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The importance of nutrition in smoking cessation in women

26 de março de 2013 Comentários desligados

 

blue-lung

The importance of nutrition in smoking cessation in women

                                                                  

                                                                                                                     Marcia M.T.LOBO1

                                                                                                                                                        MARCOS HS NASCIMENTO 2

  1. Masters Degree in Nutritional Safety at Federal University of Paraná – UFPR – Brazil
  2. Medical Editor of PULMAOSA Website

The strategy in stimulating smoking cessation in women should be priorized ahead of the growing exposure to tobacco promotional campaigns associated with the tobacco industry for this population group.

Smoking nowadays is the leading cause of preventable death in the world, and is considered a disease with its own ICD (International Classification of Diseases) to designate it: the F17.2. Smoking by itself, is capable of generating 50 other diseases, being the huge star among the non communicating diseases, as it is responsible by 30%  of all cancer deaths, including lung cancer that presents a clear link with smoking and is the current leader of deaths from this disease in both men and women in the United States and  also in Brazil (1).

Data obtained from the World Health Organization (WHO), attributed approximately 5.4 million deaths per year to tobacco, with Brazil accounting for 200,000 of these deaths (2,3).

Although the prevalence of smoking in Brazil have declined over the past years (17.5% of adults (over 15 years), 22% male and 13% female), however, in  the main cities  of the Southern region of the country presented high prevalence of smoking among women, with 17.5% in Porto Alegre (Rio Grande do Sul State); 15.5% in Curitiba (Paraná); and Florianópolis (Santa Catarina) 15.3%. This may indicate a need to prioritize health promotion and tobacco control focuses primarily on women (4.5).

The control and reduction of smoking prevalence are of fundamental importance since it can provide gains in both health and in financial resources (6). About this context, the Brazilian Thorax Society guidelines for smoking cessation (BTS) suggested that the presence of a dietitian in the multidisciplinary team is of great importance (7).

Regarding specifically to women and their body image, this fact represents a significant issue in this group’s behave, where the fear of weight gain is the great factor relationed with  women’s noncompliance about smoking cessation treatment, even when the health benefits are known,  and also combined with other factors such as stress relief and anxiety (8).

It is crucial that the frequent eating habits or acquired ones be rating after such treatment, as well as monitoring body weight, ir order to be establish behaviors that contribute for the  real success of smoking quit process. The weight gain factor is responsible by non-adherence for the treatment to quit tobacco derivatives and cigarettes, just because the large variation in weight gain and its mechanism constitute the major cause for the increased caloric intake and decreased resting metabolic rate (9).

There is evidence that nicotine causes an increase in energy expenditure. This is explained by the fact that consumption of a single cigarette induce about 3% increase in energy expenditure of the organism of in a period of 30 minutes. Concomitantly nicotine promotes an apetite decrease, caused by the rapid arrival of smoke nicotine in the brain (about 6 to 10 seconds). It allows some increase in the concentration of neurotransmitters, such as dopamine and serotonin, which are inhibitors intake food. It would explain the fact that smokers tend to have lower body weight when compared to nonsmokers, instituting a belief that smoking is an efficient way to control body weight (10,11).

Therefore obtain better results in tobacco control policies, aimed at women, duty would consider the influence of body weight control appropriate and compulsory through nutritional intervention assertive. The objectives of this strategy is to achieve higher success rates in smoking cessation, justifying the control of food intake, that more than an addendum to the treatment, it must be presented as a condition “si ne qua non” in the process of smoking cessation treatment for women.

REFERENCES

 

  1. NASCIMENTO, M.H.S. Doenças Crônicas: Pedágio caro para o Brasil, os USA e o Mundo. Available from: https://pulmaosarss.wordpress.com/2012/03/16/doencas-cronicas pedágio-caro-para-o-brasil-os-usa-e-o-mundo/.Acesso em 12/03/2012.

 

  1. World Health Organization (WHO). The World Health Report 2002: Reducing risks, promoting healthy lifestyles. Geneva: WHO, 2002.

