title: The relationship between smoking, body weight, body mass index, and dietary intake among Thai adults: results of the national Thai Food Consumption Survey.
abstract: This study examined the relationship between dietary intake, body weight, and body mass index (BMI) in adult Thais as a function of smoking status. A cross-sectional, nationally representative survey using health and dietary questionnaires and anthropometric measurements were used. Participants were 7858 Thai adults aged 18 years and older recruited from 17 provinces in Thailand. Results demonstrated that smoking is associated with lower weights and BMI. However, when smokers were stratified by smoking intensity, there was no dose-response relationship between smoking and body weight. There is no conclusive explanation for weight differences across smoking groups in this sample, and the results of the present study did not clearly support any of the purported mechanisms for the differences in body weight or BMI. In addition, because the substantial negative health consequences of smoking are far stronger than those associated with modest weight differences, smoking cannot be viewed as an appropriate weight management strategy.
authors.affiliation: National Development and Research Institutes, Inc, Public Health Solutions of NYC, New York, NY, USA jitnarin@ndri.org.
authors.forename: Nattinee
authors.initials: N
authors.lastname: Jitnarin
authors.affiliation: Asia Pacific R&D, Mead Johnson Nutrition (Thailand) Ltd, Bangkok, Thailand.
authors.forename: Vongsvat
authors.initials: V
authors.lastname: Kosulwat
authors.affiliation: Mahidol University, Nakhonpathom, Thailand.
authors.forename: Nipa
authors.initials: N
authors.lastname: Rojroongwasinkul
authors.affiliation: Mahidol University, Nakhonpathom, Thailand.
authors.forename: Atitada
authors.initials: A
authors.lastname: Boonpraderm
authors.affiliation: Institute for Biobehavioral Health Research, National Development and Research Institutes, Inc, KS, USA.
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Haddock
authors.affiliation: Institute for Biobehavioral Health Research, National Development and Research Institutes, Inc, KS, USA.
authors.forename: Walker S C
authors.initials: WS
authors.lastname: Poston
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D001835:Body Weight; D003430:Cross-Sectional Studies; D004032:Diet / Q000706:statistics & numerical data*; D004034:Diet Surveys; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology*; D013785:Thailand / Q000453:epidemiology