{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T16:11:00Z","timestamp":1770221460552,"version":"3.49.0"},"reference-count":69,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":["eje.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To stop smoking is commonly associated with significant weight gain, but the mechanisms for this are poorly understood. We assessed the effects of smoking cessation on body weight, insulin sensitivity, \u03b2-cell function, and appetite.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and methods<\/jats:title><jats:p>Twenty-seven long-term smokers (<jats:italic>n<\/jats:italic>=27; nine females\/18 males, 28\u00b11 years, 22.9\u00b10.6\u200akg\/m<jats:sup>2<\/jats:sup>) attending an ambulatory smoking cessation program in a community hospital in Vienna, Austria were examined at baseline (Visit A; still smoking) and after a minimum of 3 months of smoking abstinence (Visit B;<jats:italic>n<\/jats:italic>=14); relapsed smokers were not followed up. Participants underwent 3-h oral glucose tolerance tests and body composition measurements at each study visit. Fasting (QUICKI) and dynamic (oral glucose insulin sensitivity (OGIS)) insulin sensitivity and \u03b2-cell secretion (insulinogenic index 140 (IGI40)) were calculated. Food intake was quantified with a free choice buffet. Fasting plasma concentrations of neuropeptide-Y (NPY), peptide-YY (PYY), glucagon-like peptide 1 (GLP1), leptin, ghrelin, and visfatin were measured.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After &gt;3 months' smoking abstinence, body weight, and fat mass were increased (+4 and +22% respectively,<jats:italic>P<\/jats:italic>&lt;0.05) and fasting insulin sensitivity deteriorated (QUICKI: post, 0.37\u00b10.02 vs baseline, 0.41\u00b10.2;<jats:italic>P<\/jats:italic>&lt;0.05), while OGIS remained unchanged throughout. IGI40 increased by 31% after &gt;3 months' smoking abstinence (<jats:italic>P<\/jats:italic>&lt;0.01). Carbohydrate ingestion increased after stopping smoking (<jats:italic>P<\/jats:italic>&lt;0.05). NPY fasting levels were increased after &gt;3 months (<jats:italic>P<\/jats:italic>&lt;0.05), PYY, GLP1, leptin, ghrelin, and visfatin were unchanged.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Smoking cessation is associated with transient metabolic changes including increased \u03b2-cell secretion in response to glucose and fasting insulin resistance. These alterations may be associated with or contribute to the body weight gain after smoking cessation.<\/jats:p><\/jats:sec>","DOI":"10.1530\/eje-13-0590","type":"journal-article","created":{"date-parts":[[2013,11,1]],"date-time":"2013-11-01T08:02:49Z","timestamp":1383292969000},"page":"219-227","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-1","source":"Crossref","is-referenced-by-count":75,"title":["Effects of smoking cessation on \u03b2-cell function, insulin sensitivity, body weight, and 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