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Relationship between Obesity and Smoking in Korean Men: Data Analyses from the Third and Fourth Korea National Health and Nutrition Examination Surveys (KNHANES)
Journal of the Korean Society for Research on Nicotine and Tobacco 2010; 1(2): 115-123
Published online July 15, 2010
© 2010 The Korean Society for Research on Nicotine and Tobacco.

Ki Heon Lee, Cheol Min Lee1*, Hyuk Tae Kwon1, Seung-Won Oh1

Department of Family Medicine, Seoul National University Bundang Hospital, Sungnam; 1Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, Korea
Background: To assess the cross-sectional associations between smoking and obesity in a national representative sample of Korean men.
Methods: We analyzed pooled data from the 3rd Korea National Health and Nutrition Examination Survey (KNHANES III) in 2005 and part of the fourth KNHANES in 2007. Height, body weight, and waist circumference (WC) were measured, and body mass index (BMI) was calculated. Age-adjusted means of BMI & WC were calculated using analysis of covariance. The associations of obesity and abdominal obesity with smoking status were examined using multiple logistic regression analysis.
Results: Age-adjusted means of BMI and WC were higher in ex-smokers (N=1,206, BMI 24.4 kg/m2, WC 85.3 cm) than both in never smokers (N=725, BMI 24.0 kg/m2, WC 84.1 cm) and current smokers (N=1,570, BMI 23.7 kg/m2, WC 84.0 cm) (P竊0.01, respectively). In the subjects aged 47 or older, the risk of obesity in current smokers was significantly lower than in never smokers regardless of smoking amount (P竊0.01), while there were no differences in obesity risk between ex-smoker and never smoker. On the other hand, some ex-smokers who were less than 47 years old had a significantly higher risk of obesity (adjusted OR=1.56, 95% Confidence Interval [CI], 1.06-2.29 for 11-20 cigarettes per day [CPD]) and abdominal obesity (adjusted OR=2.26, 95% CI, 1.17-4.38; for 돟21 CPD) than never smokers. Current smokers aged less than 47 with 돟21 CPD had about a statistically non-significantly 40% higher risk of obesity and abdominal obesity.
Conclusion: The current study found that male ex-smokers had a higher risk of obesity and abdominal obesity than never smokers and current smokers. However, age and smoking amount affected those associations.
Keywords : Smoking; Obesity; Abdominal obesity; Korea National Health and Nutrition Examination Survey
  1. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years' observations on male British doctors. BMJ 2004; 328: 1519.
    Pubmed KoreaMed CrossRef
  2. Welfare MoHa. The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005 - Health Behaviors of Adults. 2006.
  3. Cigarette smoking among adults and trends in smoking cessation - United States, 2008. MMWR Morb Mortal Wkly Rep 2009; 58: 1227-32.
  4. Chinn S, Jarvis D, Melotti R, Luczynska C, Ackermann-Liebrich U, Anto JM et al. Smoking cessation, lung function, and weight gain: a follow- up study. Lancet 2005; 365: 1629-35.
  5. Yoon C, Goh E, Park SM, Cho B. Effects of smoking cessation and weight gain on cardiovascular disease risk factors in Asian male population. Atherosclerosis 2010; 208: 275-9.
    Pubmed CrossRef
  6. Filozof C, Fernandez Pinilla MC, Fernandez-Cruz A. Smoking cessation and weight gain. Obes Rev 2004; 5: 95-103.
    Pubmed CrossRef
  7. Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr 2008; 87: 801-9.
  8. John U, Hanke M, Rumpf HJ, Thyrian JR. Smoking status, cigarettes per day, and their relationship to overweight and obesity among former and current smokers in a national adult general population sample. Int J Obes (Lond) 2005; 29: 1289-94.
    Pubmed CrossRef
  9. Sneve M, Jorde R. Cross-sectional study on the relationship between body mass index and smoking, and longitudinal changes in body mass index in relation to change in smoking status: the Tromso Study. Scand J Public Health 2008; 36: 397-407.
