Department of Vascular Medicine, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Department of Surgery, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, Netherlands.
Obes Surg. 2021 Jan;31(1):239-249. doi: 10.1007/s11695-020-04907-4. Epub 2020 Aug 16.
Currently, bariatric surgery is the most effective intervention for treating morbid obesity and its complications. Smoking cessation is likely to improve smoking-related comorbidities and decrease postoperative complications. This study evaluated the smoking behaviour and thoughts about smoking cessation of patients more than 18 months after bariatric surgery.
A cross-sectional study was performed in patients who underwent bariatric surgery from July 2012 to December 2013. A questionnaire was used to evaluate smoking status, thoughts about the health benefits of cessation and characteristics of previous quit attempts in current and former smokers. Finally, actual bariatric surgery outcomes were evaluated in current, former and never smokers.
Six hundred nine patients (response rate 52.0%) were included. Of them, 101 (16.6%) patients were current smokers, 239 (39.2%) former smokers and 269 (44.2%) patients were lifetime never smokers. Compared with former smokers, current smokers were less aware of the beneficial effects of smoking cessation on their general health; 66.4% of the former smokers thought smoking cessation would be much better for general health, compared with 20.6% of current smokers. Total weight loss was 2.8% higher in current smokers compared with former smokers. Actual long-term bariatric surgery outcomes were not significantly different between the groups.
Despite advice to quit smoking and temporary quitting before surgery, a considerable group of bariatric surgery patients continues smoking after surgery. These patients were less aware of the beneficial effects of smoking cessation. This study emphasizes the need for better strategies to increase the number of successful cessations.
目前，减重手术是治疗病态肥胖及其并发症的最有效干预手段。戒烟可能会改善与吸烟相关的合并症并减少术后并发症。本研究评估了超重手术 18 个月后患者的吸烟行为和戒烟意愿。
对 2012 年 7 月至 2013 年 12 月期间接受减重手术的患者进行了一项横断面研究。使用问卷评估了吸烟状况、对戒烟有益健康的看法以及当前和曾经吸烟者戒烟尝试的特点。最后，评估了当前、曾经和从不吸烟者的实际减重手术结果。
共纳入 609 例患者（应答率 52.0%）。其中，101 例（16.6%）为当前吸烟者，239 例（39.2%）为曾经吸烟者，269 例（44.2%）为终身不吸烟者。与曾经吸烟者相比，当前吸烟者对戒烟对其整体健康的有益影响认识不足；66.4%的曾经吸烟者认为戒烟对整体健康会好很多，而当前吸烟者只有 20.6%这样认为。当前吸烟者的总体体重减轻量比曾经吸烟者高 2.8%。各组之间的实际长期减重手术结果无显著差异。
尽管建议患者在手术前戒烟并暂时戒烟，但相当一部分减重手术患者在手术后仍继续吸烟。这些患者对戒烟的益处认识不足。本研究强调需要采取更好的策略来增加成功戒烟的人数。
