的使用情况及效果尚不清楚。
目的
本研究旨在确定基线体重是否与戒烟热线治疗后的治疗参与度、戒烟情况或体重增加有关。
方法
对戒烟热线参与者（n = 595）在基线、3个月和6个月时进行了调查。
结果
基线体重与治疗参与度无关。在未经调整的分析中，超重吸烟者报告的戒烟率较高，且戒烟后比肥胖或正常体重吸烟者更有可能体重增加。在3个月时，40%的超重吸烟者戒烟，而正常体重或肥胖吸烟者中这一比例为25%（p = 0.01）；42%的超重戒烟者、32%的正常体重戒烟者和33%的肥胖戒烟者体重增加（p = 0.05）。在对协变量进行调整后，体重与戒烟（6个月时接近显著，p = 0.06）或体重增加无显著相关性。
结论
在这类首次进行的戒烟热线研究中，我们发现基线体重与治疗参与度、戒烟情况或体重增加之间不存在一致的关联模式。
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