Longitudinal changes in weight in relation to smoking cessation in participants of the EPIC-PANACEA study

Noemie Travier, Antonio Agudo, Anne M. May, Carlos Gonzalez, Jian'an Luan, Nick J. Wareham, H. Bas Bueno-de-Mesquita, Saskia W. van den Berg, Nadia Slimani, Sabina Rinaldi, Francoise Clavel-Chapelon, Marie-Christine Boutron-Ruault, Domenico Palli, Sabina Sieri, Amalia Mattiello, Rosario Tumino, Paolo Vineis, Teresa Norat, Dora Romaguera, Laudina RodriguezMaria-Jose Sanchez, Miren Dorronsoro, Aurelio Barricarte, Jose M. Huerta, Tim J. Key, Philippos Orfanos, Androniki Naska, Antonia Trichopoulou, Sabina Rohrmann, Rudolf Kaaks, Manuela M. Bergmann, Heiner Boeing, Goran Hallmans, Ingegerd Johansson, Jonas Manjer, Bjorn Lindkvist, Marianne Uhre Jakobsen, Kim Overvad, Anne Tjonneland, Jytte Halkjaer, Eiliv Lund, Toni Braaten, Andreani Odysseos, Elio Riboli, Petra H. Peeters

Research output: Contribution to journalJournal articleResearchpeer-review


Purpose: We assessed the association between smoking cessation and prospective weight change in the European population of the European Prospective Investigation into Cancer and Nutrition-Physical Activity, Nutrition, Alcohol, Cessation of smoking. Eating out of home And obesity (EPIC-PANACEA) project. Methods: The study involved more than 300,000 healthy volunteers, recruited between 1992 and 2000 in 9 European countries, who provided data on anthropometry and smoking habits at baseline and after a follow-up of 5 years on average. Adjusted mixed-effects linear regression models were used to obtain sex-specific summary estimates of the association between the change in smoking status and the annual change in weight. Results: Smoking cessation tends to be followed by weight gain; when compared to stable smokers, annual weight gain was higher in men (0.44 kg (95%CI: 0.36; 0.52)) and women (0.46 kg (95%CI: 0.41; 0.52)) who stopped smoking during follow-up. When smokers who stopped smoking at least 1 year before recruitment were compared to never smokers, no major differences in annual weight gain were observed. The excess weight gain following smoking cessation appears to mainly occur in the first years following the cessation. Conclusions: When considering the benefits of smoking cessation, such findings strengthen the need for promoting cessation offering information on weight gain control and support to weight-concerned smokers in order to remove a barrier to quitting. (C) 2011 Elsevier Inc. All rights reserved.
Original languageEnglish
JournalPreventive Veterinary Medicine
Issue number3-4
Pages (from-to)183-192
Number of pages10
Publication statusPublished - 2012
Externally publishedYes


  • Cohort study
  • EPIC
  • Europe
  • Smoking cessation
  • Weight gain


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