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戒烟后的肥胖与心血管风险:最新证据

Obesity and Cardiovascular Risk After Quitting Smoking: The Latest Evidence.

作者信息

Hasegawa Koji, Komiyama Maki, Takahashi Yuko

机构信息

National Hospital Organization Kyoto Medical Center Japan.

出版信息

Eur Cardiol. 2019 Apr;14(1):60-61. doi: 10.15420/ecr.2019.4.2.

Abstract

Smoking cessation is one of the most effective ways to reduce cardiovascular risk. However, weight gain and abdominal obesity generally occur after quitting smoking, as a result of nicotine withdrawal. Obesity increases various inflammatory markers, and weight gain after smoking cessation temporarily increases the risk of diabetes and reduces the benefit gained by smoking abstinence. The benefits of smoking cessation may be minimised by obesity in those who have stopped smoking. Pharmacological treatment with medications such as nicotine patches and varenicline is useful to suppress weight gain during smoking cessation. Supporting patients to continue smoking cessation and to gradually decrease their weight will be crucial.

摘要

戒烟是降低心血管风险最有效的方法之一。然而,由于尼古丁戒断,戒烟后通常会出现体重增加和腹部肥胖。肥胖会增加各种炎症标志物,戒烟后的体重增加会暂时增加患糖尿病的风险,并降低戒烟所带来的益处。对于已戒烟的人来说,肥胖可能会使戒烟的益处降至最低。使用尼古丁贴片和伐尼克兰等药物进行药物治疗有助于抑制戒烟期间的体重增加。支持患者持续戒烟并逐渐减轻体重至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e87/6523057/a86dc4e5669c/ecr-14-1-60-g001.jpg

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