 

  1. Instituto Nacional do Câncer (INCA). Tabagismo no Brasil:

Dados e Numéricos. Brasilia: Ministério da Saúde, INCA. Available from: http://www.inca.gov.br/tabagismo/index.as.Acesso em 20/03/2012.

 

  1. Instituto Brasileiro de Geografia e Estatística (IBGE).Global Adult Tobacco Survey(GATS):Brasil,2008.IBGE;2009.

 

  1. Ministério da Saúde. Secretaria de Vigilância em Saúde; Secretaria de Atenção à Saúde. Diretrizes e Recomendações para o Cuidado Integral de Doenças Crônicas Não-Transmissíveis: Promoção da Saúde, Vigilância, Prevenção e Assistência. Brasília,2008.

 

  1. PISINGER, C.; GODTFREDSEN,N.S. Is there a health benefit of reduced tobacco consumption? A systematic review. Nicotine To Res.9(6):631-46, 2007.

 

  1. REICHERT,J.et al ,Diretrizes para cessação do tabagismo, Sociedade Brasileira de Pneumologia e Tisiologia (SBPT). J Bras Pneumol. 34(10):845-880, 2008.

 

  1. SCARINCI,I.C.et al.Sociocultural factors associated with cigarette smoking among women in Brazilian worksites:a qualitative study.Health Promotion international,v.22,n.2,p.146-154,2007.

 

  1. FILOZOF,C.;FERNANDEZ,P.M.C.;FERNANDEZ,C.A. Smoking cessation and weight gain. Obes Rev,5:95-103, 2004.

 

  1.  CHIOLERO,A., FAETH.D., PACAUD, F., CORNUZ, J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr ;87:801–9,2008.

The Smoke Eater

2 de novembro de 2011 Comentários desligados

Enjoy: Always is time to quit smoking

THE SMOKE EATER

“A child of five years old would understand it! Will you please send someone to
  go search a child of five years old.”

” Groucho Marx”

Wacth the video below to understand that it’s necessary good humor to be alive! Enjoy: Always is time to quit smoking! If you have any difficult, please call a child of five years old!

Sources:

PULMAOSANEWS

Sinaddiccion

What to expect from Your ambassador at the UN? “Common Sense, Common Safety”

18 de setembro de 2011 Comentários desligados

WHO

What to expect from Your ambassador at the UN?

(PULMAOSANEWS) – As PULMAOSA already discussed, on 19-20 September 2011 will take place at United Nations conference on the Non-communicable diseases (NCDs).
According to World Health Organization (WHO) NCDs are among the leading causes of death in 2030. It would therefore be reasonable for countries to participate in this conference to act in the public interest defending World eg tobacco control, as this is the major cause of NCDs.

What is the Framework Convention on Tobacco Control?
It is an international treaty, in which signatory countries (States Parties) agree to undertake efforts to achieve targets for tobacco control, to protect human life.

What are the measures proposed by the FCTC?

• Reduce the supply of tobacco products, such as: elimination of smuggling, protect children and youth access to tobacco;
• Protecting human health and the environment;
• Reduce the demand for tobacco;
• Protection from exposure to tobacco smoke indoors;
• Regulate the marketing of tobacco industry
• Promotion of programs to treat nicotine addiction.

In other words, the FCTC is intended to protect life.
Watch the video below and understand that the Framework Convention aims to promote: Security!

What to expect then the ambassador of his country at the UN?

The least we can hope for would be Common Sense and respect for human life!
Send an e-mail to U.S. Ambassador or your country’s Ambassador  and require respect for the FCTC. So, world will have “Common Sense and Common Safety!”

E-mail Representative of USA to the UN:

UN Representative for USA
Name: Susan E. HE Rice
Email: usa@un.int

Sources
PULMAOSANEWS: Lung S / A – Its atmosphere, Your Life! ®
BTS – Brazilian Society of Pneumology

YouTube

North Carolina asks your help to save its Tobacco Prevention Program

16 de maio de 2011 Comentários desligados

North Carolina asks Your Help

North Carolina Asks Your Help

North Carolina House developed a budget that Abolishes Health and Wellness Trust Fund of NC and that means that the TRU (Tobacco Realisty Unifiltered) teen prevention program goes too. The budget cut was passed in the House of parliament and was sent to State Senate to receive approval or be denied.

