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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0451207
Code Inist : 002B30A03B. Création : 22/03/2000.