Hormonal, metabolic and nutritional alterations in smokers: emergency for smoking abstinence

Jornal Brasileiro de Psiquiatria

Gláucia Renata Souza Rodrigues²  Marcela Melquíades²  Maria Alvim Leite¹  Maíra Barros Louro¹  Carmen Perches¹  Ana Lúcia De Almeida Vargas¹  Sheila Cristina Potente Dutra Luquetti²  Aline Silva De Aguiar Nemer² 

[1] ,Universidade Federal de Juiz de Fora Hospital Universitário Residência Multiprofissional em Saúde do AdultoJuiz de Fora MG ,Brazil

关键词: Smoking;    cardiovascular diseases;    dyslipidemia;    overweight;    Tabagismo;    doenças cardiovasculares;    dislipidemias;    sobrepeso;   

DOI  :  10.1590/S0047-20852013000400003

来源: SciELO

【 摘 要 】

OBJECTIVE: To evaluate the biochemical and nutritional status of smokers in treatment for smoking cessation and its association with anthropometric parameters. METHODS: This is a cross-sectional study with convenience sample. Adult smokers were assessed at the start of treatment in the Interdisciplinary Center for Tobacco Research and Intervention of the University Hospital of the Federal University of Juiz de Fora (CIPIT/HU-UFJF). We evaluated the body mass index (BMI), conicity index (CI); waist circumference (WC), percentage of body fat (%BF), fasting glycemia, cortisol, insulin, total cholesterol (TC), LDL-c, HDL-c, triglycerides (TG) and metabolic syndrome (MS). RESULTS: Most participants (52.2%) had MS and high cardiovascular risk. The fasting glycemia was abnormal in 30.4%. There was a significant positive correlation between BMI and WC (r = 0.90; p = 0.0001), %BF (r = 0.79; p = 0.0001), CI (r = 0.65; p = 0.0001), glycemia (r = 0.42; p = 0.04) and TG (r = 0.47; p = 0.002). The CI presented positive correction with insulin (r = 0.60; p = 0.001), glycemia (r = 0.55; p = 0.007), TG (r = 0.54; p = 0.008) and %BF (r = 0.43; p = 0.004). Patients with longer duration of smoking had a higher risk of developing MS (OR = 9.6, p = 0.016). CONCLUSION: The smokers evaluated had increased risk for developing MS, especially those with longer duration of smoking, requiring urgent smoking cessation.

【 授权许可】

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