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  1. Open randomised trial of intermittent very low energy diet together with nicotine gum for stopping smoking in women who gained weight in previous attempts to quit. Commentary.

    Article - En anglais

    Objective To determine whether attempts to prevent weight gain will increase success rates for stopping smoking.

    Design 16 week, open, randomised study with 1 year follow up.

    Setting Obesity unit Subjects 287 female smokers who had quit smoking before but started again because of weight concerns.

    Intervention Combination of a standard smoking cessation programme with nicotine gum and a behavioural weight control programme including a very low energy diet A control group was treated with the identical programme but without the diet.

    Main outcome measure Sustained cessation of smoking.

    Results After 16 weeks, 68/137 (50%) women had stopped smoking in the diet group versus 53/150 (35%) in the control group (P=0.01).

    Among these women, weight fell by mean 2.1 (95% confidence interval 2.9 to 1.3) kg in the diet group but increased by 1.6 (0.9 to 2.3) kg in the control group (P<0.001).

    After 1 year the success rates in the diet and control groups were 38/137 (28%) and 24/150 (16%) respectively (P<0.05), but there was no statistical difference in weight gain.

    Conclusions Combining the smoking cessation programme with an intervention to control weight helped women to stop smoking and control weight.

    Mots-clés Pascal : Tabagisme, Sevrage toxique, Tabac, Nicotine, Gomme, Prise poids, Poids corporel, Programme sanitaire, Régime alimentaire hypocalorique, Prévention, Evaluation, Homme, Femelle, Suède, Europe, Randomisation

    Mots-clés Pascal anglais : Tobacco smoking, Detoxification, Tobacco, Nicotine, Gum, Weight gain, Body weight, Sanitary program, Low calorie diet, Prevention, Evaluation, Human, Female, Sweden, Europe, Randomization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0451207

    Code Inist : 002B30A03B. Création : 22/03/2000.