BMJ  2006;333:25-26 (1 July), doi:10.1136/bmj.38840.608704.80 (published 12 May 2006)

Research

Smoking, obesity, and their co-occurrence in the United States: cross sectional analysis

Cheryl G Healton, professor of clinical public health1, Donna Vallone, associate vice president of research and evaluation2, Kristen L McCausland, research associate2, Haijun Xiao, research analyst2, Molly P Green, research associate2

1 Columbia University, Mailman School of Public Health, New York, NY, USA, 2 American Legacy Foundation, Washington, DC 20036, USA

Correspondence to: C G Healton chealton{at}americanlegacy.org

Abstract

Objectives To describe the prevalence of obesity, smoking, and both health risk factors together among adults in the United States.

Design Cross sectional analysis of a national health interview survey.

Setting United States.

Participants 29 305 adults (aged ≥ 18) in 2002.

Main outcome measures Prevalence of adults who are obese (body mass index ≥ 30), who smoke, and who are obese and smoke. Prevalence was stratified by age, sex, ethnic group, education, and income.

Results 23.5% of adults were obese, 22.7% smoked, and 4.7% smoked and were obese.

Conclusions Although the proportion of adults who smoke and are obese is relatively low, this subgroup is concentrated among lower socioeconomic groups.


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Rapid Responses:

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Why live longer?
Martin J. Lyons
bmj.com, 13 May 2006 [Full text]
Smokers are much less likely to be obese
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The BMJ as an outlet for the pro-smoking lobby
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The smoker's paradox - and then the reality
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A comprehensive anaysis could be performed with the available data.
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