{"id":11866,"date":"2019-02-11T12:40:18","date_gmt":"2019-02-11T12:40:18","guid":{"rendered":"https:\/\/sbpt.org.br\/portal\/?p=11866"},"modified":"2019-02-11T12:40:18","modified_gmt":"2019-02-11T12:40:18","slug":"fumar-ganho-peso-jbp","status":"publish","type":"post","link":"https:\/\/sbpt.org.br\/portal\/fumar-ganho-peso-jbp\/","title":{"rendered":"Todos os que param de fumar ganham peso? Estudo prospectivo de coorte do mundo real"},"content":{"rendered":"

Em artigo publicado no Jornal Brasileiro de Pneumologia<\/a>\u00b9, os autores Edna Jeremias-Martins e Jos\u00e9 Miguel Chatkin inferem que \u00e9 poss\u00edvel parar de fumar sem grande risco de ganho de peso.<\/p>\n

H\u00e1 evid\u00eancias\u00b2 de que uma propor\u00e7\u00e3o consider\u00e1vel de fumantes ganha peso quando param de fumar.  Tanto que cerca de 50% das mulheres e 26% dos homens afirmam que a principal preocupa\u00e7\u00e3o em largar o cigarro \u00e9 o ganho de peso, o que tamb\u00e9m representa um grande fator de risco para a reca\u00edda.<\/p>\n

Entretanto, a pesquisa “Todos os que param de fumar ganham peso? Estudo prospectivo de coorte do mundo real<\/a>” mostra que largar o cigarro pode n\u00e3o ser fator decisivo para o ganho de peso. Em um ano de seguimento, apenas um ter\u00e7o<\/strong> de 161 pacientes tiveram aumento de peso maior que 5% do peso basal.<\/p>\n

Para a amostra inicial, os cientistas consideraram 348 fumantes com carga tab\u00e1gica \u2265 10 anos-ma\u00e7o, motivados a parar de fumar e que n\u00e3o haviam estado em tratamento para isso nos \u00faltimos 6 meses. Todos receberam aconselhamento intensivo sobre cessa\u00e7\u00e3o do tabagismo no Ambulat\u00f3rio do Hospital S\u00e3o Lucas da Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (HSL-PUCRS). <\/p>\n

Destes, 161 pacientes foram selecionados. Todos mantiveram a abstin\u00eancia cont\u00ednua por um ano, com comprova\u00e7\u00e3o bioqu\u00edmica por amostra de mon\u00f3xido de carbono no ar exalado (COex < 10 ppm em todas as consultas).<\/p>\n

“O estudo apresenta uma nova perspectiva de avalia\u00e7\u00e3o da varia\u00e7\u00e3o ponderal, relacionando-a em percentual do peso basal e n\u00e3o valor absoluto da varia\u00e7\u00e3o”, explica o autor, Jos\u00e9 Miguel Chatkin. <\/p>\n

Apesar de algumas limita\u00e7\u00f5es expostas no artigo, como a alta propor\u00e7\u00e3o de pacientes tratados com bupropiona, a aus\u00eancia de avalia\u00e7\u00e3o por bioimped\u00e2ncia, entre outras, os achados est\u00e3o de acordo com outras refer\u00eancias da literatura m\u00e9dica3,4<\/sup>.<\/p>\n

\u00c9 importante considerar que, atualmente, a maioria dos fumantes apresenta menor n\u00edvel s\u00f3cioecon\u00f4mico (NSE), pratica menos atividade f\u00edsica e tem uma dieta rica em calorias\/gorduras – fatores que contribuem para o ganho de peso. Sendo assim, o aumento da ingest\u00e3o de calorias \u00e9 provavelmente respons\u00e1vel pelo maior ganho proporcional de peso observado durante os 3 primeiros meses ap\u00f3s a cessa\u00e7\u00e3o do tabagismo5<\/sup>.<\/p>\n

\"\"<\/a>
Para saber mais sobre os m\u00e9todos e acompanhar a discuss\u00e3o completa dos resultados, clique na imagem e acesse o Jornal Brasileiro de Pneumologia, vol. 45, n 1.<\/figcaption><\/figure>\n

 <\/p>\n

\n

\u00b9Jeremias-Martins1 E, 2, A , Chatkin1 JM,3,B . Does everyone who quit smoking gain weight? A real-world prospective cohort study<\/a>. J Bras Pneumol. 2019;45(1):e20180010.<\/p>\n

\u00b2Pisinger C, Jorgensen T. Weight concerns and smoking in a general population: the Inter99 study<\/a>. Prev Med. 2007;44(4):283-9.<\/p>\n

\u00b3Yeh HC, Duncan BB, Schmidt MI, Wang NY, Brancati FL. Smoking, smoking cessation, and risk for type 2 diabetes mellitus: a cohort study<\/a>. Ann Intern Med. 2010;152(1):10-7.<\/p>\n

4<\/sup>Clair C, Rigotti NA, Porneala B, Fox CS, D\u2019Agostino RB, Pencina MJ, et al. Association of smoking cessation and weight change with cardiovascular disease among adults with and without diabetes<\/a>. JAMA. 2013;309(10):1014-21.<\/p>\n

5<\/sup>Harris KH, Zopey M, Friedman TC. Metabolic effects of smoking cessation<\/a>. Nat Rev Endocrinol. 2016;12(5):299-308.<\/p>\n

Imagem: Freepik<\/em>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Em artigo publicado no Jornal Brasileiro de Pneumologia\u00b9, os autores Edna Jeremias-Martins e Jos\u00e9 Miguel Chatkin inferem que \u00e9 poss\u00edvel parar de fumar sem grande risco de ganho de peso. H\u00e1 evid\u00eancias\u00b2 de que uma propor\u00e7\u00e3o consider\u00e1vel de fumantes ganha peso quando param de fumar.  Tanto que cerca de 50% das mulheres e 26% dos […]<\/p>\n","protected":false},"author":3,"featured_media":11868,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[68],"tags":[480,401,179,180,31,32,91],"class_list":["post-11866","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias","tag-carga-tabagica","tag-cigarro","tag-jbp","tag-jornal-brasileiro-de-pneumologia","tag-pneumologia","tag-pneumologista","tag-tabagismo"],"acf":[],"yoast_head":"\nTodos os que param de fumar ganham peso? 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