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Thus the intervention aims to address maladaptive beliefs about weight, encourage acceptance of moderate weight gain and to focus on tobacco cessation.Weight gain associated with quitting smoking is common and can interfere with quit success.Efficacy of adding weight management to tobacco cessation treatment has been tested with women in group sessions over an extended period of time, but has never been tested in real-world settings with men and women seeking help to quit.If proven effective, the combined intervention could be disseminated across the U. through quitlines and could encourage additional smokers who have not sought cessation treatment for fear of gaining weight to make quit attempts. Modest weight gain of about 8-10 lb is the norm, but some smokers gain more than 20 lb after quitting.There is evidence that obese smokers and smokers concerned about post-cessation weight gain may experience greater than average weight gain after quitting and cessation related weight gain can increase the risk for weight related health conditions [].The review also reported that exercise interventions can reduce weight gain without undermining quit attempts over the long term and that bupropion and fluoxetine were better at suppressing weight gain than NRT but only while using the medications [].Most of the successful smoking cessation interventions designed to prevent cessation-related weight gain focused on calorie restriction or meal replacement, behavioral counseling on weight control, some form of exercise and/or cessation medications [].This paper describes the Best Quit study which tests the effectiveness of delivering tobacco and weight control interventions via existing quitline infrastructures.= 2550) who call a telephone quitline will be randomized to one of three groups; the standard quitline or standard quitline plus a weight management program added either simultaneously or sequentially to the tobacco program.Groups did not differ in weight gain and the study did not have a tobacco cessation only treatment group [].According to the most recent Cochrane review, some smoking cessation interventions that included personalized weight management support or very low calorie diets may limit post cessation weight gain without harming abstinence rates, but only in the short term [].


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