These cuts may appear to have economic justification. But a cut of this magnitude only worsened the scenario with increased incidence of cardiovascular, respiratory and oncology diseases, which in turn will impact negatively the state budget.

Like a Hurricane this is an attack on the North Carolina Public Health and a dangerous bias for the other American States.

NC needs National and international support to resist such pressure. The PULMAOSA supports the below Petition from TRU Movement Campaign directed to the NC Senate, so that not give the pressures mentioned above, on the risk of threat to public health not only for NC but worldwide.

You can help to protect the public health in North Carolina by signing the petition to the NC Governor and the Members of the State Senate. It is a simple manner to remember the North Carolina representatives’main mission: to protect its citizens life.

Thank you!


PLEASE COMPLETE LOCATION AS FOLLOWS: (City & State OR City, State & Zip Code)

Last week HB200 (the 2011 Budget Proposal) passed the NC House and was sent to the Senate.  It is now in the Senate Appropriations Committee.  This budget propsal intends to ELIMINATE the Health and Wellness Trust Fund(HWTF), the agency that funds the Tobacco Reality Unfiltered (TRU) Youth program, as of this December.  Legislators plan to use this funding to fund other programs, while ignoring the huge tobacco toll in North Carolina. Over 200 people will lose their jobs and thousands of NC citizens will lose much needed resources.

The Health and Wellness Trust Fund was established with Tobacco Settlement funds (not taxpayer dollars) and was intended to help states address the health and financial toll of tobacco.  The North Carolina General Assembly established the HWTF to protect those funds and use them as intended for health purposes, and tobacco prevention and cessation in particular. Eliminating the Health and Wellness Trust Fund would be against the original purpose of the Master Settlement Agreement–  leaving North Carolinians without access to tobacco prevention and cessation resources.

Abolishing the HWTF will halt the significant success HWTF programs have seen in the areas of tobacco prevention and cessation and the success they hope to replicate in the area of obesity prevention. Both issues are the most critical and pressing health issues facing North Carolina’s youth today as the top two preventable causes of death.  Since 2003, when the HWTF began funding teen tobacco use prevention and cessation efforts (including local programs and an evidence-based, highly effective media campaign), North Carolina has seen the following health benefits: 

  • There are 53,000 fewer youth smokers than in 2003 when HWTF tobacco prevention programs began.
    • The middle school smoking rate in North Carolina has been cut by more than half since HWTF efforts began (from 9.3% to 4.3%), and the high school smoking rate has dropped by a third (from 27.3% to16.7%). (Data based on North Carolina Youth Tobacco Survey, 2009);
    • These are the lowest rates ever recorded in our state’s history.
  • Thanks to the efforts of the HWTF, over 28,000 people enrolled in QuitlineNC- the ONLY free cessation resource for smokers in the entire state.

For every $1 that HWTF invested in its programs, approximately $2.54 is generated in financial benefits for our State.

 

CLICK: http://www.ncforhealth.org to contact your representatives!!!

OR give them a CALL:  
Calling a politician isn’t as scary as it might seem; besides you’ll probably either talk with an aide or leave a message.  No sweat, right?  Politicians care about their voting public and just a few people voicing their concerns has been known to sway their vote. Need Talking Points? Click HERE!

  • Senator Peter Brunstetter, co-chairman
    (336) 747-6604
  • Senator Neal Hunt, co-chairman
    (919) 781-3464
  • Senator Richard Stevens, co-chairman
    (919) 851-0228
  • Senator Tom Apodaca, vice chairman
    (828) 696-0574
  • Senator Linda Garrou, vice chairman
    (919) 733-5620
  • Martin Nesbitt (Senate Democratic Leader)
    (919) 715-3001
  • Harry Brown, Senate Majority Leader
    (919) 715-3034


OR “Like” your Senators on Facebook…and let them know what you think.
Politicians check their Facebook!  Share your comments, facts, and even pictures with your local policymakers and get your opinions heard.

