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Side-effects and weight gain following a smoking cessation program.

R S Manley, F J Boland

    Addictive Behaviors
    |January 1, 1983
    PubMed
    Summary

    Cognitive urge control during smoking cessation led to more weight gain but higher abstinence rates. Abstainers reported increased eating, while relapsers experienced more negative side effects.

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    Area of Science:

    • Behavioral Science
    • Public Health
    • Addiction Medicine

    Background:

    • Limited prospective research exists on the side effects associated with smoking cessation programs.
    • Understanding these side effects is crucial for improving program adherence and long-term success.

    Purpose of the Study:

    • To prospectively assess various side effects and weight gain during and after a smoking cessation program.
    • To investigate the relationship between specific cessation strategies, side effects, and outcomes like abstinence and weight change.

    Main Methods:

    • A smoking cessation program involving 94 subjects was monitored for side effects and weight gain.
    • Subjects were assessed throughout the program and during follow-up periods.
    • A cognitive urge control maintenance condition was compared against other conditions.

    Main Results:

    • Subjects in the cognitive urge control maintenance group showed significantly greater weight gain.
    • This same group also exhibited the highest abstinence rates and lowest percentage of baseline smoking at follow-up.
    • Abstainers gained more weight, reported increased eating, and perceived themselves as further from optimal appetite control compared to relapsers.

    Conclusions:

    • Weight gain may be a trade-off for higher abstinence rates in certain smoking cessation strategies, particularly cognitive urge control.
    • Relapsers reported more negative side effects overall, excluding weight gain and appetite-related issues.
    • Integrating side-effect management strategies into smoking cessation programs is recommended to enhance overall treatment effectiveness and patient well-being.

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