

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 awareof 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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