Journal article
Determinants of smoking related weight-concern in smokers participating in a community-based cessation program
Eating behaviors : an international journal, Vol.51, 101809
12/01/2023
DOI: 10.1016/j.eatbeh.2023.101809
PMCID: PMC10840988
PMID: 37699309
Abstract
Concern about weight gain is a barrier to smoking-cessation, but determinants of postcessation weight-concern have not been comprehensively assessed in the context of community-based cessation programs.
This cross-sectional analysis used baseline data from a cessation trial of 392 adults randomized to physical activity (PA) or general wellness counseling as adjunctive treatment for smoking. Outcomes were 1) smoking behaviors to control weight and 2) anticipating relapse due to weight gain. Independent variables were PA and perceptions, sociodemographics, psychosocial measures, smoking behavior and perceptions, diet, and BMI. From bivariable models examining main and sex interaction effects, significant variables were entered into a linear (control) or logistic (relapse) regression model to identify key determinants.
For both measures, weight-concern was greater (p < .05) for female smokers (standardized b = 0.52, SE = 0.10; OR = 0.29, 95 % CI = 0.17–0.49), White (b = 0.12, SE = 0.05; OR = 0.39, 95 % CI = 0.23–0.66), and less motivated to quit (b = −0.14, SE = 0.05; OR = 0.77, 95 % CI = 0.59–1.0). Higher scores for smoking to control weight were associated with less PA (b = −0.10, SE = 0.05) and higher BMI (b = 0.21, SE = 0.05). For men, higher BMI was associated with greater anticipation of relapse (OR = 2.54, 95 % CI = 1.42–4.56).
Among adults attempting cessation, women, Whites, and those less motivated to quit were more likely to smoke for weight control and to relapse due to weight gain. Higher BMI was associated with greater anticipation of relapse for men, but not women. Weight-concerns, for both measures, were not related to smoking history, psychosocial functioning, PA engagement or attitudes, or dietary variables. Results suggest potential cessation intervention targets for weight-concerned smokers.
•Women, Whites, and less motivated more likely to smoke for weight control•Women, Whites, and less motivated are more likely to relapse due to weight gain•Higher BMI associated with greater relapse if weight gain occurred for men•Weight-concerns not related to smoking, psychosocial, or physical activity variables
Details
- Title: Subtitle
- Determinants of smoking related weight-concern in smokers participating in a community-based cessation program
- Creators
- Cheri Kilmurray - University of MemphisMark Vander Weg - University of Iowa, Iowa City VA Health Care System, Iowa City, IA 52242, USANancy Wilson - University of MemphisGeorge Relyea - University of MemphisBarbara McClanahan - University of MemphisMichelle B. Stockton - University of MemphisKenneth D. Ward - University of Memphis
- Resource Type
- Journal article
- Publication Details
- Eating behaviors : an international journal, Vol.51, 101809
- DOI
- 10.1016/j.eatbeh.2023.101809
- PMID
- 37699309
- PMCID
- PMC10840988
- NLM abbreviation
- Eat Behav
- ISSN
- 1471-0153
- eISSN
- 1873-7358
- Publisher
- Elsevier Ltd
- Grant note
- DOI: 10.13039/100005277, name: Presbyterian Historical Society; DOI: 10.13039/100000002, name: NIH, award: R01 HL068569
- Language
- English
- Date published
- 12/01/2023
- Academic Unit
- Psychological and Brain Sciences; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984463085202771
Metrics
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