Psychiatry Investig.
2011 Jun;8(2):149-154.
The Changes of Blood Glucose Control and Lipid Profiles after Short-Term Smoking Cessation in Healthy Males
- Affiliations
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- 1Department of Endocrinology and Metabolism, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
- 2Department of Psychiatry, Chung-ju Hospital, College of Medicine, Konkuk University, Seoul, Korea.
- 3Department of Psychiatry, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. kdj922@chollian.net
- 4Department of Health Administration, Namseoul University, Seoul, Korea.
- 5Clinical Medicine Research Institute, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea.
- 6Department of Psychiatry, Keyo Hospital, Keyo Medical Foundation, Uiwang, Korea.
- 7Department of Social Welfare with Addiction Rehablitation, Eulji University, Seoul, Korea.
Abstract
OBJECTIVE
Our aim was to evaluate the changes in blood glucose control and lipid profiles after 2-months of smoking cessation in healthy males.
METHODS
Smoking abstinence was evaluated through self-report and urine cotinine levels. 12 individuals who succeeded in quitting smoking were analyzed. Fasting values of glucose and insulin were used to estimate the beta-cell activity and insulin resistance was evaluated using the Homeostasis Model Assessment (HOMA) and Quantitative Insulin Sensitivity Check Index (QUICKI).
RESULTS
The data showed that the subjects had a significant increase in weight, body mass index and fasting plasma glucose levels after smoking cessation. The HOMA-Insulin Resistance and the HOMA beta-cell function increased significantly (p=0.005, p=0.047 respectively). The QUICKI showed a significant decrease (p=0.005). In addition, the low-density lipoprotein cholesterol levels decreased significantly (p=0.028); however, changes in the high-density lipoprotein cholesterol, the triglyceride and total cholesterol levels were not significant (p=0.284, p=0.445 respectively).
CONCLUSION
During the initial stage of smoking abstinence, insulin resistance increased and insulin sensitivity decreased due to elevated body weight and fat composition. Therefore, it is important to educate individuals that stop smoking about the necessity of weight control during smoking cessation programs.
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