TY - JOUR
T1 - Smoking, body weight, and CHD mortality in diverse populations
AU - The Diverse Populations Collaboration
AU - Benderly, Michal
AU - Lackland, Daniel
AU - Gazes, Peter
AU - Keil, Julian
AU - Sutherland, Susan
AU - Ferguson, Pamela
AU - Froom, Paul
AU - Lackland, Dan
AU - Hames, Curtis
AU - Jorgensen, Torben
AU - Thomsen, Troels
AU - Danker, Rachel
AU - Lubin, Flora
AU - Chetrit, Angela
AU - Lusky, Ayala
AU - Lin, Shuguang
AU - Li, Yihe
AU - Liu, Xiaoqing
AU - Goldbourt, Uri
AU - Yaari, Shlomit
AU - Selmer, Randi
AU - Tverdal, Aage
AU - Crespo, Carlos
AU - Garcia-Palmieri, Mario R.
AU - Sigurdsson, Emil
AU - Gillis, Charles
AU - Hawthorne, Victor
AU - Hole, David
AU - Hart, Carole
AU - Hawthone, Victor
AU - Kozarevic, Djordje
AU - Vojvodic, Nikola
AU - Li, Zhaohai
AU - Cooper, Richard
AU - Cao, Guichan
AU - Conroy, Ronan
AU - Liao, Youlian
AU - Sempos, Christopher
AU - Bunea, Flori
AU - Chang, Hong
AU - Chattopadhay, Somesh
AU - Hollander, Myles
AU - McGee, Daniel
AU - Niu, Xufeng
AU - Simino, Jeannette
AU - Franks, Billy
PY - 2004/6
Y1 - 2004/6
N2 - Background. It is well documented that smokers tend to be leaner than nonsmokers. It is also clearly established that smoking is detrimental to health. The question that immediately comes to mind, therefore, is whether the possible weight-controlling aspects of the smoking habit offset the harm induced by smoking. Methods. In this report, we present an analysis of 21 observational studies that examine the relationship between smoking status and BMI. With few exceptions, smokers are leaner than nonsmokers. Results. The average differences between smokers and nonsmokers are 0.97 kg/m2 for men (95% CI = 0.82-1.13) and 1.38 kg/m2 for women (95% CI = 1.19-1.58). However, considering the relationship of both BMI and smoking to coronary heart disease (CHD) mortality, adjusting for age, we find that 15.9 kg/m2 BMI units is required for men and 15.8 kg/m2 is required for women to offset the detrimental effect of smoking. This weight differential is 42 kg (93 lb) for a woman 163 cm (64 in.) tall. Conclusion. Our results demonstrate that the risk of CHD death among smokers is not reduced sufficiently by the lower BMIs to justify the habit. It is unquestionably better to quit smoking and gain weight than to continue to smoke.
AB - Background. It is well documented that smokers tend to be leaner than nonsmokers. It is also clearly established that smoking is detrimental to health. The question that immediately comes to mind, therefore, is whether the possible weight-controlling aspects of the smoking habit offset the harm induced by smoking. Methods. In this report, we present an analysis of 21 observational studies that examine the relationship between smoking status and BMI. With few exceptions, smokers are leaner than nonsmokers. Results. The average differences between smokers and nonsmokers are 0.97 kg/m2 for men (95% CI = 0.82-1.13) and 1.38 kg/m2 for women (95% CI = 1.19-1.58). However, considering the relationship of both BMI and smoking to coronary heart disease (CHD) mortality, adjusting for age, we find that 15.9 kg/m2 BMI units is required for men and 15.8 kg/m2 is required for women to offset the detrimental effect of smoking. This weight differential is 42 kg (93 lb) for a woman 163 cm (64 in.) tall. Conclusion. Our results demonstrate that the risk of CHD death among smokers is not reduced sufficiently by the lower BMIs to justify the habit. It is unquestionably better to quit smoking and gain weight than to continue to smoke.
KW - BMI
KW - Coronary heart disease
KW - Smoking
UR - http://www.scopus.com/inward/record.url?scp=2942578181&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2003.12.022
DO - 10.1016/j.ypmed.2003.12.022
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C2 - 15193906
AN - SCOPUS:2942578181
SN - 0091-7435
VL - 38
SP - 834
EP - 840
JO - Preventive Medicine
JF - Preventive Medicine
IS - 6
ER -