The full content of Annals is available to subscribers

Subscribe/Learn More  >
Articles |

Cigarette Smoking and Increased Central Adiposity

Elizabeth Barrett-Connor, MD; and Kay-Tee Khaw, MBB Chir
[+] Article, Author, and Disclosure Information

Grant Support: Supported in part by NIDDK grant DK 31801, NHLBI grant HL 34951, and a grant from The Weight Watchers Foundation, Inc.

Requests for Reprints: Elizabeth Barrett-Connor, MD, Department of Community and Family Medicine, 3056 Basic Science Building, M-007, School of Medicine, University of California, San Diego, La Jolla, CA 92093.

Current Author Addresses: Drs. Barrett-Connor and Khaw: Department of Community and Family Medicine, 3056 Basic Science Building, M-007, University of California, San Diego, La Jolla, CA 92093.

©1989 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1989;111(10):783-787. doi:10.7326/0003-4819-111-10-783
Text Size: A A A

Study Objective: To determine whether cigarette smoking is associated with central obesity in men and women.

Design: A cross-sectional survey.

Setting: A geographically defined population of older white adults.

Participants: Men (836) and women (1112) ages 50 to 79.

Interventions: None.

Measurements and Main Results: Waist-hip circumference ratio and body mass index (weight in kg/height in m2) were measured in participants wearing light clothing without shoes. Past and current cigarette smoking habits were ascertained by a standard self-administered questionnaire. Cigarette smokers had higher waist-hip ratios than nonsmokers. We observed a dose-response relation of increasing waist-hip ratio with increasing number of cigarettes smoked. Although smokers were leaner than nonsmokers, the increased waist-hip ratio in smokers was independent of body mass index and was consistent within body-mass index tertiles. The associations, seen in both sexes, were stronger in women.

Conclusions: Cigarette smokers have more central obesity than nonsmokers. These results suggest that body fat distribution can be modified by behavioral factors such as smoking.


obesity ; smoking





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.