Senator Tom Apodaca: https://www.facebook.com/home.php#!/pages/Senator-Tom-Apodaca/225469290135

If you submit your email, we may contact you with updates from the Save the TRU Movement Campaign.

Sources:
PULMAOSANEWS- PulmaoSA – Lungs: Your Atmosphere, Your Life!
North Carolina Youth Tobacco Survey
The TRU Movement Campaign.

As Táticas de Marketing da Indústria Tabagista * Marketing tactics of tobacco industry

1 de outubro de 2010 Comentários desligados

Táticas de Marketing da Indústria tabagista

Desde os primórdios da descoberta do tabaco há menções associadas aos seus riscos a saúde como o decreto sobre o fumo do Rei da Inglaterra George em 1604, onde abordava que o tabaco provocava dor de cabeça e problemas de pulmão…

Com o consumo do tabaco sob a forma industrializada dos cigarros surgem ditos  populares como “Tosse de Fumante”  “Dedos de fumante” e nos Estados Unidos, no início do século XX, cigarros eram chamados de “pregos de caixão.”

Como então continuar no “negócio” e inclusive aumentar as vendas de um produto que literalmente mata os seus consumidores?

A fim de afastar “qualquer Risco” para o negócio, a Indústria tabagista, muito antes de existir as profissões de administrador de empresas e de profissionais de marketing, começa a fazer anúncios e a praticar o que hoje conhecemos como práticas de Marketing.

A indústria de cigarros inicia a resposta a pergunta acima, com a estratégia da contra propaganda ao associar seu produto acredite a… Saúde!

Para isso contrata radialistas (que em 1920 tinham projeção similar as estrelas de cinema, de séries de TV ou jogadores de futebol hoje), Esportistas, Atores de Hollywood,como John Wayne e Ginger Rogers.Nas décadas  de 1940 a 1960 incorpora profissionais com alto crédito na sociedade americana e mundial como enfermeiras, médicos, dentistas, cientistas e até astronautas para passar idoneidade as marcas de cigarros.

A Winston associa-se a estúdios de desenhos animados como podemos ver no vídeo abaixo dos Flinstones:

A tática de associar-se aos esportes é prática corrente também hoje em dia, vide os anúncios em corridas de Fórmula Indy e de Fórmula 1- sempre aliando imagens de juventude, frescor, desejos, superação e vitórias. Há pesquisas de mercado que indicam que produtos anunciados durante uma corrida da Nascar são os preferidos por 70% dos espectadores em detrimento de outros produtos com qualidade similar. As corridas de carros atraem uma gama enorme de audiência jovem, alvo preferencial das companhias de cigarros.

A mulher é outro foco preferencial como se pode observar nas refinadas propagandas dirigidas a este público – abordando liberdade, sucesso, independência financeira, beleza, poder de decisão. Há um direcionamento às mulheres do mundo inteiro fazendo analogias inclusive a marcas famosas de perfumes, como a propaganda do nº9. Até mesmo a reengenharia das embalagens que se tornam mais finas, com o objetivo de caber em qualquer bolsa feminina. Isto é confirmado pelos documentos da própria indústria que vieram a público durante os julgamentos do governo dos Estados Unidos versus as companhias de cigarros.

“Ao público feminino também é reservado às estratégias dos cigarros com alcatrão e nicotina reduzidos” e os cigarros com sabores os mais variados como cravo (Kreteks), canela, menta, baunilha, e chocolate. Cabe aqui um alerta, pois se trata mais uma vez de uma propaganda altamente enganosa, visto que nicotina provoca dependência química em qualquer concentração.

Nos países em que há leis de proteção a saúde pública com a proibição do fumo em áreas públicas, as companhias de cigarros se especializaram em práticas de marketing de guerrilha. Sendo assim, agem:

  • Em ambientes universitários convidando atores e personagens de mídia para palestras nos chamados “Diálogos Universitários.”
  • Patrocinando eventos desde concertos de rock na indonésia a encontros de DJ no Brasil;
  • Patrocinando e montando pontos de venda localizado nos caixas dos estabelecimentos, apresentando layouts cada vez mais coloridos com letras e palavras em inglês, e com designer e luminosidade altamente sofisticados. Isso tudo em meio a balas, doces e revistas destinadas ao público infanto-juvenil.

