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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To evaluate weight gain and its relation to anxiety in a group of smokers after 3 months of cessation treatment&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The target population for this prospective&#44; analytical&#44; longitudinal study was smokers being treated in a specialist smoking cessation clinic who were still abstinent at the conclusion of a 3-month treatment program&#46; The following variables were analyzed&#58; age&#44; sex&#44; nicotine dependence &#40;Fagerstr&#246;m test&#41;&#44; daily cigarette consumption&#44; number of pack-years&#44; pharmacological treatment &#40;nicotine replacement&#47;bupropion&#41;&#44; use of nicotine gum &#40;yes&#47;no&#41;&#44; weight gain&#44; body mass index&#44; and degree of state and trait anxiety&#46; Successful cessation was defined as self-reported abstinence confirmed by measurement of expired carbon monoxide &#40;CO&#41; level &#40;&#8804;10 ppm&#41;&#46; Anxiety was evaluated using the State-Trait Anxiety Inventory&#46; The state anxiety and weight variables were measured on 5 occasions&#58; before smoking cessation&#44; and at the end of week 1&#44; month 1&#44; month 2&#44; and month 3 after cessation&#46; Results for the quantitative variables were expressed as means &#40;SD&#41;&#44; and results for the qualitative variables were expressed as percentages and absolute frequencies&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The study population consisted of 122 individuals&#44; 76 of whom were men &#40;62&#37;&#41; and 46 of whom were women &#40;38&#37;&#41;&#46; The mean age was 43&#46;9 &#40;9&#46;9&#41; years&#44; and mean nicotine dependence according to the Fagerstr&#246;m scale was 6&#46;2 &#40;2&#46;2&#41; points&#46; Average weight gain was 2&#46;6 kg &#40;3&#46;6&#37;&#41;&#44; with no significant difference between the sexes&#46; Weight gain in 25&#37; of this population was greater than 4&#46;2 kg&#44; and maximum weight gain was 9&#46;2 kg&#46; Levels of state anxiety fell progressively as weight increased&#44; although there was no evident relationship between the 2 variables&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Weight gain is moderate as smokers quit&#46; Anxiety levels&#44; which are greater in the first few weeks after cessation&#44; do not explain weight variation&#44; which is more related to the metabolic effects of nicotine rather than to psychological variables&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Evaluar la ganancia ponderal en un grupo de fumadores que permanecen abstinentes 3 meses despu&#233;s de dejar de fumar y valorar su relaci&#243;n con la ansiedad&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se trata de un estudio prospectivo&#44; anal&#237;tico y longitudinal&#44; en el que la poblaci&#243;n objetivo eran fumadores atendidos en una unidad especializada de tabaquismo que permanec&#237;an abstinentes al finalizar el trata-miento &#40;3 meses&#41;&#46; Se estudiaron las siguientes variables&#58; edad&#44; sexo&#44; dependencia a la nicotina mediante el test de Fagerstr&#246;m&#44; cigarrillos&#47;d&#237;a&#44; paquetes-a&#241;o&#44; tratamiento farma-col&#243;gico &#40;sustitutivo de nicotina&#47;bupropi&#243;n&#41;&#44; ingesta de chicles de nicotina &#40;s&#237;&#47;no&#41;&#44; incremento ponderal&#44; &#237;ndice de masa corporal y grado de ansiedad &#40;rasgo y estado&#41;&#46; Se consider&#243; &#233;xito la abstinencia mantenida seg&#250;n refer&#237;a el paciente junto con cooximetr&#237;a &#40;mon&#243;xido de carbono &#8804;10 ppm&#41;&#46; La ansiedad se evalu&#243; con el cuestionario STAI-E&#47;R &#40;State-Trait Anxiety Inventory&#41;&#46; Las variables ansiedad de estado y peso se midieron en 5 momentos&#58; antes de dejar de fumar&#44; a la se-mana&#44; al mes&#44; a los 2 meses y a los 3 meses&#46; Los resultados se expresan como medias &#177; desviaci&#243;n est&#225;ndar &#40;variables cuantitativas&#41; y como proporciones y frecuencias absolutas &#40;variables cualitativas&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La poblaci&#243;n de estudio estaba compuesta por 122 individuos -76 varones &#40;62&#37;&#41; y 46 mujeres &#40;38&#37;&#41;-&#44; con una edad media &#40;&#177; desviaci&#243;n est&#225;ndar&#41; de 43&#44;9 &#177; 9&#44;9 a&#241;os y dependencia a la nicotina &#40;test de Fagerstr&#246;m&#41; de 6&#44;2 &#177; 2&#44;2 puntos&#46; El incremento ponderal fue en promedio de 2&#44;6 kg &#40;3&#44;6&#37;&#41;&#44; sin que hubiera diferencias por sexo&#46; Un 25&#37; de la poblaci&#243;n tuvo una ganancia mayor de 4&#44;2 kg&#44; pero en nin-g&#250;n caso se superaron los 9&#44;2 kg&#46; La ansiedad de estado dis-minuy&#243; progresivamente&#44; mientras que el peso mostr&#243; una evoluci&#243;n ascendente&#44; sin que hubiera relaci&#243;n entre ambos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La ganancia ponderal al dejar de fumar es moderada&#46; La ansiedad&#44; m&#225;s intensa en las primeras semanas&#44; no justifica el incremento del peso&#44; que est&#225; m&#225;s re-lacionado con los efectos metab&#243;licos de la nicotina que con variables psicol&#243;gicas&#46;</p>"
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Original Articles
Weight Gain and Anxiety Levels in Recent Ex-Smokers
Isabel Nerína,
Corresponding author
isabelne@unizar.es

Correspondence: Dra. I. Nerín. Departamento de Medicina y Psiquiatría. Facultad de Medicina. Edificio B. Domingo Miral, s/n. 50009 Zaragoza. España
, Asunción Beamonteb, Pilar Gargallob, Adriana Jiménez-Muroa, Adriana Marquetaa
a Unidad de Tabaquismo FMZ, Departamento de Medicina y Psiquiatría, Facultat de Medicina, Universidad de Zaragoza, Zaragoza, Spain
b Unidad de Tabaquismo FMZ, Departamento de Métodos Estadísticos, Escuela Universitaria de Estudios Empresariales, Universidad de Zaragoza, Zaragoza, Spain
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