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The relationships between ethnicity, gender, and short-term changes in energy balance following smoking cessation

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Abstract

Although weight gain is a well-established consequence of quitting smoking, the energy balance mechanisms responsible for postcessation weight gain are not clear. Furthermore, although gender and ethnicity are important predictors of postcessation weight gain, no studies have evaluated the effects of these variables on changes in energy balance. This study investigated short-term changes in energy balance following smoking cessation in 95 smokers. In as little as 2 weeks, smoking cessation was associated with a significant increase in body weight (1.05 kg). Smoking cessation was also associated with an increase in energy intake (1440 kJ/day), and no changes in energy expenditure (physical activity; resting energy expenditure, REE) were observed. Changes in body weight and energy balance did not differ by gender or ethnicity. Predictors of weight gain included baseline carbon monoxide (CO) level, baseline REE per kg of body weight, and changes in energy intake. These findings provide valuable information about the mechanisms responsible for at least the early stages of postcessation weight gain.

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References

  • Albu, J., Shur, M., Curi, M., Murphy, L., Heymsfield, S. B., & Pisunyer, F. X. (1997). Resting metabolic rate in obese, premenopausal Black women.American Journal of Clinical Nutrition, 66, 531–538.

    PubMed  Google Scholar 

  • Arciero, P. J., Goran, M. I., & Poehlman, E. T. (1993). Resting metabolic rate is lower in women than in men.Journal of Applied Physiology, 75, 2514–2520.

    PubMed  Google Scholar 

  • Benowitz, N. L. & Jacob, P. (1984). Daily intake of nicotine during cigarette smoking.Clinical Pharmocology and Therapeutics, 35, 499–504.

    Google Scholar 

  • Bowen, D. J., & Grunberg, N. E. (1990). Variationsin food preference and consumption across the menstrual cycle.Physiology & Behavior, 47, 287–291.

    Article  Google Scholar 

  • Goldberg, G. R., Black, A. E., Jebb, S. A., Cole, T. J., Murgatroyd, P. R., Coward, W. A., & Prentice, A. M. (1991). Critical evaluation of energy intake data using fundamental principles of energy physiology: 1. Derivation of cut-off limits to identify under-recording.European Journal of Clinical Nutrition, 45, 569–581.

    PubMed  Google Scholar 

  • Gross, J., Stitzer, M. L., & Maldonado, J. (1989). Nicotine replacement: effects on postcessation weight gain.Journal of Consulting and Clinical Psychology, 57, 87–92.

    Article  PubMed  Google Scholar 

  • Grunberg, N. E. (1986). Nicotine as a psychoactive drug: Appetite regulation.Psychopharmacology Bulletin, 22, 875–881.

    PubMed  Google Scholar 

  • Hall, S. M., Ginsberg, D., & Jones, R. T. (1986). Smoking cessation and weight gain.Journal of Consulting and Clinical Psychology, 54, 342–346.

    Article  PubMed  Google Scholar 

  • Hall, S. M., McGee, R., Tunstall, C., Duffy, J.,& Benowitz, N. (1989). Changesinfood intake and activity after quitting smoking.Journal of Consulting and Clinical Psychology, 57, 81–86.

    Article  PubMed  Google Scholar 

  • Hall, S. M., Tunstall, C. D., Vila, K. L., & Duffy, J. (1992). Weight gain prevention and smoking cessation: Cautionary findings.American Journal of Public Health, 82, 799–803.

    Article  PubMed  Google Scholar 

  • Hughes, J. R., & Hatsukami, D. K. (1997). Effects of three doses of transdermal nicotine on post-cessation eating, hunger, and weight.Journal of Substance Abuse, 9, 151–159.

    Article  PubMed  Google Scholar 

  • Isbell, T. R., Klesges, R. C., Meyers, A. W., & Klesges, L. M. (1991). Measurement reliability and reactivity using repeated measurements of resting energy expenditure with a face mask, mouthpiece, and ventilated canopy.Journal of Parenteral and Eneral Nutrition, 15, 165–168.

