Diabetics can quit without gaining weight
Background Post cessation weight gain (PSWG) is typical when quitting smoking, unmotivates smokers to quit and may lead to relapses. PSWG is of considerable concern not only among women but also among smokers with diabetes mellitus, additionally arguing this could further disturb glycemic control....
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2020-10-01
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| Series: | Tobacco Prevention and Cessation |
| Online Access: | https://www.tobaccopreventioncessation.com/Diabetics-can-quit-without-gaining-weight,128453,0,2.html |
| _version_ | 1797337946604437504 |
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| author | Aliki Korkontzelou Driva Stamatina Sotiria Schoretsaniti Zafeiria Barbaressou Vasiliki Vasileiou Vasiliki Saltagianni Alexander Osarogue Sotirios Gyftopoulos Martha Andritsou Sofia Pappa Vasiliki Papadopoulou Serena Tonstad Christina Gratziou Nikolaos Tentolouris Paraskevi Katsaounou |
| author_facet | Aliki Korkontzelou Driva Stamatina Sotiria Schoretsaniti Zafeiria Barbaressou Vasiliki Vasileiou Vasiliki Saltagianni Alexander Osarogue Sotirios Gyftopoulos Martha Andritsou Sofia Pappa Vasiliki Papadopoulou Serena Tonstad Christina Gratziou Nikolaos Tentolouris Paraskevi Katsaounou |
| author_sort | Aliki Korkontzelou |
| collection | DOAJ |
| description | Background
Post cessation weight gain (PSWG) is typical when quitting smoking, unmotivates smokers to quit and may lead to relapses. PSWG is of considerable concern not only among women but also among smokers with diabetes mellitus, additionally arguing this could further disturb glycemic control.
Objectives
We intend to shed light on diabetic smoker traits in order to organize a smoking cessation program that fulfils their needs.
Methods
We organized an intense smoking cessation program for diabetic smokers from a multidisciplinary team, using intense behavioural support, pharmaceutical treatment and advice for physical activity.
Diabetic smokers were administered varenicline and attended the outpatient clinic once a week for the first month and once a month for the first trimester. Our recruitment target is 200 of participants.
We assessed addiction (Fagerström Test For Nicotine Dependence, FTND) intensity of smoking (cigarettes/day, pack-years), motivation/confidence, bodyweight, Rest Metabolism Rate (RMR), physical activity (IPAQ) and glycemic control parameters (HbA1c).
Results
Below are the first-year results. Until now, 41 smokers (27 men, 14 women) agreed to participate. They were highly addicted (FTND: 9/11), smoking around one pack of cigarettes per day, highly motivated (8.1, on a scale of 1 to 10) and with poor confidence (5.1, on a scale of 1 to 10). After the 3-month program completion, 25 participants quit smoking (61%). Their average weight slightly dropped (kg before/after: 88.13±15.41/87.45±16.24) while RMR increased (kcal before/after: 1349/1472), though both changes were not statistically significant (p>0.05). Likewise, a slight increase of HbA1c was not statistically significant (p>0.05). Participants self-reported increase of physical activity (IPAQ score: high level from 14.3% to 26.3%) showing adherence to strong recommendations given from the medical team.
