Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Prediction Equation for Post-Cessation Weight Gain in Men

남성에서 금연 후 체중 증가 예측을 위한 공식

  • Lee, Gyu-Seung (Dong-gu Public Health Center, Daejeon Metropolitan City)
  • 이규승 (대전광역시 동구보건소)
  • Received : 2017.06.30
  • Accepted : 2017.09.20
  • Published : 2017.09.28
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Abstract

The purpose of this study is to develop a formula for predicting weight gain after six months of smoking cessation in men. The subjects are 412 men who succeeded in quitting smoking for 6 months at public health center smoking cessation clinic. They have been undergone nicotine patch therapy and weekly counseling for 8 weeks. The final success of smoking cessation has been confirmed by urinalysis. I have measured body composition and vascular compliance before and after the program. Weight(0.98) and BMI(0.85) have shown high positive correlation. The prediction is as follows. Post Weight(kg) = 1.04636 * Pre-Weight - 0.19535 * Pre-BMI + 4.43528. The explanatory power of this estimation equation is 82.46%(<.0001). Based on these results, it is necessary to develop education and programs for effective counseling of the smoking cessation clinic. In addition, research on women is needed.

본 연구의 목적은 남성에서 금연 6개월 후 체중 증가를 예측할 수 있는 공식을 만드는데 있다. 피험자는 보건소 금연클리닉에서 6개월 금연에 성공한 남성 412명이다. 이들은 8주까지 니코틴 패치 요법과 주 1회 상담을 받았다. 최종 금연 성공은 소변검사를 통해 확인했다. 프로그램 전후 신체구성, 혈관 탄성을 측정했다. 금연 후 체중 증가는 사전 체중(0.98), 사전 체질량지수(0.85)와 높은 정적 상관관계를 보였다. 예측식은 다음과 같다. 사후 체중(kg) = 1.04636*사전 체중 - 0.19535*사전 체질량지수 + 4.43528. 이 예측식의 설명력은 82.46%(<.0001)로 나타났다. 이 결과를 기초로 금연클리닉의 효과적인 상담을 위한 교육 및 프로그램 개발이 필요하다. 또한 여성을 대상으로 한 연구가 요구된다.

