EDITORIAL Treatment Options for the Weight-Conscious Smoker PTIONS FOR HELPING patients to stop of weight following smoking cessation. The etiology of smoking have improved dramatically the weight gain is multifactorial. Increased food con- over the past decade. An expanding ar- sumption occurs after smoking cessation but does not ray of pharmacologic products intro- entirely account for the magnitude of weight gained. In O duced since 1990 offer physicians and pa- addition, nicotine has metabolic effects, increasing the tients new ways to treat nicotine dependence, while resting metabolic rate and energy expenditure. Elimina- randomized clinical trials have provided physicians with tion of nicotine exposure reverses this weight-sup- 5,8 solid evidence to support their efforts to counsel smokers pressing effect. Contrary to the fears of many smok- 1,2 during routine office visits. Evidence-based clinical guide- ers, however, large weight gains (eg, .13 kg) are lines from the Agency for Health Care Policy and Re- uncommon, occurring in only 10% to 15% of quitters. search and other professional organizations now define Women, African Americans, and heavy smokers are es- treatment strategies for physicians and health care deliv- pecially at risk for large increases in weight after smok- ery systems. The rate at
JAMA Internal Medicine – American Medical Association
Published: Jun 14, 1999
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