School of Health Studies, The University of Memphis, Memphis, TN 38152, USA; School of Public Health, The University of Memphis, Memphis, TN 38152, USA.
University of Iowa, Iowa City VA Health Care System, Iowa City, IA 52242, USA.
Eat Behav. 2023 Dec;51:101809. doi: 10.1016/j.eatbeh.2023.101809. Epub 2023 Sep 1.
Concern about weight gain is a barrier to smoking-cessation, but determinants of postcessation weight-concern have not been comprehensively assessed in the context of community-based cessation programs.
This cross-sectional analysis used baseline data from a cessation trial of 392 adults randomized to physical activity (PA) or general wellness counseling as adjunctive treatment for smoking. Outcomes were 1) smoking behaviors to control weight and 2) anticipating relapse due to weight gain. Independent variables were PA and perceptions, sociodemographics, psychosocial measures, smoking behavior and perceptions, diet, and BMI. From bivariable models examining main and sex interaction effects, significant variables were entered into a linear (control) or logistic (relapse) regression model to identify key determinants.
For both measures, weight-concern was greater (p < .05) for female smokers (standardized b = 0.52, SE = 0.10; OR = 0.29, 95 % CI = 0.17-0.49), White (b = 0.12, SE = 0.05; OR = 0.39, 95 % CI = 0.23-0.66), and less motivated to quit (b = -0.14, SE = 0.05; OR = 0.77, 95 % CI = 0.59-1.0). Higher scores for smoking to control weight were associated with less PA (b = -0.10, SE = 0.05) and higher BMI (b = 0.21, SE = 0.05). For men, higher BMI was associated with greater anticipation of relapse (OR = 2.54, 95 % CI = 1.42-4.56).
Among adults attempting cessation, women, White smokers, and those less motivated to quit were more likely to smoke for weight control and to relapse due to weight gain. Higher BMI was associated with greater anticipation of relapse for men, but not women. Weight-concerns, for both measures, were not related to smoking history, psychosocial functioning, PA engagement or attitudes, or dietary variables. Results suggest potential cessation intervention targets for weight-concerned smokers.
对于体重增加的担忧是戒烟的障碍，但在社区为基础的戒烟计划中，尚未全面评估戒烟后体重担忧的决定因素。
本横断面分析使用了一项针对 392 名成年人的戒烟试验的基线数据，这些成年人被随机分配到体育活动 (PA) 或一般健康咨询中，作为戒烟的辅助治疗。结果是 1）控制体重的吸烟行为和 2）因体重增加而预期复发。自变量是 PA 和感知、社会人口统计学、心理社会措施、吸烟行为和感知、饮食和 BMI。从双变量模型检查主要和性别交互效应，将显著变量输入线性 (控制) 或逻辑 (复发) 回归模型，以确定关键决定因素。
对于这两个措施，女性吸烟者的体重担忧程度更高（p<0.05）（标准化 b=0.52，SE=0.10；OR=0.29，95%CI=0.17-0.49）、白人（b=0.12，SE=0.05；OR=0.39，95%CI=0.23-0.66）和戒烟动机较低（b=-0.14，SE=0.05；OR=0.77，95%CI=0.59-1.0）。控制体重的吸烟行为得分较高与 PA 较低（b=-0.10，SE=0.05）和 BMI 较高（b=0.21，SE=0.05）有关。对于男性，较高的 BMI 与更高的复发预期有关（OR=2.54，95%CI=1.42-4.56）。
在试图戒烟的成年人中，女性、白种烟民和戒烟动机较低的人更有可能通过吸烟来控制体重，并且因体重增加而复发。较高的 BMI 与男性而非女性更高的复发预期有关。对于这两个措施，体重担忧与吸烟史、心理社会功能、PA 参与度和态度或饮食变量无关。结果表明，体重担忧的吸烟者可能是戒烟干预的目标。
