Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T23:48:58.482Z Has data issue: false hasContentIssue false
  • English
  • Français

Weight Gain in Women after Smoking Cessation in Pregnancy

Published online by Cambridge University Press:  30 June 2016

Laura Llambi ,
Alicia Aleman ,
Mercedes Colomar ,
Paola Morello ,
Leonardo Sosa ,
José Arcos ,
José M. Belizán  and
Fernando Althabe
Laura Llambi*
Affiliation:
Tobacco Cessation Unit, Internal Medicine Department, Hospital de Clinicas, Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
Alicia Aleman
Affiliation:
Clinical and Epidemiological Research Unit, UNICEM, Montevideo, Uruguay
Mercedes Colomar
Affiliation:
Clinical and Epidemiological Research Unit, UNICEM, Montevideo, Uruguay
Paola Morello
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Leonardo Sosa
Affiliation:
High-risk Pregnancy Clinic, Internal Medicine Department, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
José Arcos
Affiliation:
Instituto del Tórax, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
José M. Belizán
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Fernando Althabe
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
*
Address for correspondence: Prof. Laura Llambi MD, Associate Professor Tobacco Cessation Unit, Internal Medicine Department, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Uruguay. Postal Address: Avda Italia s/n esq. Las Heras. CP 11600. Montevideo, Uruguay. Email: [email protected]. Alternative e-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: Smoking during pregnancy is associated with adverse outcomes. Tobacco cessation in the general population is associated with weight gain. Aims: We sought to compare gestational weight gain (GWG) in women who quit smoking during pregnancy with those who continued smoking and non-smokers in two countries with high smoking prevalence in pregnancy. Methods: This study uses baseline data from a brief cessation intervention clustered randomised controlled trial; data were collected from clinical records and through questionnaires at post-partum hospitalisations during October 2011–May 2012. Women had attended one of 20 selected clusters of publicly funded prenatal care clinics in Argentina and Uruguay. Self-reported cessation was verified biochemically. Results: Of 2636 pregnant women, 29.9% were smokers at the beginning of pregnancy; among them 41.9% quit and 58.1% continued smoking. Most women (60.7%) had a normal pre-pregnancy body mass index (BMI). Adjusted mean weight gain was higher in quitters than in continuing smokers and non-smokers. Cessation increased GWG by 2.4 kg (95% confidence interval 1.3–3.4) after adjusting by pre-pregnancy BMI and other confounders in comparison with women who continued smoking(p < 0.001). Conclusions: GWG was slightly higher in women who quit smoking at any time during pregnancy.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 12 , Issue 3 , September 2017 , pp. 131 - 138
Copyright
Copyright © The Author(s) 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Althabe, F., Aleman, A., Berrueta, M., Morello, P., Gibbons, L., Colomar, M. et al. (2016). A multifaceted strategy to implement brief smoking cessation counselling during antenatal care in Argentina and Uruguay: A cluster randomized trial. Nicotine and Tobacco Research, 18 (5), 1083–1092.Google Scholar
Althabe, F., Alemán, A., Mazzoni, A., Berrueta, M., Morello, P., Colomar, M. et al. (2013). Tobacco cessation intervention for pregnant women in Argentina and Uruguay: Study protocol. Reproductive Health, 10 (1), 44.Google Scholar
Althabe, F., Colomar, M., Gibbons, L., Belizan, J. M., & Buekens, P. (2008). Tabaquismo durante el embarazo en Argentina y Uruguay. Medicina (Buenos Aires), 1, 48–54.Google Scholar
Aubin, H., Farley, A., Lycett, D., Lahmek, P., & Aveyard, P. (2012). Weight gain in smokers after quitting cigarettes: Meta-analysis. British Medical Journal, 345, 1–21.Google Scholar
Benowitz, N. L., Jacob, P., Hall, S., Tsoh, J., Ahijevych, K., Jarvis, M. J. et al. (2002). Biochemical verification of tobacco use and cessation. Nicotine and Tobacco Research, 4 (2), 149–159.Google Scholar
Berg, C. J., Park, E. R., Chang, Y., & Rigotti, N. A. (2008). Is concern about post-cessation weight gain a barrier to smoking cessation among pregnant women?. Nicotine and Tobacco Research, 10 (7), 1159–1163.Google Scholar
Berrueta, M., Morello, P., Alemán, A., Tong, V. T., Johnson, C., Dietz, P. M. et al. (2015). Smoking patterns and receipt of cessation services among pregnant women in argentina and uruguay. Nicotine & Tobacco Research, 1–10.Google Scholar
Centers for Disease Control and Prevention (US). (2001). The health consequences of smoking for women. A report of the surgeon general. public health service Atlanta, GA: US Department of Health and Human Services.Google Scholar
