OBJECTIVE:
To understand the influence of physical activity on teen smoking-cessation outcomes.
METHODS:
Teens (N = 233; 14–19 years of age) from West Virginia high schools who smoked >1 cigarette in the previous 30 days were included. High schools with >300 students were selected randomly and assigned to brief intervention (BI), Not on Tobacco (N-O-T) (a proven teen cessation program), or N-O-T plus a physical activity module (N-O-T+FIT). Quit rates were determined 3 and 6 months after baseline by using self-classified and 7-day point prevalence quit rates, and carbon monoxide validation was obtained at the 3-month follow-up evaluation.
RESULTS:
Trends for observed and imputed self-classified and 7-day point prevalence rates indicated that teens in the N-O-T+FIT group had significantly higher cessation rates compared with those in the N-O-T and BI groups. Effect sizes were large. Overall, girls quit more successfully with N-O-T compared with BI (relative risk [RR]: >∞) 3 months after baseline, and boys responded better to N-O-T+FIT than to BI (RR: 2–3) or to N-O-T (RR: 1–2). Youths in the N-O-T+FIT group, compared with those in the N-O-T group, had greater likelihood of cessation (RR: 1.48) at 6 months. The control group included an unusually large proportion of participants in the precontemplation stage at enrollment, but there were no significant differences in outcomes between BI and N-O-T (z = 0.94; P = .17) or N-O-T+FIT (z = 1.12; P = .13) participants in the precontemplation stage.
CONCLUSIONS:
Adding physical activity to N-O-T may enhance cessation success, particularly among boys.
The purpose of this study was to determine if participants in a summer camp met physical activity guidelines and to examine whether physical activity levels differed by gender, race, socio‐economic status, or weight status. Height, weight, demographic information, and accelerometer‐measured physical activity were obtained from 132 participants aged 6–12 years at 6 day camps. Participants engaged in an average of 57.7 min (SD = 26.54) of moderate‐to‐vigorous physical activity during the 8 hr of camp. Almost 40% (39.8%) of the campers met the physical activity guidelines of at least 60 min of moderate‐to‐vigorous physical activity during the camp day, but there were gender and weight status differences. Results of an ANOVA analysis indicated that boys were more active than girls and normal weight children were more active than obese children. Summer day camp attendance appears to provide many children with an opportunity to attain recommended levels of physical activity, but differs by gender and weight status.
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