A exposição acima mostra que a indústria de cigarros se especializou sim em Marketing na administração e divulgação de seus produtos: O Marketing da propaganda enganosa. E para constatar isso não é preciso nem ler este texto. Como o ditado popular chinês apregoa: As imagens  falam!

FONTES:

PULMÃO S.A. – Sua Atmosfera, Sua vida!

Legacy Tobacco Documents Library – California University

PUCPR

INCA- Instituto Nacional do Câncer- Brasil

 

ENGLISH

 

Marketing tactics of tobacco industry

Since the early days of the discovery of tobacco there are entries associated with their health risks like smoking decree of King George of England in 1604, where he addressed that tobacco caused headaches and lung problems …

With tobacco consumption in the form of cigarettes come industrialized popular sayings as “smoker’s cough” smoker’s fingers “and the United States in the early twentieth century, cigarettes were called” coffin nails. ”

How then continue their “business” and even increase sales of a product that literally kills its consumers?

In order to remove “any risk” to their business, the tobacco industry, before there are professions of business administrator and marketing professionals begin to make announcements and to practice what we know today as Marketing practices.

The cigarette industry begins to answer the question above with the strategy of counter propaganda to associate their product to  …..Heath!

The Tobacco companies contract broadcasters in 1920 (who in 1920 had forecast similar to the Movie Stars from TV series or football players today).

Sportsmen, Hollywood actors, like John Wayne and Ginger Rogers.Nas decades from 1940 to 1960 incorporates a high professional credit in American society and world as nurses, doctors, dentists, scientists and even astronauts to pass fitness brands of cigarettes.

The Winston is associated with animation studios as we see in the video below the Flintstones as seen on the video.
The tactic of associating with sports is also common practice nowadays as seen in the Indy and Formula 1 ads – always combining images of youth, freshness, desires, victories and resilience. There is market research indicating that products advertised during a NASCAR race are preferred by 70% of viewers at the expense of other products with similar quality. Car racing attracts a huge young audience, prime target of cigarette companies.

The woman is another focus preferred as can be seen in exquisite advertisements targeted to that audience – addressing freedom, success, financial independence, beauty and discretion. There is a direction to women around the world making analogies including the famous brands of perfumes, as the propaganda of Camel 9. Even the reengineering of packaging that becomes thinner in order to fit into any handbag. This is confirmed by the industry’s own documents that became public during the trial the U.S. government versus the tobacco companies.

“When the female is also reserved to the strategies of cigarettes with low tar and nicotine” cigarettes with flavors and the most varied as carnation (kreteks), cinnamon, mint, vanilla and chocolate. It should be a warning, because it is once again a highly misleading propaganda, since nicotine is addictive chemical in any concentration.

In countries where there are laws to protect public health with the ban on smoking in public areas, the cigarette companies specialize in guerilla marketing practices. So act:

  • In university environments inviting actors and characters speaking to youth in so-called “Dialogues at University.”
  • Sponsoring events from Rock concerts in Indonesia to an DJ Meeting in Brazil;
  • Sponsoring and building Points of Sale located in boxes of establishments, with more colorful layouts with big letters and words in English also in countries whose English is not their mother language; and with designer and lighting highly sophisticated. This is all in the midst of candies, sweets and magazines targeted at children and youth.The exhibition Conference and the Flintstones’ video above show that the tobacco industry has specialized itself in marketing management and dissemination of their products: But, they have specialized in marketing hype. And to see this is not necessary even reading this text, because as the Chinese proverb proclaims: The images speak by themselves!
  • SOURCES:

    PULMAOSA –Lungs: Your atmosphere, your life! ® Legacy Tobacco Documents Library – California University
  • PUCPR Archives.
  • INCA- Brazilian National Cancer Institute.
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