Korean J Fam Pract. 2016; 6(6): 604-609  https://doi.org/10.21215/kjfp.2016.6.6.604
Association of Obesity with Smoking Cessation in Korean Female
Ji Eun Kwon, Young Keun Jang*, Seong Wook Kim, Woo Taek Lee, Dong Lyol Shin
Department of Family Medicine, Hyosung Hospital, Cheongju, Korea
Young Keun Jang
Tel: +82-43-221-5000, Fax: +82-43-221-0510
E-mail: jupiter_79@naver.com
Received: March 23, 2016; Revised: August 4, 2016; Accepted: August 7, 2016; Published online: December 20, 2016.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Smoking cessation is related to an increased risk of weight gain; however, data regarding the association between an “already obese” status and smoking cessation attempt or plan are inconsistent, especially in female Asians. In this study, the association between general and central obesity and an attempt or planning to quit smoking in female Korean adults was investigated.
Methods: We identified 554 female adult smokers who participated in a cross-sectional survey (Korea National Health and Nutrition Examination Survey, 2010-2013). Smoking cessation status was assessed by using self-report questionnaires, and obesity was defined according to the World Health Organization criteria for Western Pacific Region. The chi-square test was used to assess the general characteristics of the female smokers, and a multiple logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs).
Results: The female adult tobacco users with general and central obesity were less likely to report having attempted to quit smoking (OR, 0.56; 95% CI, 0.39-0.95). Moreover, having a smoking cessation plan had no significant effect on obesity. After adjustment for related factors such as age, alcohol drinking, exercise, metabolic diseases, and depression, generally obese smokers showed less tendency to quit (OR, 0.50; 95% CI, 0.30-0.85) or plan to quit smoking (OR, 0.51; 95% CI, 0.29-0.91).
Conclusion: A significant association was observed between attempting or planning to quit smoking and obesity in obese female smokers. The obese female adult smokers in Korea are less likely to implement a cessation plan or attempt to quit smoking.
Keywords: Smoking Cessation; Body Mass Index; Central Obese; Obese; Korean; Female
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