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Unformatted text preview: Relationship Between Smoking and Weight Control Efforts Among Adults in the United States Christina C. Wee, MD, MPH; Nancy A. Rigotti, MD; Roger B. Davis, ScD; Russell S. Phillips, MD Background: The effect of weight control concerns on smoking among adults is unclear. We examined the as- sociation between smoking behavior and weight con- trol efforts among US adults. Methods: A total of 17317 adults responded to the Year 2000 Supplement of the 1995 National Health Interview Survey (83% combined response rate). Respondents pro- vided sociodemographic and health information, includ- ing their smoking history and whether they were trying to lose weight, maintain weight, or gain weight. Results: Rates of smoking were lower among adults who were trying to lose or maintain weight than among those not trying to control weight (25% vs 31%; P , .001). After adjustment for sex, race, education, income, marital sta- tus, region of the country, and body mass index, the re- lationship between trying to lose weight and current smok- ing varied according to age. Among adults younger than 30 years, those trying to lose weight were more likely to smoke currently (odds ratio, 1.36 [95% confidence inter- val, 1.09-1.70]), whereas older adults trying to lose weight were as likely or less likely to smoke compared with adults not trying to control weight. After adjustment, smokers of all ages who were trying to lose weight were more likely to express a desire to quit smoking. Results were similar after stratification by sex and body mass index. Conclusions: Adults younger than 30 years are more likely to smoke if they are trying to lose weight. How- ever, smokers of all ages who are trying to lose weight are more likely to want to stop smoking. Patients weight control efforts should not discourage clinicians from coun- seling about smoking cessation. Education about smok- ing and healthy weight control methods should target young adults. Arch Intern Med. 2001;161:546-550 T HE DECLINE in cigarette smoking prevalence dur- ing the past 35 years has been much greater among men than women. 1-3 Con- sequently, the sex difference in smoking prevalence has narrowed substantially. 2,3 Concern about weight control, which is stronger among women than men, has been suggested as one reason for the smaller decline in womens smoking rates. The hypothesis is that women are more likely to use tobacco as a means of weight control. 4-7 Over the long term, smoking ap- pears to have a weight suppressant effect, and weight gain is a common conse- quence of smoking cessation. 8-10 Several re- cent studies, however, suggest that this weight suppressant effect may be mini- mal in the short term....
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- Spring '08