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Systematic and meta-analytic review of research examining the impact of menstrual cycle phase and ovarian hormones on smoking and cessation
Journal article   Open access   Peer reviewed

Systematic and meta-analytic review of research examining the impact of menstrual cycle phase and ovarian hormones on smoking and cessation

Andrea H Weinberger, Philip H Smith, Sharon S Allen, Kelly P Cosgrove, Michael E Saladin, Kevin M Gray, Carolyn M Mazure, Cora Lee Wetherington and Sherry A McKee
Nicotine & tobacco research, v 17(4), pp 407-421
01 Apr 2015
PMID: 25762750
url
https://europepmc.org/articles/pmc4429881View
Published, Version of Record (VoR)Open Access (License Unspecified) Open
url
https://doi.org/10.1093/ntr/ntu249View
Published, Version of Record (VoR) Open

Abstract

Adult Female Follicular Phase Gender Identity Humans Luteal Phase Menstrual Cycle Smoking Smoking Cessation - methods Substance Withdrawal Syndrome - physiopathology Women's Health
To determine the effect of ovarian hormones on smoking, we conducted a systematic review of menstrual cycle effects on smoking (i.e., ad lib smoking, smoking topography, and subjective effects) and cessation-related behaviors (i.e., cessation, withdrawal, tonic craving, and cue-induced craving). Thirty-six papers were identified on MEDLINE that included a menstrual-related search term (e.g., menstrual cycle, ovarian hormones), a smoking-related search term (e.g., smoking, nicotine), and met all inclusion criteria. Thirty-two studies examined menstrual phase, 1 study measured hormone levels, and 3 studies administered progesterone. Sufficient data were available to conduct meta-analyses for only 2 of the 7 variables: withdrawal and tonic craving. Women reported greater withdrawal during the luteal phase than during the follicular phase, and there was a nonsignificant trend for greater tonic craving in the luteal phase. Progesterone administration was associated with decreased positive and increased negative subjective effects of nicotine. Studies of menstrual phase effects on the other outcome variables were either small in number or yielded mixed outcomes. The impact of menstrual cycle phase on smoking behavior and cessation is complicated, and insufficient research is available upon which to conduct meta-analyses on most smoking outcomes. Future progress will require collecting ovarian hormone levels to more precisely quantify the impact of dynamic changes in hormone levels through the cycle on smoking behavior. Clarifying the relationship between hormones and smoking-particularly related to quitting, relapse, and medication response-could determine the best type and timing of interventions to improve quit rates for women.

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
Substance Abuse
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