SHORT REPORT
Smoking Habit in Severe Obese after bariatric procedures
| 1 | Section of Respiratory Medicine, Hospital S. Maria della Pietà, Naples, Italy |
| 2 | Institute of Respiratory Disease, University of Medicine, Bari, Italy |
| 3 | Department of Surgery, Hospital S. Maria della Pietà, Naples, Italy |
CORRESPONDING AUTHOR
Pierluigi Carratù
Institute of Respiratory Disease, University of Medicine, Piazza G. Cesare 12, 70124 Bari, Italy
Institute of Respiratory Disease, University of Medicine, Piazza G. Cesare 12, 70124 Bari, Italy
Submission date: 2015-01-02
Acceptance date: 2015-07-08
Publication date: 2015-07-29
Tobacco Induced Diseases 2015;13(July):20
KEYWORDS
ABSTRACT
Background:
Bariatric procedures provide an effective means of short term weight loss and sustained weight control for the morbidly obese. The effect of bariatric procedures on smoking habit in obese subjects is not well known. Therefore, we examined the short term effect of bariatric surgery on smoking habit of severe obese patients up to 12 months from the intervention.
Methods:
Smoking habit was assessed in a cohort of 78 morbid smoking obese patients followed at our clinic for bariatric procedures. They underwent non surgical intra-gastric balloon (IB) or surgical procedures such as lap–band laparoscopic surgery (LAGB) or sleeve gastrectomy/gastric by-pass (SPG). Subjects were administered a written questionnaire about their smoking habit before and 3, 6 and 12 months after the procedures.
Results:
No differences were found among the three groups at 6 and 12 months after the procedures (IB 21 %, LAGB 6 %, SPG 5 %; and IB 14 %, LAGB 3 %, SPG 5 %). Only after 3 months, the rate of quitting of the IB group was higher than LAGB and SPG groups (36 %, 6 % and 5 %, respectively; p = 0.02).
Conclusions:
Bariatric procedures have no effects on smoking habit of moderate-to-heavy smoker severe obese patients. The use of other traditional smoking cessation methods in patients undergone to bariatric procedures should be implemented.
Bariatric procedures provide an effective means of short term weight loss and sustained weight control for the morbidly obese. The effect of bariatric procedures on smoking habit in obese subjects is not well known. Therefore, we examined the short term effect of bariatric surgery on smoking habit of severe obese patients up to 12 months from the intervention.
Methods:
Smoking habit was assessed in a cohort of 78 morbid smoking obese patients followed at our clinic for bariatric procedures. They underwent non surgical intra-gastric balloon (IB) or surgical procedures such as lap–band laparoscopic surgery (LAGB) or sleeve gastrectomy/gastric by-pass (SPG). Subjects were administered a written questionnaire about their smoking habit before and 3, 6 and 12 months after the procedures.
Results:
No differences were found among the three groups at 6 and 12 months after the procedures (IB 21 %, LAGB 6 %, SPG 5 %; and IB 14 %, LAGB 3 %, SPG 5 %). Only after 3 months, the rate of quitting of the IB group was higher than LAGB and SPG groups (36 %, 6 % and 5 %, respectively; p = 0.02).
Conclusions:
Bariatric procedures have no effects on smoking habit of moderate-to-heavy smoker severe obese patients. The use of other traditional smoking cessation methods in patients undergone to bariatric procedures should be implemented.
REFERENCES (14)
1.
Kenchaiah S, Evans JC, Levy D, Wilson PW, Benjamin EJ, Larson MG, et al. Obesity and the risk of heart failure. N Engl J Med. 2002;347(5):305–13.
2.
Grace DM, Pederson L, Speechley KN, McAlpine D. A longitudinal study of smoking status and weight loss following gastroplasty in a group of morbidly obese patients. Int J Obes. 1990;14(4):311–7.
3.
Ranney L, Melvin C, Lux L, McClain E, Lohr KN. Systematic review: smoking cessation intervention strategies for adults and adults in special populations. Ann Intern Med. 2006;145(11):845–56.
4.
Copeland AL, Martin PD, Geiselman PJ, Rash CJ, Kendzor DE. Smoking cessation for weight-concerned women: group vs. individually tailored, dietary, and weight-control follow-up sessions. Addict Behav. 2006;31(1):115–27.
5.
Genco A, Bruni T, Doldi SB, Forestieri P, Marino M, Busetto L, et al. BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients. Obes Surg. 2005;15(8):1161–4.
6.
