Zusammenfassung
Ein gesundheitspolitisches wichtiges Problem sind die im Zusammenhang mit dem Rauchen
diskutierten Gewichtsveränderungen. Einerseits wird behauptet, dass Rauchen zur Gewichtsreduktion
führt, andererseits kommt es nach einem konsequenten Rauchstopp zu mittleren Gewichtszunahmen
von 2,5 bis 8,5 kg, wobei die Zunahme im ersten Jahr nach dem Rauchstopp am stärksten
ansteigt, aber auch in den darauffolgenden Jahren noch zu beobachten ist. Sowohl
Nikotin als auch die Abbrandprodukte des Tabaks werden für diese Veränderungen verantwortlich
gemacht, wobei insgesamt eine erhöhte Insulinresistenz und erhöhte Leptinwerte beobachtet
wurden. Die Gewichtsteigerung fällt um so stärker nach einem Rauchstopp aus, je mehr
Zigaretten täglich geraucht wurden. Insgesamt ist mit allem Nachdruck zu vertreten,
dass die gesundheitlichen Vorteile eines Rauchstopps bei weitem den geringeren Nachteil
einer zumeist auch diätetisch zu beherrschenden Gewichtszunahme überragen.
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Prof. Dr. med. Knut-Olaf Haustein
Fritz-Lickint-Institut für Nikotinforschung und Raucherentwöhnung
99089 Erfurt
Johannesstraße 85-87
Phone: 0361/645080
Fax: 0361/6450820
Email: haustein@inr-online.de
