title: Relationship between obesity and the metabolic effects of smoking in women.
abstract: The influence of cigarette smoking on resting energy expenditure (REE) in normal-weight and obese smokers was investigated. Participants were 20 normal-weight and 20 obese female smokers assessed over a 2-day period. The results indicated that REE increased in both obese and normal-weight smokers after smoking, but the increase was greater for normal-weight participants. The normal-weight group showed a 9.7%, 5.8%, and a 3.6% increase in REE during the three 10-min blocks constituting the 30-min postsmoking phase. However, the obese group showed a 3.9% and a 0.7% increase in REE and a 0.8% decrease in REE during this postsmoking phase. Between-group comparisons revealed a differential rate of change in REE after smoking, indicating that the obese group's change of REE at every postsmoking time point was on average 70 kcal/day below that of the normal-weight group. The metabolic effect of smoking is reproducible, and the obese smokers reliably show an attenuated effect. However, the reliability of the change is lower for both normal-weight and obese smokers. The results have potential implications for discouraging obese persons from taking up smoking and intervening among those who already smoke.
authors.affiliation: Department of Psychology, University of Memphis, Tennessee 38152, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Audrain
authors.forename: R C
authors.initials: RC
authors.lastname: Klesges
authors.forename: L M
authors.initials: LM
authors.lastname: Klesges
mesh_terms: D000293:Adolescent; D000328:Adult; D001835:Body Weight / Q000187:drug effects / Q000502:physiology; D004734:Energy Metabolism / Q000187:drug effects* / Q000502:physiology; D005260:Female; D006801:Humans; D009538:Nicotine / Q000008:administration & dosage / Q000493:pharmacokinetics; D009765:Obesity / Q000503:physiopathology*; D012016:Reference Values; D012907:Smoking / Q000503:physiopathology*; D016540:Smoking Cessation
chemical_list: D009538:Nicotine