Rising trend in obesity in Mexican Americans and non-Hispanic whites: Is it due to cigarette smoking cessation?

J. P. Burke, Helen P Hazuda, M. P. Stern

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

OBJECTIVE: Several studies have examined the influence of smoking cessation on weight gain. However, to date no study has examined this association in Mexican Americans (MA). DESIGN: Using data collected from the San Antonio Heart Study, a population-based study of diabetes and cardiovascular disease, we examined the association between smoking cessation and weight gain in 1930 Mexican Americans and 1126 non-Hispanic whites (NHW). Smoking cessation was defined as self-reported smoking at baseline but not at follow-up. RESULTS: Although there was no significant ethnic difference in the prevalence of smoking at baseline (27.2% in MA and 25.4% in NHW, P=0.309), a greater proportion of MA smoked at follow-up compared to NHW (19.7% vs 16.5%, P=0.037). However, there was no significant ethnic difference in the percentage of individuals who stopped smoking during the follow-up period. A two-fold greater percentage of MA quitters than NHW quitters became overweight or obese, defined as a body mass index greater than or equal to 25 kg/m2 (7.4% vs 3.1%). However, this difference did not quite reach statistical significance (P=0.072). Using linear regression to predict change in weight or body mass index from baseline to follow-up, smoking cessation was predictive of either weight gain or BMI gain in both ethnic groups. However, smoking status accounted for only 1.0% of the variance in these outcomes, and the estimated risk of becoming overweight or obese attributable to smoking cessation was only 7.4% in MA and 3.1% in NHW. CONCLUSION: We conclude that there is an ethnic difference in the influence of smoking cessation on weight gain in MA and NHW. However, in both ethnic groups this effect is quite small and makes only a slight contribution to the overall increase in prevalence of obesity in this population.

Original languageEnglish (US)
Pages (from-to)1689-1694
Number of pages6
JournalInternational Journal of Obesity
Volume24
Issue number12
StatePublished - 2000

Fingerprint

Mexican Americans
smoking (habit)
Smoking Cessation
obesity
Obesity
Smoking
ethnic differences
Weight Gain
weight gain
nationalities and ethnic groups
Ethnic Groups
body mass index
Body Mass Index
group effect
Population
cardiovascular diseases
diabetes
Linear Models
Cardiovascular Diseases
heart

Keywords

  • Ethnicity
  • Obesity
  • Smoking

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Public Health, Environmental and Occupational Health
  • Endocrinology
  • Food Science
  • Endocrinology, Diabetes and Metabolism

Cite this

Rising trend in obesity in Mexican Americans and non-Hispanic whites : Is it due to cigarette smoking cessation? / Burke, J. P.; Hazuda, Helen P; Stern, M. P.

In: International Journal of Obesity, Vol. 24, No. 12, 2000, p. 1689-1694.

Research output: Contribution to journalArticle

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abstract = "OBJECTIVE: Several studies have examined the influence of smoking cessation on weight gain. However, to date no study has examined this association in Mexican Americans (MA). DESIGN: Using data collected from the San Antonio Heart Study, a population-based study of diabetes and cardiovascular disease, we examined the association between smoking cessation and weight gain in 1930 Mexican Americans and 1126 non-Hispanic whites (NHW). Smoking cessation was defined as self-reported smoking at baseline but not at follow-up. RESULTS: Although there was no significant ethnic difference in the prevalence of smoking at baseline (27.2{\%} in MA and 25.4{\%} in NHW, P=0.309), a greater proportion of MA smoked at follow-up compared to NHW (19.7{\%} vs 16.5{\%}, P=0.037). However, there was no significant ethnic difference in the percentage of individuals who stopped smoking during the follow-up period. A two-fold greater percentage of MA quitters than NHW quitters became overweight or obese, defined as a body mass index greater than or equal to 25 kg/m2 (7.4{\%} vs 3.1{\%}). However, this difference did not quite reach statistical significance (P=0.072). Using linear regression to predict change in weight or body mass index from baseline to follow-up, smoking cessation was predictive of either weight gain or BMI gain in both ethnic groups. However, smoking status accounted for only 1.0{\%} of the variance in these outcomes, and the estimated risk of becoming overweight or obese attributable to smoking cessation was only 7.4{\%} in MA and 3.1{\%} in NHW. CONCLUSION: We conclude that there is an ethnic difference in the influence of smoking cessation on weight gain in MA and NHW. However, in both ethnic groups this effect is quite small and makes only a slight contribution to the overall increase in prevalence of obesity in this population.",
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