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In-treatment behaviors in a multicomponent intervention to promote smoking cessation and prevent weight gain among smokers with obesity: A pilot study

Published online by Cambridge University Press:  13 August 2021

G. Aonso-Diego ,
A. Krotter ,
Á. García-Pérez ,
L. De Robles ,
S. Weidberg ,
R. Secades-Villa  and
G. García-Fernández
G. Aonso-Diego*
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
A. Krotter
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
Á. García-Pérez
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
L. De Robles
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
S. Weidberg
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
R. Secades-Villa
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
G. García-Fernández
Affiliation:
Department Of Psychology, University of Oviedo, Oviedo, Spain
*
*Corresponding author.

Abstract

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Introduction

Smoking rates are quite high among overweight and obese individuals. Many smokers with excess weight are at increased risk for health complications and report that concern about post-cessation weight gain is a barrier to quitting. It is necessary to perform studies to assess the efficacy of interventions for smoking cessation among individuals with excess weight.

Objectives

To describe in-treatment behaviors, in terms of smoking and weight, in an integrated intervention for smoking cessation and weight gain management.

Methods

A total of 16 smokers (37.5% females, Mage=52.31, SD=9.58) were randomly assigned to one of the two following 8-week smoking cessation conditions: 1) Cognitive-Behavioral Treatment (CBT) for gradual smoking cessation + a Weight Gain Prevention (WGP) module for weight stability (n=7); 2) the same treatment alongside Contingency Management (CM) for smoking abstinence (n=9). Smoking behavior (cigarettes per day, carbon monoxide (CO) in expired air and urine cotinine) and weight were tracked at every visit from baseline through the end of treatment.

Results

Cigarettes per day significantly decreased in both conditions (p≤.028), as well as CO (p≤.018) and cotinine (p≤.043). Regarding body weight gain, participants maintained their body weight (Kg) from baseline to the end of treatment (CBT+WGP: Δkg= .671, CBT+WGP+CM: Δkg= .667, p≥.058) and their BMI (CBT+WGP: 30.56 vs. 30.85, CBT+WGP+CM: 29.74 vs. 29.85, p≥.139).

Conclusions

Preliminary data indicated that a multicomponent intervention to promote gradual smoking cessation and prevent weight gain facilitates in-treatment tobacco reduction and weight stability. CM procedures improved in-treatment smoking behaviors.

Disclosure

No significant relationships.

Keywords

obesitycontingency managementweight gain preventionsmoking cessation
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S824
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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