    Article  Google Scholar 

  • Jequier, E. (1987). Measurement of energy expenditure in clinical nutritional assessment.Journal of Parenteral and Enteral Nutrition, 11, 86S-89S.

    Article  PubMed  Google Scholar 

  • Klesges, R. C., Eck, L. H., & Ray, J. W. (1995). Who underreports dietary intake ina dietary recall? Evidence from the Second National Health and Nutrition Survey.Journal of Consulting and Clinical Psychology, 63, 438–444.

    Article  PubMed  Google Scholar 

  • Klesges, R. C., Meyers, A. W., Klesges, L. M., & La Vasque, M. E. (1989). Smoking, body weight, and their effects on smoking behavior: A comprehensive view of the literature.Psychological Bulletin, 106, 204–230.

    Article  PubMed  Google Scholar 

  • Klesges, R. C., Ward, K. D., Ray, J. W., Cutter, G., Jacobs, D. R., & Wagenknecht, L. E. (1998). The prospective relationships between smoking and weight in a young, biracial cohort: The Coronary Artery Risk Development in Young Adults Study.Journal of Consulting and Clinical Psychology, 66, 987–993.

    Article  PubMed  Google Scholar 

  • Lando, H. A., McGovern, P. G., Kelder, S. H., Jeffery, R. W., & Forster, J. L. (1991). Use of carbon monoxide breath validation in assessing exposure to cigarette smoke in a worksite population.Health Psychology, 10, 296–301.

    Article  PubMed  Google Scholar 

  • Leischow, S. J., & Stitzer, M. L. (1991). Effects of smoking cessation on caloric intake and weight gain in an inpatient unit.Psychopharmacology, 104, 522–526.

    Article  PubMed  Google Scholar 

  • Marcus, B. H., Albrecht, A. E., King, T. K., Parisi, A. F., Pinto, B. M., Roberts, M., Niaura, R. S., & Abrams, D. B. (1999). The efficacy of exercise as an aid for smoking cessation in women.Archives of Internal Medicine, 159, 1229–1234.

    Article  PubMed  Google Scholar 

  • Moffatt, R. J., & Owens, S. G. (1991). Cessation from cigarette smoking: changes in body weight, body composition, resting metabolism, and energy consumption.Metabolism, 40, 465–470.

    Article  PubMed  Google Scholar 

  • Perez-Stable, E. J., Herrera, B., Jacob, P., & Benowitz, N. L. (1998). Nicotine metabolism and intake in black and white smokers.Journal of the American Medical Association, 280, 152–156.

    Article  PubMed  Google Scholar 

  • Perkins, K. A. (1992). Metabolic effects of cigarette smoking.Journal of Applied Physiology, 72, 401–409.

    PubMed  Google Scholar 

  • Perkins, K. A. (1993). Weight gain following smoking cessation.Journal of Consulting and Clinical Psychology, 61, 768–777.

    Article  PubMed  Google Scholar 

  • Perkins, K. A., Epstein, L. H., & Pastor, S. (1990). Changes in energy balance following smoking cessation and resumption of smoking in women.Journal of Consulting and Clinical Psychology, 58, 121–125.

    Article  PubMed  Google Scholar 

  • Perkins, K. A., Epstein, L. H., Sexton, J. E., & Pastor, S. (1990). Effects of smoking cessation on consumption of alcohol and sweet, high-fat foods.Journal of Substance Abuse, 2, 287–297.

    PubMed  Google Scholar 

  • Perkins, K. A., McKenzie, S. J., & Stoney, C. M. (1987). The relevance of metabolic rate in behavioral medicine research.Behavior Modification, 11, 286–311.

