군인, 의경의 흡연 특성과 비만 간의 관련성: 2009∼2017년 금연클리닉 참여 군인, 의경을 대상으로
Relationship between smoking characteristics and obesity among military personnel in Korea: Data from smoking cessation clinics, 2009∼2017
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: This study was performed to investigate trends of smoking characteristics and to identify the relationship between smoking characteristics and obesity among military personnel in Korea. Methods: The study participants were 50,680 military personnel who participated smoking cessation clinic from January in 2009 to December in 2017(excluded in 2011). Obesity was defined as body mass index≥25kg/m2. Smoking characteristics was included cigarettes of smoked per day, age of initial smoking, smoking duration, and nicotine dependence. Binominal logistic regression analysis was performed to confirm the relationship of smoking and obesity among military personnel. Results: The prevalence of obesity of study subjects was 20.4%. The military personnel were more likely to be obese if they who smoked more than 20 cigarettes per day(adjusted OR 2.271, CI 2.027-2.545), who smoked for more than 10 years(adjusted OR 2.046, CI 1.820-2.299), and who smoked their initial smoking at later than 20 years(adjusted OR 1.357, CI 1.223-1.493). Conclusions: Obesity is closely related to cigarettes of smoked per day, age of initial smoking and smoking duration among military personnel. Thus, intervention included both smoking cessation and weight control are necessary for smokers with obese who are interested in losing weight among military personnel.
Abstract
Objectives: This study was performed to investigate trends of smoking characteristics and to identify the relationship between smoking characteristics and obesity among military personnel in Korea. Methods: The study participants were 50,680 military personnel who participated smoking cessation clinic from January in 2009 to December in 2017(excluded in 2011). Obesity was defined as body mass index≥25kg/m2. Smoking characteristics was included cigarettes of smoked per day, age of initial smoking, smoking duration, and nicotine dependence. Binominal logistic regression analysis was performed to confirm the relationship of smoking and obesity among military personnel. Results: The prevalence of obesity of study subjects was 20.4%. The military personnel were more likely to be obese if they who smoked more than 20 cigarettes per day(adjusted OR 2.271, CI 2.027-2.545), who smoked for more than 10 years(adjusted OR 2.046, CI 1.820-2.299), and who smoked their initial smoking at later than 20 years(adjusted OR 1.357, CI 1.223-1.493). Conclusions: Obesity is closely related to cigarettes of smoked per day, age of initial smoking and smoking duration among military personnel. Thus, intervention included both smoking cessation and weight control are necessary for smokers with obese who are interested in losing weight among military personnel.
참고문헌 (27)
- 안희경, "한국어판 니코틴 의존도 설문 도구(Fagerstrom Tolerance Questionnaire, FTQ and Fagerstrom Test for Nicotine Dependence, FTND)의 신뢰도 및 타당도", Korean Journal of Family Medicine, 23(8), pp.999~1008 (2002), 대한가정의학회
- Bamia, C., "Tobacco smoking in relation to body fat mass and distribution in a general population sample", International Journal of Obesity and Related Metabolic Disorders, 28(8), pp.1091~1096 (2004)[DOI]
- Chiolero, A., "Consequences of smoking for body weight, body fat distribution, and insulin resistance", The American Journal of Clinical Nutrition, 87(4), pp.801~809 (2008)[DOI]
- Chiolero, A., "Association of cigarettes smoked daily with obesity in a general adult population", Obesity, 15(5), pp.1311~1318 (2007)[DOI]
