Johnson Karen C, Thomas Fridtjof, Richey Phyllis, Tran Quynh T, Tylavsky Fran, Miro Danielle, Coday Mace
Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Department of Counseling, Educational Psychology and Research, University of Memphis, Memphis, Tennessee, USA.
Obesity (Silver Spring). 2017 Oct;25(10):1691-1698. doi: 10.1002/oby.21968.
To evaluate whether a behavioral weight management program combined with a smoking cessation program delivered via interactive technology could prevent postcessation weight gain.
Three hundred and thirty young adult smokers, age 18 to 35 years, were randomized to a smoking cessation program alone (comparison group), which included behavioral counseling and nicotine replacement, or to a behavioral weight management program adapted from the Look AHEAD trial plus the same smoking cessation program (intervention group).
The Treating Adult Smokers at Risk for Weight Gain with Interactive Technology study randomized 164 participants to the comparison group and 166 participants to the intervention group. On average, the participants gained 0.91 kg after 24 months in the trial (comparison group + 1.45 kg and intervention group + 0.32; P = 0.157). The only variable systematically affecting weight change over time was smoking abstinence, in which those who were abstinent, on average, gained 0.14 kg more per month compared with those who continued to smoke (P < 0.001). In exploratory analyses, the intervention participants who were abstinent at 6 months had numerically smaller weight gains compared with abstinent participants in the comparison group, but these differences were not statistically significant.
Providing an intensive weight gain prevention program combined with a smoking cessation program via interactive technology was not associated with greater long-term weight gain prevention.
评估通过交互式技术提供的行为体重管理计划与戒烟计划相结合是否可以预防戒烟后体重增加。
330名年龄在18至35岁的年轻成年吸烟者被随机分为仅接受戒烟计划的组（对照组），该组包括行为咨询和尼古丁替代疗法，或接受改编自“展望未来”试验的行为体重管理计划加相同戒烟计划的组（干预组）。
“利用交互式技术治疗有体重增加风险的成年吸烟者”研究将164名参与者随机分配到对照组，166名参与者随机分配到干预组。在试验的24个月后，参与者平均体重增加了0.91千克（对照组增加1.45千克，干预组增加0.32千克；P = 0.157）。唯一随时间系统影响体重变化的变量是戒烟，其中戒烟者平均每月比继续吸烟者多增重0.14千克（P < 0.001）。在探索性分析中，6个月时戒烟的干预组参与者与对照组中戒烟的参与者相比，体重增加在数值上较小，但这些差异无统计学意义。
通过交互式技术提供强化的体重增加预防计划与戒烟计划相结合，与更大程度的长期体重增加预防无关。
