Table 3.43. Findings regarding the relationship between smoking and abdominal obesity as measured by waist-to-hip ratio (WHR)

StudyPopulationSmoking statusRelationship with WHRCovariate adjustment factors
Haffner et al. 1986 388 women, 563 men
Aged 25-64 years
Cigarettes/dayPositive association for both women and menBMI, * age, physical activity level, alcohol intake, ethnicity
Barrett-Connor and Khaw 1989 1,112 women, 836 men
Aged 50-79 years
Never smoked
Former smokers
Current smokers
Positive linear trend across smoking categories for both women and men
Positive linear trend for women within BMI tertiles
Nonsignificant positive trend for men within BMI tertiles
Age, BMI
den Tonkelaar et al. 1989 152 premenopausal women, 300 postmenopausal women
Aged 41-75 years
Nonsmokers
Current smokers
WHR higher for smokers than for nonsmokers among premenopausal women onlyBMI
Lapidus et al. 1989 1,462 women
Aged 38-60 years
Cigarettes/dayPositive associationAge, BMI
den Tonkelaar et al. 1990 5,923 premenopausal women, 3,568 postmenopausal women
Aged 40-73 years
Never smoked
Former smokers, >20 cigarettes/day
Current smokers, <10, 10-20, or >20 cigarettes/day
Positive linear trend across categories of number of cigarettes smoked for both premenopausal and postmenopausal women
Positive linear trend within BMI tertiles for current smokers
BMI, BMI2, age
Kaye et al.1990 40,980 postmenopausal women
Aged 55-69 years
Never smoked
Former smokers
Current smokers
Positive linear trend across smoking categoriesAge, BMI
Marti et al.1991 2,756 women, 2,526 men
Aged 25-64 years
7-point scale 1 = never smoked 7 = current smokers of > 25 cigarettes/dayNo statistically significant independent association across smoking index in women or menAge, education, heart rate, dietary fat, alcohol, consumption, exercise
Wing et al. 1991 487 women
Aged 42-50 years
Never smoked
Former smokers
Current smokers
Positive linear trend across smoking groups
Positive association with number of cigarettes smoked
BMI
Daniel et al. 1992 56 women
Aged 20-35 years
Nonsmokers
Never smoked
Former smokers
Current smokers
WHR higher for smokers than for nonsmokersNone
Armellini et al. 1993 307 women, 294 men
Outpatients
Aged 20-60 years
Never smoked
Current smokers, <10, 10-15, or >15 cigarettes/day
WHR and number of cigarettes smoked not significantly associated for women or menAge, BMI, alcohol intake, physical activity level, menopausal status
Kaye et al. 1993 1,464 black women, 1,142 black men
1,300 white women, 1,159 white men
Aged 18-30 years
Never smoked
Former smokers
Current smokers
Positive linear trend across smoking categories for both genders and racesAge, BMI
Duncan et al. 1995 2,366 black women, 1,444 black men
5,872 white women, 5,293 white men
Aged 45-64 years
Never smoked
Former smokers
Current smokers
WHR higher for current smokers than for those who never smoked for both genders and racesAge, education, BMI, physical activity, menopausal status, alcohol intake
*

BMI = Body mass index.

From: Chapter 3. Health Consequences of Tobacco Use Among Women

Cover of Women and Smoking
Women and Smoking: A Report of the Surgeon General.
Office on Smoking and Health (US).

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