    Article  PubMed  Google Scholar 

  • Pirie, P. L., McBride, C. M., Hellerstedt, W., Jeffery, R. W., Hatsukami, D., Allen, S., & Lando, H. (1992). Smoking cessation in women concerned about weight.American Journal of Public Health, 82, 1238–1243.

    Article  PubMed  Google Scholar 

  • Prentice, A. M., Black, A. E., Coward, W. A., Davies, H. L., Goldberg, G. R., Murgatroyd, P. R., Ashford, J., Sawyer, M., & Whitehead, R. G. (1986). High levels of energy expenditure in obese women.British Medical Journal, 292, 983–986.

    Article  PubMed  Google Scholar 

  • Ravussin, E., Lillioja, S., Knowler, W. C., Christin, L., Freymond, D., Abbot, W. G. H., Boyce, V., Howard, B. V., & Bogardus, C. (1988). Reduced rate of energy expenditure as a risk factor for body weight gain.New England Journal of Medicine, 318, 467–472.

    PubMed  Google Scholar 

  • Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S. P., Rogers, T., Blair, S. N., & Paffenbarger, R. S. (1985). Physical activity assessment methodologyinthe Five-City Project.American Journal of Epidemiology, 121, 91–106.

    PubMed  Google Scholar 

  • Stamford, B. A., Matter, S., Fell, R. D., & Papanek, P. (1986). Effects of smoking cessation on weight gain, metabolic rate, caloric consumption, and blood lipids.American Journal of Clinical Nutrition, 43, 486–494.

    PubMed  Google Scholar 

  • Taylor, C. B., Coffey, T., Berra, K., Iaffaldano, R., Casey, K., & Haskell, W. L. (1984). Seven-day activity and self-report compared to a direct measure of physical activity.American Journal of Epidemiology, 120, 818–824.

    PubMed  Google Scholar 

  • Terry, R. B., Ward, M., & Swan, G. (1996). Weight gain in early smoking may include more water than fat.Addiction, 91, 144.

    Google Scholar 

  • Vander Weg, M. W., Klesges, R. C., & Ward, K. D. (2000). Differences in resting energy expenditure between Black and White smokers: Implications for postcessation weight gain.European Journal of Clinical Nutrition, 54, 895–899.

    Article  Google Scholar 

  • Ward, K. D., Klesges, R. C., Zbikowski, S. M., Bliss, R. E., & Garvey, A. J. (1997). Gender differences in the outcome of an unaided smoking cessation attempt.Addictive Behaviors, 22, 521–533.

    Article  PubMed  Google Scholar 

  • Ward, M. M., Swan, G. E., & Jack, L. M. (1994). Weight changesin the first month after smoking cessation in men and women.Annals of Behavioral Medicine, 16(Supplement), S120.

    Google Scholar 

  • Webb, P. (1986). Twenty-four hour energy expenditure and the menstrual cycle.American Journal of Clinical Nutrition, 44, 614–619.

    PubMed  Google Scholar 

  • Williams, E., Klesges, R. C., Hanson, C. L., & Eck, L. H. (1989). A prospective study of the reliability and convergent validity of three physical activity measures in a field research trial.Journal of Clinical Epidemiology, 42, 1161–1170.

    Article  PubMed  Google Scholar 

  • Williamson, D. F., Madans, J., Anda, R. F., Kleinman, J. C., Giovino, G. A., & Byers, T. (1991). Smoking cessation and severity of weight gain in a national cohort.New England Journal of Medicine, 324, 739–745.

    Article  PubMed  Google Scholar 

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Correspondence to Mark W. Vander Weg.

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Support for this study was providedby Grant No. HL46352 from the National Heart, Lung and Blood Institute.

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Vander Weg, M.W., Klesges, R.C., Eck Clemens, L.H. et al. The relationships between ethnicity, gender, and short-term changes in energy balance following smoking cessation. Int. J. Behav. Med. 8, 163–177 (2001). https://doi.org/10.1207/S15327558IJBM0802_06

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