Lent MR, Hayes SM, Wood GC, Napolitano MA, Argyropoulos G, Gerhard GS, et al. Smoking and alcohol use in gastric bypass patients. Eat Behav. 2013;14(4):460–3.
7.
Adams CE, Gabriele JM, Baillie LE, Dubbert PM. Tobacco use and substance use disorders as predictors of postoperative weight loss 2 years after bariatric surgery. J Behav Health Serv Res. 2012;39(4):462–71.
8.
Conason A, Teixeira J, Hsu CH, Puma L, Knafo D, Geliebter A. Substance use following bariatric weight loss surgery. JAMA Surg. 2013;148(2):145–50.
9.
Flegal KM, Troiano RP, Pamuk ER, Kuczmarski RJ, Campbell SM. The influence of smoking cessation on the prevalence of overweight in the United States. N Engl J Med. 1995;333(18):1165–70.
10.
Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T. Smoking cessation and severity of weight gain in a national cohort. N Engl J Med. 1991;324(11):739–45.
11.
Lerman C, Kaufmann V, Rukstalis M, Patterson F, Perkins K, Audrain-McGovern J, et al. Individualizing nicotine replacement therapy for the treatment of tobacco dependence: a randomized trial. Ann Intern Med. 2004;140(6):426–33.
12.
Greenlund KJ, Zheng ZJ, Keenan NL, Giles WH, Casper ML, Mensah GA, et al. Trends in self-reported multiple cardiovascular disease risk factors among adults in the United States, 1991–1999. Arch Intern Med. 2004;164(2):181–8.
13.
Marrero JA, Fontana RJ, Fu S, Conjeevaram HS, Su GL, Lok AS. Alcohol, tobacco and obesity are synergistic risk factors for hepatocellular carcinoma. J Hepatol. 2005;42(2):218–24.
14.
Mechanick JI, Youdim A, Jones DB, Garvey WT, Hurley DL, McMahon MM, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring). 2013;21 Suppl 1:S1–S27.
CITATIONS (6):
1.
Poor Health Behaviors Prior to Laparoscopic Sleeve Gastrectomy Surgery
Irit Oved, Inbal Markovitz Vaiman, Keren Hod, Limor Mardy-Tilbor, Yakov Torban, Shiri Sherf Dagan
Obesity Surgery
Irit Oved, Inbal Markovitz Vaiman, Keren Hod, Limor Mardy-Tilbor, Yakov Torban, Shiri Sherf Dagan
Obesity Surgery
2.
Laparoscopic Roux-En-Y Gastric Bypass Improves Lipid Profile and Decreases Cardiovascular Risk: a 5-Year Longitudinal Cohort Study of 1048 Patients
Daniel Gero, Lucie Favre, Pierre Allemann, Pierre Fournier, Nicolas Demartines, Michel Suter
Obesity Surgery
Daniel Gero, Lucie Favre, Pierre Allemann, Pierre Fournier, Nicolas Demartines, Michel Suter
Obesity Surgery
3.
Long-Term Relationship Between Tobacco Use and Weight Loss after Sleeve Gastrectomy
Franco José Signorini, Virginia Polero, Germán Viscido, Luciano Navarro, Lucio Obeide, Federico Moser
Obesity Surgery
Franco José Signorini, Virginia Polero, Germán Viscido, Luciano Navarro, Lucio Obeide, Federico Moser
Obesity Surgery
4.
Self-Reported Smoking Compared to Serum Cotinine in Bariatric Surgery Patients: Smoking Is Underreported Before the Operation
Paula Wolvers, Sjoerd Bruin, Willem Mairuhu, Leeuw-Terwijn de, Barbara Hutten, Dees Brandjes, Victor Gerdes
Obesity Surgery
Paula Wolvers, Sjoerd Bruin, Willem Mairuhu, Leeuw-Terwijn de, Barbara Hutten, Dees Brandjes, Victor Gerdes
Obesity Surgery
5.
Smoking in bariatric surgery: a systematic review
Alexandra Chow, Amy Neville, Nicole Kolozsvari
Surgical Endoscopy
Alexandra Chow, Amy Neville, Nicole Kolozsvari
Surgical Endoscopy
6.
Smoking Behaviour and Beliefs About Smoking Cessation After Bariatric Surgery
Paula Wolvers, Oranos Ayubi, Sjoerd Bruin, Barbara Hutten, Dees Brandjes, Eelco Meesters, Victor Gerdes
Obesity Surgery
Paula Wolvers, Oranos Ayubi, Sjoerd Bruin, Barbara Hutten, Dees Brandjes, Eelco Meesters, Victor Gerdes
Obesity Surgery
RELATED ARTICLE
