Weight concerns as a predictor of smoking cessation according to nicotine dependence

Abstract

Background: Nicotine-dependent smokers find it difficult to quit smoking. Additionally, smokingspecific weight concerns may affect smoking cessation although the evidence is controversial. We investigated whether smoking-specific weight concerns predict the probability of cessation and, if so, whether the effect varies according to the level of nicotine dependence. Methods: The study was conducted with a population-based sample of 355 adult daily smokers who participated in the baseline examination in 2007 and in the 2014 follow-up. Baseline nicotine dependence was classified as low or high (Fagerströ m Test for Nicotine Dependence; 0-3 vs. 4-10 points). Within these groups, we examined whether baseline weight concerns predict smoking status (daily,

An exploration of associations between smoking motives and behavior as a function of body mass index

“…Weight loss or avoidance of weight gain motives have been shown to contribute to smoking uptake and resisting quitting ( Taylor et al., 2019 ; Watanabe et al., 2016 ). Individuals with overweight or obesity who smoke describe elevated concern about weight gain following smoking cessation ( Bush et al., 2008 ; M. D. Levine et al., 2013 ), which is a barrier to quitting smoking ( Tuovinen et al., 2018 ). Furthermore, overweight and obesity are associated with the most weight gain after quitting smoking and finding the weight gain more intolerable ( Bush et al., 2008 ; LaRowe et al., 2009 ; A.…”

Changes in weight among individuals with psychiatric conditions or socioeconomic disadvantage assigned to smoke very low nicotine content cigarettes.

“…While there was a statistically significant difference in “increased appetite/hunger/weight gain” ratings by cigarette dose among individuals with affective disorders and socioeconomically disadvantaged women, the mean “increased appetite/hunger/weight gain” scores for those assigned to the 0.4 mg/g and 15.8 mg/g cigarettes were 2.00 and 1.76, which are both considered “mild.” That said, policymakers may still want to consider how individuals might react to small increases in weight and subjective appetite, hunger, and weight gain prior to implementing a nicotine reduction policy. Evidence from the smoking cessation literature demonstrates that concerns about postcessation weight gain can be a barrier to quitting and a reason for relapse (Clark et al, 2006; Tuovinen et al, 2018). Future studies could use qualitative methods to explore the extent of concern about weight gain among users of VLNC cigarettes, and whether they would seek out illicit higher nicotine products to reduce their weight gain.…”

“…That said, policymakers may still want to consider how individuals might react to small increases in weight and subjective appetite, hunger, and weight gain prior to implementing a nicotine reduction policy. Evidence from the smoking cessation literature demonstrates that concerns about postcessation weight gain can be a barrier to quitting and a reason for relapse (Clark et al, 2006;Tuovinen et al, 2018). Future studies could use qualitative methods to explore the extent of concern about weight gain among users of VLNC cigarettes, and whether they would seek out illicit higher nicotine products to reduce their weight gain.…”

Opioids, opioids, opioids

“…Relationships between such behaviours, namely between smoking cessation and weight concerns, are accounted for on the population level in Finnish data sets in an article by Tuovinen and colleagues (2018) . The study shows an association between success in quitting smoking and a higher degree of weight concerns, and concludes that weight concern is a relevant dimension to embed in quitting support.…”