- Chiolero, A., "Clustering of risk behaviors with cigarette consumption:A population-based survey", Preventive Medicine, 42(5), pp.348~353 (2006)[DOI]
- 백유진, "금연치료 최신지견", 대한의사협회지, 59(11), pp.872~880 (2016), 대한의사협회[DOI]
- Dare, S., "Relationship between smoking and obesity: A cross-sectional study of 499,504middle-aged adults in the UK general population", PLoS One, 10(4), pp.e0123579~ (2015)[DOI]
- Doll, R., "Mortality in relation to smoking: 50 years’ observations on male British doctors", Journal of Epidemiology and Community Health, 328, pp.1519~ (2004)[DOI]
- Guh, D. P., "The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis", BMC Public Health, 9, pp.88~ (2009)[DOI]
- 황준현, "Age at Smoking Initiation and Subsequent Smoking Among Korean Adolescent Smokers", 예방의학회지, 47(5), pp.266~272 (2014), 대한예방의학회
- Houston, D. K., "Overweight and obesity over the adult life course and incident mobility limitation in older adults: The health, aging and body composition study", American Journal of Epidemiology, 169(8), pp.927~936 (2009)[DOI]
- John, U., "Smoking status, cigarettes per day, and their relationship to overweight and obesity among former and current smokers in a national adult general population sample", International Journal of Obesity, 29(10), pp.1289~1294 (2005)[DOI]
- Kaufman, A., "Unraveling the relationship between smoking and weight: The role of sedentary behavior", Journal of Obesity, 2012, pp.735465~ (2012)[DOI]
- 김봉정, "남자 직업군인의 건강수준 관련 요인", 보건교육건강증진학회지, 26(3), pp.49~62 (2009), 한국보건교육건강증진학회
- 김연정, "Associations of smoking with overall obesity, and central obesity: a cross-sectional study from the Korea National Health and Nutrition Examination Survey (2010-2013)", Epidemiology and Health, 38, pp.1~7 (2016), 한국역학회[DOI]
- Korea health statistics 2016: Korea National Health and Nutrition Examination Survey, "Korea Centers for Disease Control & Prevention", Korea Centers for Disease Control & Prevention, ~, pp.KNHANES Ⅶ-1 (2018)
- Lee, K., "Associations of smoking and smoking cessation with CT-measured visceral obesity in 4656 Korean men", Preventive Medicine, 55(3), pp.183~187 (2012)[DOI]
- Levine, M. D., "Smoking-related weight concerns and obesity: Differences among normal weight, overweight, and obese smokers using a telephone tobacco quitline", Nicotine & Tobacco Research, 15(6), pp.1136~1140 (2013)[DOI]
- Mackay, D. F., "Impact of smoking and smoking cessation on overweight and obesity: Scotland-wide, cross-sectional study on 40,036 participants", BMC Public Health, 13, pp.348~ (2013)[DOI]
- Morrell, H. E. R., "Earlier age of smoking initiation may not predict heavier cigarette consumption in later adolescence", Prevention Science, 12(3), pp.247~254 (2011)[DOI]
- Murphy, C. M., "Smoking and weight loss among smokers with overweight and obesity in Look AHEAD", Health Psychology, 37(5), pp.399~406 (2018)[DOI]
- O’Loughlin, J., "Determinants of first puff and daily cigarette smoking in adolescents", American Journal of Epidemiology, 170(5), pp.585~597 (2009)[DOI]
- Peeters, A., "Obesity in adulthood and its consequences for life expectancy: A life-table analysis", Annals of Internal Medicine, 138(1), pp.24~32 (2003)[DOI]
- Pomerleau, C. S., "Characterizing concerns about post-cessation weight gain: Results from a national survey of women smokers", Nicotine & Tobacco Research, 3(1), pp.51~60 (2001)[DOI]
- Shi, L., "Cigarette smoking and abdominal obesity: A meta-analysis of observational studies", Journal of Substance Use, 18(6), pp.440~449 (2013)[DOI]
- Watanabe, T., "Association between smoking status and obesity in a nationwide survey of Japanese adults", PLoS One, 11(3), pp.e0148926~ (2016)[DOI]
- Yoon, C., "Effects of smoking cessation and weight gain on cardiovascular disease risk factors in Asian male population", Atherosclerosis, 208(1), pp.275~279 (2010)[DOI]