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Weight Gain in Women after Smoking Cessation in Pregnancy

Published online by Cambridge University Press:  30 June 2016

Laura Llambi ,
Alicia Aleman ,
Mercedes Colomar ,
Paola Morello ,
Leonardo Sosa ,
José Arcos ,
José M. Belizán  and
Fernando Althabe
Laura Llambi*
Affiliation:
Tobacco Cessation Unit, Internal Medicine Department, Hospital de Clinicas, Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
Alicia Aleman
Affiliation:
Clinical and Epidemiological Research Unit, UNICEM, Montevideo, Uruguay
Mercedes Colomar
Affiliation:
Clinical and Epidemiological Research Unit, UNICEM, Montevideo, Uruguay
Paola Morello
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Leonardo Sosa
Affiliation:
High-risk Pregnancy Clinic, Internal Medicine Department, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
José Arcos
Affiliation:
Instituto del Tórax, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Montevideo, Uruguay
José M. Belizán
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
Fernando Althabe
Affiliation:
Mother and Child Health Research Department of Institute for Clinical Effectiveness and Health Policy (IECS), Buenos Aires, Argentina
*
Address for correspondence: Prof. Laura Llambi MD, Associate Professor Tobacco Cessation Unit, Internal Medicine Department, Hospital de Clinicas Facultad de Medicina, Universidad de la Republica, Uruguay. Postal Address: Avda Italia s/n esq. Las Heras. CP 11600. Montevideo, Uruguay. Email: llambil@hc.edu.uy. Alternative e-mail: laura.llambi@gmail.com
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Abstract

Introduction: Smoking during pregnancy is associated with adverse outcomes. Tobacco cessation in the general population is associated with weight gain. Aims: We sought to compare gestational weight gain (GWG) in women who quit smoking during pregnancy with those who continued smoking and non-smokers in two countries with high smoking prevalence in pregnancy. Methods: This study uses baseline data from a brief cessation intervention clustered randomised controlled trial; data were collected from clinical records and through questionnaires at post-partum hospitalisations during October 2011–May 2012. Women had attended one of 20 selected clusters of publicly funded prenatal care clinics in Argentina and Uruguay. Self-reported cessation was verified biochemically. Results: Of 2636 pregnant women, 29.9% were smokers at the beginning of pregnancy; among them 41.9% quit and 58.1% continued smoking. Most women (60.7%) had a normal pre-pregnancy body mass index (BMI). Adjusted mean weight gain was higher in quitters than in continuing smokers and non-smokers. Cessation increased GWG by 2.4 kg (95% confidence interval 1.3–3.4) after adjusting by pre-pregnancy BMI and other confounders in comparison with women who continued smoking(p < 0.001). Conclusions: GWG was slightly higher in women who quit smoking at any time during pregnancy.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 12 , Issue 3 , September 2017 , pp. 131 - 138
Copyright
Copyright © The Author(s) 2016 

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