    Pubmed CrossRef
  10. Shimokata H, Muller DC, Andres R. Studies in the distribution of body fat. III. Effects of cigarette smoking. JAMA 1989; 261: 1169-73.
    Pubmed CrossRef
  11. Munafo MR, Tilling K, Ben-Shlomo Y. Smoking status and body mass index: a longitudinal study. Nicotine Tob Res 2009; 11: 765-71.
    Pubmed CrossRef
  12. Ahn SR LS, Min HG, Choi SH, Kim YJ, Kim YJ. Change of Body Weight and Body ComPosition after Smoking Cessation in Males. J Korean Acad Fam Med 2003; 24: 994-1002.
  13. Kim JH, Kim HY, Song CH, Lee KM, Jeung SP. The effects of cigarette smoking on abdominal fatness. J Korean Acad Fam Med 2000; 21: 1172-9.
  14. The Minstry of Health and Welfare. The Third Korea national Health and Nutrition Examination Survey (KNHANES III), 2005 Summary. 2006.
  15. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form. J Korean Acad Fam Med 2007; 28: 532-41.
  16. WHO. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000; 894: 1-253.
  17. Lee SY, Park HS, Kim SM, Kwon HS, Kim DY, Kim DJ, et al. Cut-off Points of Waist Circumference for Defining Abdominal Obesity in the Korean Population. Korean J Obe 2006; 15: 1-9.
  18. 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: 739-45.
    Pubmed CrossRef
  19. Swan GE, Carmelli D. Characteristics associated with excessive weight gain after smoking cessation in men. Am J Public Health 1995; 85: 73-7.
  20. Munafo MR, Murphy MF, Johnstone EC. Smoking cessation, weight gain, and DRD4 -521 genotype. Am J Med Genet B Neuropsychiatr Genet 2006; 141: 398-402.
    Pubmed CrossRef
  21. O'Hara P, Connett JE, Lee WW, Nides M, Murray R, Wise R. Early and late weight gain following smoking cessation in the Lung Health Study. Am J Epidemiol 1998; 148: 821-30.
    Pubmed CrossRef
  22. Pisinger C, Jorgensen T. Waist circumference and weight following smoking cessation in a general population: the Inter99 study. Prev Med 2007; 44: 290-5.
    Pubmed CrossRef
  23. Suwazono Y, Dochi M, Oishi M, Tanaka K, Morimoto H, Sakata K. Longitudinal effect of smoking cessation on physical and laboratory findings. Am J Prev Med 2010; 38: 192-200.
    Pubmed CrossRef
  24. Bamia C, Trichopoulou A, Lenas D, Trichopoulos D. Tobacco smoking in relation to body fat mass and distribution in a general population sample. Int J Obes Relat Metab Disord 2004; 28: 1091-6.
    Pubmed CrossRef
  25. Chiolero A, Jacot-Sadowski I, Faeh D, Paccaud F, Cornuz J. Association of cigarettes smoked daily with obesity in a general adult population. Obesity (Silver Spring) 2007; 15: 1311-8.
    Pubmed CrossRef
  26. Suh SY, Kim SY, Cho KH, Kim YI, Yoo T, Huh BR. Association of smoking status and dietary pattern - a data of male screeners at a health promotion center. J Korean Acad Fam Med 2005; 26: 686-92.
  27. Mizoue T, Ueda R, Tokui N, Hino Y, Yoshimura T. Body mass decrease after initial gain following smoking cessation. Int J Epidemiol 1998; 27: 984-8.
    Pubmed CrossRef
  28. Reas DL, Nygard JF, Sorensen T. Do quitters have anything to lose? Changes in body mass index for daily, never, and former smokers over an 11-year period (1990-2001). Scand J Public Health 2009; 37: 774-7.
    Pubmed CrossRef