Keywords

References

  1. World Health Organization. WHO Report on the Global Tobacco Epidemic, 2012.
  2. Eriksen M et al. The Tobacco Atlas. American Cancer Society & World Lung Foundation, 2015.
  3. Royal College of Physicians, Royal College of Psychiatrists. Smoking and mental health. London: RCP, 2013.
  4. M. J. Jun, "The convergence relation of tobacco smoking to tooth loss on older adults", J. of the Korea Convergence Society, Vol. 7, No. 5, pp. 127-134, 2016. https://doi.org/10.15207/JKCS.2016.7.5.127
  5. U.S. Department of Health and Human Services. The Health Consequences of Smoking‑50 Years of Progress: A Report of the Surgeon General, 2014.
  6. Janzon E, Hedblad B, Berglund G, Engstrom G, "Changes in blood pressure and body weight following smoking cessation in women", Journal of internal medicine. Vol. 255, No. 2, pp. 266-272. 2004. https://doi.org/10.1046/j.1365-2796.2003.01293.x
  7. Critchley JA, Cape well S, "Mortality risk reduction associated with smoking cessation in patients with coronary heart disease" J. of the American Medical Association, Vol. 290, No. 1, pp.86-97, 2003. https://doi.org/10.1001/jama.290.1.86
  8. Nilsson P, Lundgren H, Söderstrom M, Fagerstrom KO, Nilsson-Ehle P, "Effects of smoking cessation on insulin and cardiovascular risk factors--a controlled study of 4 months' duration", J. of Internal Medicine, Vol. 240, No. 4, pp. 189-194. 1996. https://doi.org/10.1046/j.1365-2796.1996.16844000.x
  9. Filozof C, Fernandez Pinilla MC, Fernandez-Cruz, "Smoking cessation and weight gain". Obesity Review, Vol. 5, No. 2, pp. 95-103, 2004. https://doi.org/10.1111/j.1467-789X.2004.00131.x
  10. Klesges RC1, Shumaker S,. "Understanding the relations between smoking and body weight and their importance to smoking cessation and relapse", Health Psychology, Vol. 11, No. 1, pp. 1-3, 1992. https://doi.org/10.1037//0278-6133.11.1.1
  11. Klesges RC1, Brown K, Pascale RW, Murphy M, Williams E, Cigrang JA, "Factors associated with participation, attrition, and outcome in a smoking cessation program at the workplace", Health Psychology, Vol. 7, No. 6, pp. 575-589, 1988. https://doi.org/10.1037/0278-6133.7.6.575
  12. Chatkin R, Chatkin JM, "Smoking and changes in body weight: can physiopathology and genetics explain this association?.", Jornal brasileiro de pneumologia, Vol. 33, No. 6, pp. 712-719, 2007. https://doi.org/10.1590/S1806-37132007000600016
  13. Ferrara CM, Kumar M, Nicklas B, McCrone S, Goldberg AP, "Weight gain and adipose tissue metabolism after smoking cessation in women", International journal of obesity and related metabolic disorders, Vol. 25, No. 9, pp. 1322-1326. 2001. https://doi.org/10.1038/sj.ijo.0801716
  14. Perkins KA, "Metabolic effects of cigarette smoking". J. of Applied Physiology, Vol. 72, No. 2, pp. 401-409, 1992. https://doi.org/10.1152/jappl.1992.72.2.401
  15. Moffatt RJ, Owens SG, "Cessation from cigarette smoking: change in body weight, body composition, resting metabolism, and energy consumption", Metabolism, Vol. 40, No. 5, pp. 465-470, 1991. https://doi.org/10.1016/0026-0495(91)90225-L
  16. Rodin J, "Weight change following smoking cessation: the role of food intake and exercise", Addiction Behaviors, Vol. 12, No. 4, pp. 303-317, 1987. https://doi.org/10.1016/0306-4603(87)90045-1
  17. Dallosso HM, James WP, "The role of smoking in the regulation of energy balance", International journal of obesity Vol. 8, No. 4, pp. 365-375, 1984.
  18. Wack JT, Rodin J, "Smoking and its effects on body weight and the systems do caloric regulation", The American journal of clinical nutrition, Vol. 32, No. 2, pp. 366-380, 1982.
  19. Parsons AC, Shraim M, Inglis J, Aveyard P, Hajek P, "Interventions for preventing weight gain after smoking cessation", The Cochrane Database of Systematic Reviews, 2009.