Conclusions
We conclude that intense smoking cessation programs for diabetic patients from an experienced multidisciplinary team can lead to high quitting rates without PSWG. |
| first_indexed | 2024-03-08T09:22:55Z |
| format | Article |
| id | doaj.art-62b074cc10ba42db9f50be707273584b |
| institution | Directory Open Access Journal |
| issn | 2459-3087 |
| language | English |
| last_indexed | 2024-03-08T09:22:55Z |
| publishDate | 2020-10-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Prevention and Cessation |
| spelling | doaj.art-62b074cc10ba42db9f50be707273584b2024-01-31T10:31:16ZengEuropean PublishingTobacco Prevention and Cessation2459-30872020-10-016Supplement10.18332/tpc/128453128453Diabetics can quit without gaining weightAliki Korkontzelou0Driva Stamatina1Sotiria Schoretsaniti2Zafeiria Barbaressou3Vasiliki Vasileiou4Vasiliki Saltagianni5Alexander Osarogue6Sotirios Gyftopoulos7Martha Andritsou8Sofia Pappa9Vasiliki Papadopoulou10Serena Tonstad11Christina Gratziou12Nikolaos Tentolouris13Paraskevi Katsaounou14First Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceSeventy-first Department of Propaedeutic and Internal Medicine, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, GreeceCenter for Health Services Research, School of Medicine, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceNational Institute for Health Research, Imperial College, London, United KingdomPharmacy Department, Evaggelismos General Hospital, Athens, GreeceOslo University Hospital, Oslo, NorwayUnit of Thoracic Diseases, National and Kapodistrian University of Athens, Athens, GreeceSeventy-first Department of Propaedeutic and Internal Medicine, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Critical Care, Evaggelismos General Hospital, National and Kapodistrian University of Athens, Athens, GreeceBackground Post cessation weight gain (PSWG) is typical when quitting smoking, unmotivates smokers to quit and may lead to relapses. PSWG is of considerable concern not only among women but also among smokers with diabetes mellitus, additionally arguing this could further disturb glycemic control. Objectives We intend to shed light on diabetic smoker traits in order to organize a smoking cessation program that fulfils their needs. Methods We organized an intense smoking cessation program for diabetic smokers from a multidisciplinary team, using intense behavioural support, pharmaceutical treatment and advice for physical activity. Diabetic smokers were administered varenicline and attended the outpatient clinic once a week for the first month and once a month for the first trimester. Our recruitment target is 200 of participants. We assessed addiction (Fagerström Test For Nicotine Dependence, FTND) intensity of smoking (cigarettes/day, pack-years), motivation/confidence, bodyweight, Rest Metabolism Rate (RMR), physical activity (IPAQ) and glycemic control parameters (HbA1c). Results Below are the first-year results. Until now, 41 smokers (27 men, 14 women) agreed to participate. They were highly addicted (FTND: 9/11), smoking around one pack of cigarettes per day, highly motivated (8.1, on a scale of 1 to 10) and with poor confidence (5.1, on a scale of 1 to 10). After the 3-month program completion, 25 participants quit smoking (61%). Their average weight slightly dropped (kg before/after: 88.13±15.41/87.45±16.24) while RMR increased (kcal before/after: 1349/1472), though both changes were not statistically significant (p>0.05). Likewise, a slight increase of HbA1c was not statistically significant (p>0.05). Participants self-reported increase of physical activity (IPAQ score: high level from 14.3% to 26.3%) showing adherence to strong recommendations given from the medical team. Conclusions We conclude that intense smoking cessation programs for diabetic patients from an experienced multidisciplinary team can lead to high quitting rates without PSWG.https://www.tobaccopreventioncessation.com/Diabetics-can-quit-without-gaining-weight,128453,0,2.html |
| spellingShingle | Aliki Korkontzelou Driva Stamatina Sotiria Schoretsaniti Zafeiria Barbaressou Vasiliki Vasileiou Vasiliki Saltagianni Alexander Osarogue Sotirios Gyftopoulos Martha Andritsou Sofia Pappa Vasiliki Papadopoulou Serena Tonstad Christina Gratziou Nikolaos Tentolouris Paraskevi Katsaounou Diabetics can quit without gaining weight Tobacco Prevention and Cessation |
| title | Diabetics can quit without gaining weight |
| title_full | Diabetics can quit without gaining weight |
| title_fullStr | Diabetics can quit without gaining weight |
| title_full_unstemmed | Diabetics can quit without gaining weight |
| title_short | Diabetics can quit without gaining weight |
| title_sort | diabetics can quit without gaining weight |
| url | https://www.tobaccopreventioncessation.com/Diabetics-can-quit-without-gaining-weight,128453,0,2.html |
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