UICC GLOBALink Presents...
The Tobacco Reference Guide
by David Moyer, MD.


Chapter 22 Smoking and tobacco cessation

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Smoking and tobacco cessation: Weight gain

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100 pounds after quitting to equal the health risk of heavy smoking.

Journal of Family Practice, Vol. 34, No. 6, 1992, p. 691

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Smoking cessation is associated with a net excess weight gain of about 2.4

kilograms (6 pounds) in middle-aged women. However, this weight gain is minimized

if smoking cessation is accompanied by a moderate increase in the level of physical

activity.

American Journal of Public Health, July 1995, p. 999

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Smoking cessation interventions that promote dieting to control weight have not been

successful in preventing cessation-related weight gain.

Annals of Behavioral Medicine 17:234, 1995

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Increased metabolic rate explains at least some of smokers' leaner body weights.

Smoking increases metabolic rate by approximately 2 to 10 percent. However, an

increased metabolic rate doesn't account for the total difference in body weight

between the average smoker and the average non-smoker. Overall, smoking-induced

metabolic rate increases are thought to account for about half of the difference.

Another likely mechanism is that smoking alters the body-weight set point - the weight

toward which a person tends to return despite vigorous attempts to gain or lose

weight. This means that the changes in caloric intake that occur with changes in

smoking status are actually secondary to a change in the regulation of body weight

around a different set point. Experts believe that smoking cessation returns the set

point to normal.

Quote from Cigarettes, p. 137

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Thursday, July 06, 2000 Page 24 of 25

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