  20. Gross J, Stitzer ML, Maldonado J, "Nicotine replacement: effects of postcessation weight gain", Journal of consulting and clinical psychology, Vol. 57, No. 1, pp. 87-92, 1989. https://doi.org/10.1037/0022-006X.57.1.87
  21. Assali AR, Beigel Y, Schreibman R, Shafer Z, Fainaru M, "Weight gain and insulin resistance during nicotine replacement therapy", Clinical Cardiology, Vol. 22, No. 5, pp. 357-360, 1999. https://doi.org/10.1002/clc.4960220512
  22. Borrelli B, Spring B, Niaura R, Kristeller J, Ockene JK, Keuthen NJ, "Weight suppression and weight rebound in ex-smoker treated with fluoxetine", J. of Consulting and Clinical Psychology, Vol. 67, No. 1, pp. 124-131, 1999. https://doi.org/10.1037/0022-006X.67.1.124
  23. Hays JT, Hurt RD, Rigotti NA, Niaura R, Gonzales D, Durcan MJ, Sachs DP, Wolter TD, Buist AS, Johnston JA, White JD, "Sustained-release bupropion for pharmacologic relapse prevention after smoking cessation. a randomized, controlled trial", Annals of Internal Medicine, 2001;135(6):423-33 Vol. 135, No. 6, pp. 423-433, 2001. https://doi.org/10.7326/0003-4819-135-6-200109180-00011
  24. Danielsson T, RÖssner S, Westin A, "Open randomized trial of intermittent very low energy diet together with nicotine gum for stopping smoking in women who gained weight in previous attempts to quit", British medical journal, Vol. 319, No. 7208, pp. 490-493, 1999. https://doi.org/10.1136/bmj.319.7208.490
  25. Marcus BH, Bock BC, Pinto BM, Forsyth LH, Roberts MB, Traficante RM, "Efficacy of an individualized, motivationally-tailored physical activity intervention", Annals of Behavioral Medicine, Vol. 20, No. 3, pp. 174-180. 1998. https://doi.org/10.1007/BF02884958
  26. Kawachi I, Troisi RJ, Rotnitzky AG, Coakley EH, Colditz GA, "Can physical activity minimize weight gain in women after smoking cessation?", American J. of Public Health, Vol. 86, No. 7, pp. 999-1004. 1996. https://doi.org/10.2105/AJPH.86.7.999
  27. Ussher MH, Taylor A, Faulkner G, "Exercise interventions for smoking cessation" The Cochrane Database of Systematic Reviews, 2008.
  28. Spring B, Howe D, Berendsen M, McFadden HG, Hitchcock K, Rademaker AW, Hitsman B, "Behavioral intervention to promote smoking cessation and prevent weight gain: a systematic review and meta-analysis", Addiction, Vol. 104, No. 9, pp. 1472-1486. 2009. https://doi.org/10.1111/j.1360-0443.2009.02610.x
  29. H. W. Byeon, "The Factors Participating in a Smoking Cessation Program using Integrated Method of Decision Tree and Neural Network Algorithm", J. of the Korea Convergence Society, Vol. 6, No. 2, pp. 25-30. 2015. https://doi.org/10.15207/JKCS.2015.6.2.025
  30. Aubin HJ1, Farley A, Lycett D, Lahmek P, Aveyard P. "Weight gain in smokers after quitting cigarettes: meta-analysis", J. of the British Medical, Vol. 345, 2012.
  31. Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T, "Smoking cessation and severity of weight gain in a national cohort", The New England J. of Medicine Vol. 324, No. 11, pp. 465-470. 1991.
  32. Swan G, Carmelli D, "Characteristics associated with excessive weight gain after smoking cessation in men", American J. of Public Health, Vol. 85, No. 1, pp. 73-77, 1995. https://doi.org/10.2105/AJPH.85.1.73
  33. Krukowski RA, Bursac Z, Little MA, Klesges RC, "The Relationship between Body Mass Index and Post-Cessation Weight Gain in the Year after Quitting Smoking: A Cross-Sectional Study", PLoS One, Vol. 11, No. 3, 2016.
  34. Komiyama M, Wada H, Ura S, Yamakage H, Satoh-Asahara N, Shimatsu A, Koyama H, Kono K, Takahashi Y, Hasegawa K, "Analysis of factors that determine weight gain during smoking cessation therapy", PLoS One, Vol. 8, No. 8, 2013.
  35. Lahti-Koski M, Pietinen P, Heliovaara M, Vartiainen E, "Associations of body mass index and obesity with physical activity, food choices, alcohol intake, and smoking in the 1982-1997", The American J. of Clinical Nutrition, Vol. 75, No. 5, pp. 809-817. 2002. https://doi.org/10.1093/ajcn/75.5.809
