Obesity and Cardiovascular Risk After Quitting Smoking: The Latest Evidence
Obesity and Cardiovascular Risk After Quitting Smoking: The Latest Evidence
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DOI：
10.15420/ecr.2019.4.2
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发表时间：
2019-03-01
影响因子：
3
通讯作者：
Takahashi, Yuko
中科院分区：
文献类型：
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作者：
Hasegawa, Koji;Komiyama, Maki;Takahashi, Yuko
戒烟是降低心血管风险的最有效方法之一。然而，体重增加和腹部肥胖通常发生在戒烟后，这是尼古丁戒断的结果。肥胖会增加各种炎症标志物，戒烟后体重增加会暂时增加患糖尿病的风险，并减少戒烟带来的益处。戒烟的好处可能会因为戒烟者的肥胖而最小化。使用尼古丁贴片和伐尼克兰等药物进行药物治疗有助于抑制戒烟期间的体重增加。支持患者继续戒烟并逐渐减轻体重至关重要。
Smoking cessation is one of the most effective ways to reduce cardiovascular risk. However, weight gain and abdominal obesity generally occur after quitting smoking, as a result of nicotine withdrawal. Obesity increases various inflammatory markers, and weight gain after smoking cessation temporarily increases the risk of diabetes and reduces the benefit gained by smoking abstinence. The benefits of smoking cessation may be minimised by obesity in those who have stopped smoking. Pharmacological treatment with medications such as nicotine patches and varenicline is useful to suppress weight gain during smoking cessation. Supporting patients to continue smoking cessation and to gradually decrease their weight will be crucial.