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Smoking cessation, lung function, and weight gain: a follow-up study

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Authors
Chinn, Susan
Jarvis, Deborah
Melotti, Roberto
Luczynska, Christina
Ackermann-Liebrich, Ursula
Antó, Josep M
Cerveri, Isa
de Marco, Roberto
Gislason, Thorarinn
Heinrich, Joachim
Janson, Christer
Künzli, Nino
Leynaert, Bénédicte
Neukirch, Françoise
Schouten, Jan
Sunyer, Jordi
Svanes, Cecilie
Vermeire, Paul
Wjst, Matthias
Burney, Peter
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Issue Date
2005-05-01

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Lancet 2005, 365(9471):1629-35; discussion 1600-1
Abstract
BACKGROUND: Only one population-based study in one country has reported effects of smoking cessation and weight change on lung function, and none has reported the net effect. We estimated the net benefit of smoking cessation, and the independent effects of smoking and weight change on change in ventilatory lung function in the international European Community Respiratory Health Survey. METHODS: 6654 participants in 27 centres had lung function measured in 1991-93, when aged 20-44 years, and in 1998-2002. Smoking information was obtained from detailed questionnaires. Changes in lung function were analysed by change in smoking and weight, adjusted for age and height, in men and women separately and together with interaction terms. FINDINGS: Compared with those who had never smoked, decline in FEV1 was lower in male sustained quitters (mean difference 5.4 mL per year, 95% CI 1.7 to 9.1) and those who quit between surveys (2.5 mL, -1.9 to 7.0), and greater in smokers (-4.8 mL, -7.9 to -1.6). In women, estimates were 1.3 mL per year (-1.5 to 4.1), 2.8 mL (-0.8 to 6.3) and -5.1 mL (-7.5 to -2.8), respectively. These sex differences were not significant. FEV1 changed by -11.5 mL (-13.3 to -9.6) per kg weight gained in men, and by -3.7 mL per kg (-5.0 to -2.5) in women, which diminished the benefit of quitting by 38% in men, and by 17% in women. INTERPRETATION: Smoking cessation is beneficial for lung function, but maximum benefit needs control of weight gain, especially in men.
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http://www.sciencedirect.com/science/article/B6T1B-4G4F8Y7-Y/2/75210f128764a382616786c9c0e903c6
ae974a485f413a2113503eed53cd6c53
10.1016/S0140-6736(05)66511-7
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English Journal Articles (Peer Reviewed)

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