Tobacco smoking in relation to body fat mass and distribution in a general population sample

Tobacco smoking in relation to body fat mass and distribution in a general population sample
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DOI:
10.1038/sj.ijo.0802697
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发表时间:
2004-08-01
影响因子:
4.9
通讯作者:
Trichopoulos, D
Trichopoulos, D
中科院分区:
医学2区
文献类型:
--
作者:
Bamia, C;Trichopoulou, A;Trichopoulos, D

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目的:调查不同吸烟量对当前吸烟者体重指数和腰臀比的影响。设计:基于人群的队列研究。对象:希腊 EPIC 队列中共有 22 059 名表面健康的男性和女性,年龄 25 - 84 岁,从未吸烟(14 751 人)或当前吸烟者(7 308 人)。测量:入组时的体重指数和腰臀比(通过人体测量)、吸烟量和能量消耗(通过访谈员实施的生活方式调查问卷)、能量摄入量和乙醇摄入量(通过访谈员实施的经过验证的半定量食物频率调查问卷)。 结果:与不吸烟者相比,平均吸烟支数的吸烟者的体重指数较低。然而,在吸烟者中,吸烟量的增加往往与体重指数呈正相关,尤其是男性。无论男性还是女性,腰臀比与每天吸烟量呈正相关。 结论:在吸烟者中,吸烟与体重指数和腰臀比呈正相关。我们的数据表明,与不吸烟者相比,吸烟者较低的体重指数反映了选择吸烟者的性格特征,并且戒烟后体重增加的趋势可能具有行为根源,而不是与烟草相关的药理学根源。
OBJECTIVE: To investigate the effects of variable amounts of tobacco smoking on body mass index and waist-to-hip ratio among current smokers.DESIGN: Population-based cohort study.SUBJECTS: A total of 22 059 apparently healthy men and women, who enrolled in the Greek EPIC cohort, aged 25 - 84 years, who had never smoked ( 14 751) or were current cigarette smokers ( 7308).MEASUREMENTS: Body mass index and waist-to-hip ratio ( by anthropomentry), amount of tobacco smoking and energy expenditure ( by an interviewer-administered, lifestyle questionnaire), energy intake and ethanol intake ( by an interviewer-administered, validated, semiquantitative, food frequency questionnaire), at enrollment.RESULTS: In comparison to nonsmokers, smokers of the average number of cigarettes have lower body mass index. Among smokers, however, increased amount of smoking tends to be positively associated with body mass index, particularly among men. Waist-to-hip ratio is positively associated with amount of cigarettes smoked per day, among both men and women.CONCLUSION: Among smokers, tobacco smoking is positively associated with body mass index and waist-to-hip ratio. Our data suggest that the lower body mass index of smokers compared to nonsmokers reflects personality characteristics of those who choose to smoke and that the tendency to gain weight after smoking cessation may have behavioral rather than tobacco-related pharmacological roots.