biostudies-literatureToyon ANIDDK NIH HHSNational Institute of Diabetes and Digestive and Kidney Diseases797-808https://www.ebi.ac.uk/biostudies/studies/S-EPMC12330786biostudies-literatureUnknown38(6)<h4>Purpose</h4>Weight concern is a barrier to smoking cessation. We examined the impact of weight concern on post-cessation weight gain, abstinence and program engagement.<h4>Design</h4>Randomized-controlled trial.<h4>Setting</h4>Telephone-based and group-based intervention sessions.<h4>Subjects</h4>305 participants were randomized and analyzed.<h4>Intervention</h4>Participants were randomized to receive a self-guided intervention, a weight loss intervention, or a weight stability intervention prior to all receiving the same smoking cessation intervention.<h4>Measures</h4>Level of weight concern on three measures, point-prevalence abstinence, weight change, and session attendance at 12 months.<h4>Analysis</h4>Continuous and discrete outcomes were compared between weight-concerned and non-weight-concerned participants using two-sample t-tests and chi-square tests respectively.<h4>Results</h4>There were no significant differences in weight change (range: +1.77, -1.91 kg) when comparing weight-concerned and non-weight-concerned participants. Point-prevalence abstinence ranged from 36% to 64%, with no differences by condition based on level of weight concern. There were no significant differences in session attendance by weight concern (Weight sessions: 50-70%, Smoking cessation sessions: 41-56%, Booster sessions: 28-45%). Weight concern, on all measures, significantly decreased between screening and 2 months (after the weight management intervention), for most of the comparisons made overall and by condition.<h4>Conclusion</h4>It may not be necessary to screen for weight concerns in smoking cessation and/or post-cessation weight management programs, as the trial interventions were beneficial regardless of weight concern.American journal of health promotion : AJHPImpact of Weight Concern on Post-Cessation Weight Management, Smoking Cessation, and Program Engagement.PMC12330786R01DK107747R01 DK107747Bursac ZWerner NKrukowski RAToyon AfalseImpact of Weight Concern on Post-Cessation Weight Management, Smoking Cessation, and Program Engagement.<h4>Purpose</h4>Weight concern is a barrier to smoking cessation. We examined the impact of weight concern on post-cessation weight gain, abstinence and program engagement.<h4>Design</h4>Randomized-controlled trial.<h4>Setting</h4>Telephone-based and group-based intervention sessions.<h4>Subjects</h4>305 participants were randomized and analyzed.<h4>Intervention</h4>Participants were randomized to receive a self-guided intervention, a weight loss intervention, or a weight stability intervention prior to all receiving the same smoking cessation intervention.<h4>Measures</h4>Level of weight concern on three measures, point-prevalence abstinence, weight change, and session attendance at 12 months.<h4>Analysis</h4>Continuous and discrete outcomes were compared between weight-concerned and non-weight-concerned participants using two-sample t-tests and chi-square tests respectively.<h4>Results</h4>There were no significant differences in weight change (range: +1.77, -1.91 kg) when comparing weight-concerned and non-weight-concerned participants. Point-prevalence abstinence ranged from 36% to 64%, with no differences by condition based on level of weight concern. There were no significant differences in session attendance by weight concern (Weight sessions: 50-70%, Smoking cessation sessions: 41-56%, Booster sessions: 28-45%). Weight concern, on all measures, significantly decreased between screening and 2 months (after the weight management intervention), for most of the comparisons made overall and by condition.<h4>Conclusion</h4>It may not be necessary to screen for weight concerns in smoking cessation and/or post-cessation weight management programs, as the trial interventions were beneficial regardless of weight concern.2024-01-01T00:00:00Z2024 Jul2026-04-13T08:12:28.001Z2026-04-07T13:28:39.038ZS-EPMC123307863835627210.1177/08901171241234136