Cessation from cigarette smoking: changes in body weight, body composition, resting metabolism, and energy consumption.

This study examined the effect of cessation from smoking on body weight, body fat, resting metabolic rate (RMR), and caloric consumption. Twenty-six women aged 25 to 45 years (mean, 37.2 +/- 4.7) who smoked 20 or more cigarettes per day for the past 5 years served as volunteers. Twelve subjects abstained from smoking for a period of 60 days (EXSMOKERS). Six stopped smoking for 30 days, then resumed the habit for an additional 30 days (RESMOKERS). Eight subjects continued to smoke for the entire 60 days (SMOKERS). Additionally, 10 women who had never smoked served as nonsmoking controls (NONSMOKERS). Body weight was recorded weekly and body fat was calculated from body density as determined by hydrostatic weighing. RMR was assessed by open-circuit spirometry. Caloric intake was obtained from 3-day food records using a computerized nutrient data base. Group means for body weight, body fat, RMR, and caloric intake were compared using a repeated measures ANOVA with a Scheffe post hoc at day 0 (baseline), day 30, and day 60 of cessation from smoking. NONSMOKERS weighed significantly (P less than .05) more, but were no fatter than all smoker groups at day 0. Body weight significantly increased by 1.8 kg (EXSMOKERS) and 2.1 kg (RESMOKERS) at day 30 of cessation. By day 60 EXSMOKERS' body weight had increased an additional 1.8 kg to 61.6 +/- 6.4 kg, while return to smoking (RESMOKERS) resulted in a 3.1 kg loss of body weight to 57.9 +/- 7.9 kg.(ABSTRACT TRUNCATED AT 250 WORDS)