Dietz, P. M., Callaghan, W. M., Morrow, B., & Cogswell, M. E. (2005). Population-based assessment of the risk of primary cesarean delivery due to excess prepregnancy weight among nulliparous women delivering term infants. Maternal and Child Health Journal, 9 (3), 237–244.CrossRefGoogle ScholarPubMed
Dzakpasu, S., Fahey, J., Kirby, R. S., Tough, S. C., Chalmers, B., Heaman, M. I. et al. (2015). Contribution of prepregnancy body mass index and gestational weight gain to adverse neonatal outcomes: Population attributable fractions for Canada. BMC Pregnancy and Childbirth, 14 (1), 106.Google Scholar
Farley, A. C., Hajek, P., Lycett, D., & Aveyard, P. (2012). Interventions for preventing weight gain after smoking cessation. The Cochrane Database of Systematic Reviews, 1, CD006219.Google Scholar
Favaretto, A. L., Duncan, B. B., Mengue, S. S., Nucci, L. B., Barros, E. F., Kroeff, L. R. et al. (2007). Prenatal weight gain following smoking cessation. European Journal of Obstetrics & Gynecology and Reproductive Biology, 135 (2), 149–153.Google Scholar
Furuno, J. P., Gallicchio, L., & Sexton, M. (2004). Cigarette smoking and low maternal weight gain in medicaid-eligible pregnant women. Journal of Women's Health (Larchmt), 13 (7), 770–777.Google Scholar
Grogan, S., Hartley, L., Conner, M., Fry, G., & Gough, B. (2010). Appearance concerns and smoking in young men and women: Going beyond weight control. Drugs: Education, Prevention, and Policy, 17 (3), 261–269.Google Scholar
Holland, E., Moore Simas, T. A., Doyle Curiale, D. K., Liao, X., & Waring, M. E. (2013). Self-reported pre-pregnancy weight versus weight measured at first prenatal visit: Effects on categorization of pre-pregnancy body mass index. Maternal and Child Health Journal, 17 (10), 1872–8.Google Scholar
Ismail, L. C., Bishop, D. C., Pang, R., Ohuma, E. O., Kac, G., Abrams, B. et al. (2016). Gestational weight gain standards based on women enrolled in the fetal growth longitudinal study of the INTERGROWTH-21 st project: A prospective longitudinal cohort study. British Medical Journal, 352, i555.CrossRefGoogle Scholar
Levine, M. D., Cheng, Y., Cluss, P. A., Marcus, M. D., & Kalarchian, M. A. (2013). Prenatal smoking cessation intervention and gestational weight gain. Women's Health Issues, 23 (6), e389–e393.Google Scholar
Levine, M. D., Cheng, Y., Marcus, M. D., & Kalarchian, M. A. (2012). Relapse to smoking and postpartum weight retention among women who quit smoking during pregnancy. Obesity, 20 (2), 457–459.Google Scholar
Levine, M. D., Marcus, M. D., Kalarchian, M. A., Houck, P. R., & Cheng, Y. (2010). Weight concerns, mood, and postpartum smoking relapse. American Journal of Preventive Medicine, 39 (4), 345–351.Google Scholar
Levine, M. D., Marcus, M. D., Kalarchian, M. A., Weissfeld, L., & Qin, L. (2006). Weight concerns affect motivation to remain abstinent from smoking postpartum. Annals of Behavioral Medicine, 32 (2), 147–153.Google Scholar
Mc Bride, C., Emmons, K., & Lipkus, I. (2003). Understanding the potential of teachable moments: The case of smoking cessation. Health Education Research, 18 (2), 156–170.Google Scholar
NHLBI Obesity Education Initiative Expert Panel. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. National Heart, Lung, and Blood Institute.Google Scholar
Pomerleau, C., & Saules, K. (2007). Body image, body satisfaction and eating patterns in normal weight and overweight/obese women current smokers and never smokers. Addictive Behavioir, 32 (10), 2329–2334.Google Scholar
Rasmussen, K. M., Catalano, P. M., & Yaktine, A. L. (2009). New guidelines for weight gain during pregnancy: What obstetrician/gynecologists should know. Current Opinion in Obstetrics & Gynecology, 21 (6), 521–526.Google Scholar
Restall, A., Taylor, R. S., Thompson, J. M. D., Flower, D., Dekker, G. A., Kenny, L. C. et al. (2014). Risk factors for excessive gestational weight gain in a healthy, nulliparous cohort. Journal of Obesity, 2014, 148391.Google Scholar
Rode, L., Kjærgaard, H., Damm, P., Ottesen, B., & Hegaard, H. (2013). Effect of smoking cessation on gestational and postpartum weight gain and neonatal birth weight. Obstetrics and Gynecology, 122 (3), 618–625.Google Scholar
Schellong, K., Schulz, S., Harder, T., & Plagemann, A. (2012). Birth weight and long-term overweight risk: Systematic review and a meta-analysis including 643,902 persons from 66 studies and 26 countries globally. PloS One, 7 (10), e47776.Google Scholar
Slane, J. D., & Levine, M. D. (2015). Association of restraint and disinhibition to gestational weight gain among pregnant former smokers. Women's Health Issues, 25 (4), 390–395.Google Scholar
Tong, V., Althabe, F., Aleman, A., Johnson, C., Dietz, M., Berrueta, M. et al. (2014). Accuracy of self-reported smoking cessation during pregnancy. Acta Obstetricia et Gynecologica Scandinavica, 94 (1), 106–111.Google Scholar