与戒烟日期延迟相关的体重问题，但与治疗结果无关：来自捷克共和国的经验。

Weight Concerns Associated With Delay in Quit Date But Not Treatment Outcomes: A Czech Republic Experience.

机构信息

Centre for Tobacco-Dependent, 3rd Internal Department - Department of Endocrinology and Metabolism, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic.

Institute of Hygiene and Epidemiology, First Faculty of Medicine and the General University Hospital, Charles University, Prague, Czech Republic.

出版信息

Nicotine Tob Res. 2017 Dec 13;20(1):89-94. doi: 10.1093/ntr/ntw276.

DOI:10.1093/ntr/ntw276

PMID:27729514

Abstract

BACKGROUND

Weight concerns are prevalent in smokers and may reduce the success rate of quitting. This concept has been primarily studied on US populations and it is unknown how weight concerns may differ cross-culturally. This study examined the role of weight concern in European smokers wishing to stop smoking.

METHODS

A sample of 593 smokers (299 men and 294 women, mean age 38 years) utilizing the Centre for Tobacco-Dependent in Prague, Czech Republic, between 2010 and 2013 were studied. Weight concerns were assessed at baseline prior to treatment by evidence-based stop smoking methods. Abstinence was evaluated at 12 months post baseline.

RESULTS

Approximately 34% of all patients (204/593) were classified as weight concerned (by indicating on the Weight Concern Scale that they would return to smoking after any weight gain) at the time they sought treatment. Among all men, 19.4% (58/299) were weight concerned and among all women, 49.7% (146/294) were weight concerned. Among females, weight-concerned smokers were of similar weight, but younger (p < .001), and had been smoking cigarettes for fewer years (p = .002) compared with those without weight concerns, whereas the male weight-concerned smokers were significantly (p = .030) heavier than those without weight concerns. Although the presence of weight concern was associated with a delay in setting a quit date (log-rank test p = .019), it was not associated with abstinence at one year.

CONCLUSION

The quit success rate of weight-concerned smokers in Czech Republic did not differ from those without weight concern when utilizing an individualized smoking cessation treatment program. Individually tailored tobacco dependence treatment could help to prevent weight concern from affecting successful quitting.

IMPLICATIONS

This study adds the new cross-cultural aspect of post-cessation weight concern. Weight concern has been studied primarily on US populations and our sample consists of European sample of smokers. Additionally, we have found that the presence of weight concern lead to delay in setting a quit date, but the success rate of those weight concerned did not differ from those without weight concern. Thus, it is possible, that this individualized evidence-based tobacco treatment program was able to prevent weight concern impact towards successful quitting.

摘要

背景

体重问题在吸烟者中很普遍，可能会降低戒烟的成功率。这一概念主要在美国人群中进行了研究，目前尚不清楚体重问题在跨文化环境中可能会有何不同。本研究探讨了体重问题在希望戒烟的欧洲吸烟者中的作用。

方法

研究对象为 2010 年至 2013 年间利用捷克布拉格的烟草依赖中心的 593 名吸烟者（299 名男性和 294 名女性，平均年龄 38 岁）。在使用基于证据的戒烟方法进行治疗之前，通过基于证据的戒烟方法在基线时评估体重问题。在基线后 12 个月评估戒断情况。

结果

大约 34%的患者（593 例中的 204 例）在寻求治疗时被归类为体重担忧者（通过在体重担忧量表上表示，他们在体重增加后会重新开始吸烟）。所有男性中，有 19.4%（299 例中的 58 例）是体重担忧者，所有女性中，有 49.7%（294 例中的 146 例）是体重担忧者。与没有体重问题的女性相比，女性体重担忧者的体重相同，但更年轻（p <.001），吸烟时间更短（p =.002），而男性体重担忧者的体重明显（p =.030）高于没有体重问题的人。尽管体重担忧的存在与设定戒烟日期的延迟有关（对数秩检验 p =.019），但它与一年后的戒烟率无关。