(Time.com) -- Your heart and lungs will thank you for kicking your cigarette habit, but your waistline may not.
A new study finds that ex-smokers may end up packing on a few more pounds than they expected.
On average, say French
and British researchers, people gain about 10 pounds after kicking the
habit. That's substantially higher than the roughly 6 pounds often
quoted in smoking cessation literature, and double the 5 pounds that
many female smokers report being willing to tolerate before attempting
to quit, according to the authors.
Weight gain has long been
associated with quitting -- not surprisingly, considering that nicotine
is an appetite suppressant and a stimulant -- and many people who don't
quit cite fear of ballooning weight as a reason.
Future triathlete quits smoking on TV
But the new findings back up what any doctor will tell you: you're still better off quitting.
For the new study,
published in the British Medical Journal, the research team closely
examined data from 62 previous randomized controlled trials of smoking
cessation programs involving people who were motivated to quit.
All of the studies
assessed weight changes among participants, and the researchers
separated out those who used quitting aids like nicotine replacement
therapy or the drugs buproprion (Zyban) or varenicline (Chantix) from
those who quit without treatment.
"We kept these groups
separate because these pharmacotherapies could have a small effect on
weight gain in the short term," the authors write.
The authors looked at
weight gain in participants who had succeeded in quitting smoking for at
least 12 months. On average, quitters who didn't rely on drugs or
nicotine replacement to kick cigarettes, had gained 2.5 pounds one month
after quitting, 5 pounds at two months, 6.3 pounds at three months, 9.3
pounds at six months, and 10.3 pounds at 12 months.
But these numbers aren't set in stone, the researchers say.
The study found great
variability in the amount of weight people gained. Some people even lost
weight. For instance, says study author Henri-Jean Aubin, professor of
psychiatry and addiction medicine at Hôpital Paul Brousse, in France, a
quarter of ex-smokers gained less than 2 pounds or lost weight after
quitting, while an equal number gained more than 17 pounds.
"Although our study has
confirmed that there is substantial weight gain on average during the
first year of continuous abstinence, a prediction of average weight gain
will be wrong for most individual smokers," says Aubin, adding, "The
good news is that after the first [three months], weight gain is
decelerating substantially. Nearly 20% of the smokers actually lose
weight after one year of continuous abstinence."
So, while it's true that
some quitters will gain a significant amount of weight, a great many
will actually lose extra fat — an added health bonus on top of putting
out cigarettes for good.
In an editorial
accompanying the new study, Esteve Fernández, an associate professor of
epidemiology at the University of Barcelona, and Simon Chapman, a
professor of public health at the University of Sydney, argue that many
real-world quitters fare better than those included in the review.
The data in the study
include only those smokers who volunteered for clinical trials and
attended smoking-cessation clinics, a "self-selecting minority of
smokers who may differ in important respects from those who quit without
professional assistance," the authors write.
Those who decide they
need help to stop smoking tend to lack self-efficacy. They might have
similar problems with the dietary and physical activity behaviors
important in weight control. So these results may not be generalizable
to all smokers who quit because two-thirds to three-quarters of
ex-smokers stop smoking without professional help or interventions.
Fernández and Chapman
urge potential quitters not to be put off by the new findings, noting
further that previous studies have found that ex-smokers may gain weight
in the short term after quitting, but not in the long term.
"Modest weight gain does not increase the risk of death," they write. "Smoking does."
Aubin says physicians
should stress the long-term benefits of quitting to their patients and
encourage them to start exercising, which not only helps reduce weight
gain, but also may help them stay non-smokers.
"Quitting smoking at age
40 increases life expectancy by nine years, even taking into account
the possible post-cessation weight gain. If their smoking patients do
not take steps now to quit smoking despite the risk of weight gain, when
will they do it?" he says.
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