Title page for ETD etd-0124102-111609


Type of Document Master's Thesis
Author Neal, Jamie Lynn
URN etd-0124102-111609
Title Control of Food Intake and Body Weight Following Smoking Cessation in Premenopausal Women
Degree Master of Arts (M.A.)
Department Psychology
Advisory Committee
Advisor Name Title
Paula J. Geiselman Committee Chair
Keywords
  • smoking cessation
Date of Defense 2001-12-12
Availability unrestricted
Abstract
Women experience more weight gain than men postcessation and are more aware

of nicotine’s weight suppressing effects than men. Postcessation weight gain in women

can be largely accounted for by significant increases in high fat foods from pre- to

postcessation. Overeating found in the luteal phase, further compounds the increased

caloric intake found postcessation. Few studies have evaluated the long-term effects of

smoking cessation on macronutrient content and weight gain; and most have relied on

self-report data. This study used the Macronutrient Self-Selection Paradigm (MSSP) and

Food Preference Questionnaire (FPQ) to assess food intake in 17 women in the luteal

phase from baseline to 2-4 weeks postcessation (17 B2/PC1 subjects) and a subset of 10

women in the luteal phase from baseline to 2-4 weeks to 24 weeks (10 B2/PC1/PC2

subjects) smoking cessation. The 17 B2/PC1 subjects consumed significantly more total

kilocalories intake, fat kilocalories intake, kilocalories intake of high fat foods,

kilocalories intake of high sugar foods and kilocalories intake of High Fat/ High Sugar

foods from baseline to Postcessation 1. The 10 B2/PC1/PC2 subjects yielded marginally

nonsignificant results for the variables of total fat kilocalories intake (as compared to

other macronutrients/ carbohydrates), total fat kilocalories intake across visits, and fat X

carbohydrate across visits. The original sample size consisted of 37 women, however

nearly half of the original sample experienced relapse (defined as one or more puffs of a

cigarette during the time of the MSSP). These results suggest that an increase in foods

high in fat and high in sugar 2-4 weeks postcessation are predominantly responsible for

postcessation weight gain. Therefore, smoking cessation programs that are trying to help

women maintain their weight should target nutritional advice especially to foods high in

fat and sugar and recommend low fat alternatives to minimize weight gain postcessation.

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