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    The Effects of Smoking Cessation on Visceral Adiposity Index Levels
    (WOLTERS KLUWER MEDKNOW PUBLICATIONS, 2018) Pekgor, S.; Duran, C.; Marakoglu, K.; Solak, I.; Pekgor, A.; Eryilmaz, M. A.
    Background: Known to cause important metabolic disturbances, weight gain becomes a major health problem after smoking cessation. Visceral adiposity index (VAI) is becoming increasingly popular in the detection of cardiometabolic risks in several disorders and general population. Here, we aimed to investigate the effects of quitting smoking on VAI levels. Materials and Methods: Of 350 participants included into the cigarette cessation program, 70 (20%) completed the study and were enrolled into the analyses. VAI levels were calculated at the baseline and 3rd month after cigarette cessation. Results: Thirty-eight (54.3%) out of 70 participants were male. While the mean age was found as 42 +/- 1.0 years, mean starting age of smoking was found to be 16.87 +/- 0.45 years, and mean smoking time was 23.07 +/- 1.18 years. While VAI levels were found higher in men at the baseline, VAI levels were found similar in both genders at the end of the study. Higher VAI levels were found in those smoking > 20 cigarettes/ day, compared to those smoking = 20 cigarettes/ day. Although weight, waist circumference, body mass index (BMI), and high-density lipoprotein cholesterol levels increased, VAI levels were found to decrease significantly at the 3rd month. In subgroup analyses, VAI levels were seen to decrease significantly only in men (P = 0.005). Furthermore, VAI levels were found to decrease (P < 0.001) in those with BMI = 25 kg/ m2, whereas no significant change was observed in those with BMI < 25 kg/ m2. Conclusions: Although body weight increases significantly after quitting smoking, VAI levels, an indicator of cardiovascular risks, decrease significantly, especially in men or obese patients.
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    The frequency of smoking, quitting and socio-demographic characteristics of physicians of a medical faculty
    (UNIV WEST INDIES FACULTY MEDICAL SCIENCES, 2006) Marakoglu, K.; Kutlu, R.; Sahsivar, S.
    Background. The aim of this study was to determine the epidemiology of smoking among physicians and to describe their socio-demographic characteristics. Subjects and Methods: All professors, associate professors, assistant professors, lecturers and research assistants working for the Faculty of Medicine of Meram, University of Selcuk were included in the study. Of the 500 subjects, 363 (72.6%) completed the anonymous questionnaire of the survey satisfactorily. The smoking status, age at smoking initiation, daily cigarette consumption and association between current smoking and socio-demographic variables, family characteristics and body mass index were examined The SPSS software was used to tabulate the data. The chi-square test was used for statistical analysis. Results: The mean age was 34.2 +/- 9.1 years. The rate of ever-smokers was 28.7% (n = 104). The rates of smoking in females and males were 13.4% (n = 15) and 35.6% (n = 89), respectively (P = 0.000). The rate of ex-smokers was 9.9% (n = 36). The rate of never-smokers was 61.4% (n = 223). The mean age at starting smoking was 21.7 +/- 4.9 years. The quit ratio was 25.7% (36/140) [23.3% (27/116) for men and 37.5% (9124) for women]. Fagerstrom score was averaged 2.8 +/- 2.7 among all smokers. The rate of smoking in the families (p = 0.003) and among close friends (p = 0.000) of the smoker-group was higher than in non-smokers. Conclusion: In Turkey, prevalence of tobacco smoking is high among physicians though lower than the general community. This may compromise their role in tobacco control unless they quit smoking.