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Cigarette smoking and increased central adiposity.

E Barrett-Connor1, K T Khaw

  • 1University of California School of Medicine, La Jolla.

Annals of Internal Medicine
|November 15, 1989
PubMed
Summary
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Cigarette smoking is linked to increased central obesity, indicated by higher waist-hip ratios in smokers compared to non-smokers. This association, observed in both men and women, suggests smoking impacts body fat distribution.

Area of Science:

  • Public Health
  • Epidemiology
  • Obesity Research

Background:

  • Central obesity is a significant health concern.
  • Understanding modifiable risk factors for obesity is crucial.

Purpose of the Study:

  • To investigate the association between cigarette smoking and central obesity in men and women.
  • To explore if smoking influences body fat distribution.

Main Methods:

  • Cross-sectional survey of 836 men and 1112 women aged 50-79.
  • Measured waist-hip circumference ratio and body mass index.
  • Assessed smoking habits via self-administered questionnaire.

Main Results:

  • Cigarette smokers exhibited higher waist-hip ratios than non-smokers.

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  • A dose-response relationship was observed between smoking intensity and waist-hip ratio.
  • The association between smoking and central obesity was independent of body mass index and consistent across sexes, being stronger in women.
  • Conclusions:

    • Cigarette smokers demonstrate a higher prevalence of central obesity.
    • Behavioral factors, such as cigarette smoking, can modify body fat distribution.