  36. Comstock GW, Stone RW, "Changes in body weight and subcutaneous fatness related to smoking habits", Archives Environmental Health, Vol. 24, No. 4, pp. 271-276, 1972. https://doi.org/10.1080/00039896.1972.10666082
  37. S. R. Ahn, S. Y. Lee, H. K. Min, S. H. Choi, Y. J. Kim, Y. J. Kim, "Change of Body Weight and Body Composition after Smoking Cessation In Males", The J. of the Korean Academy of Family Medicine, Vol. 24, pp. 994-1000, 2003.
  38. Van den Berkmortel FW1, Wollersheim H, van Langen H, Smilde TJ, den Arend J, Thien T, "Two years of smoking cessation does not reduce arterial wall thickness and stiffness", The Netherlands J. of the Medicine, Vol. 62, No. 7, pp. 235-241. 2004.
  39. Polonia J, Barbosa L, Silva JA, Rosas M, " Improvement of aortic reflection wave responses 6 months after stopping smoking: a prospective study", Blood Pressure Monitering, Vol. 14, No. 2, pp. 69-75. 2009. https://doi.org/10.1097/MBP.0b013e32832941ea
  40. Oren S1, Isakov I, Golzman B, Kogan J, Turkot S, Peled R, Yosefy C, "The influence of smoking cessation on hemodynamics and arterial compliance", Angiology, Vol. 57, No. 5, pp. 564-568. 2006. https://doi.org/10.1177/0003319706293119
  41. Rehill N, Beck CR, Yeo KR, Yeo WW, "The effect of chronic tobacco smoking on arterial stiffness", British J. of the Clinical Pharmacology, Vol. 61, No. 6, pp. 767-773. 2006. https://doi.org/10.1111/j.1365-2125.2006.02630.x
  42. DeSouza CA1, Shapiro LF, Clevenger CM, Dinenno FA, Monahan KD, Tanaka H, Seals DR, "Regular aerobic exercise prevents and restores age-related declines in endothelium-dependent vasodilation in healthy men", Circulation, Vol. 102, No. 12, pp. 1351-1357, 2000. https://doi.org/10.1161/01.CIR.102.12.1351
  43. Muller J1, Wilms M, Oberhoffer R, "Acute effects of submaximal endurance training on arterial stiffness in healthy middle- and long-distance runners", J. of Clinical Hypertension, Vol. 17 No. 5, pp. 371-374, 2015. https://doi.org/10.1111/jch.12530
  44. Kobayashi R1, Hatakeyama H, Hashimoto Y, Okamoto T, "Acute effects of different aerobic exercise duration on pulse wave velocity in healthy young men", The Journal of sports medicine and physical fitness, No. 16, 2016.
  45. Miyachi M, "Effects of resistance training on arterial stiffness: a meta-analysis", British J. of the Sports Medicine, Vol. 47, No. 6, pp. 393-396, 2013. https://doi.org/10.1136/bjsports-2012-090488
  46. Kingsley JD, Tai YL, Vaughan J, Mayo X, "High-intensity interval cycling exercise on wave reflection and pulse wave velocity", J. of Strength Conditioning Research, Vol. 31, No. 5, pp. 1313-1320, 2017. https://doi.org/10.1519/JSC.0000000000001598
  47. Au JS, Oikawa SY, Morton RW, MacDonald MJ, Phillips S, "Arterial Stiffness Is Reduced Regardless of Resistance Training Load in Young Men", Medicine and Science in Sports and Exercise, Vol. 49, No. 2, pp. 342-348, 2017.
  48. Montero D, Vinet A, Roberts CK, "Effect of combined aerobic and resistance training versus aerobic training on arterial stiffness", International J. of Cardiology, Vol. 15, No. 178, pp. 69-76, 2015.
  49. Clair C, Rigotti NA, Porneala B, Fox CS, D'Agostino RB, Pencina MJ, Meigs JB, "Association of smoking cessation and weight change with cardiovascular disease among adults with and without diabetes" J. of the American Medical Association, Vol. 309, No. 10, pp. 1014-1021, 2013. https://doi.org/10.1001/jama.2013.1644
  50. Prochaska, J., DiClemente, C., & Norcross, J, "In search of how people change: Applications to addictive behaviors", The American psychologist, Vol. 49, No. 9, pp. 1002-1114, 1992.
  51. M. S. Lee, J. Y. Hong, H. J. Hwang, S. H. Bae, "The Factors associated with Success of Smoking After a 6 Month Cessation at Smoking Cessation Clinic in Public Health Center of One Metropolitan City", J. of the Korea Convergence Society, Vol. 1, No. 1, pp. 31-39, 2010.