“…(8, 37,
38) Other studies have also shown that
continuing smokers may develop medical conditions interfering with physical activity
at higher rate than quitters,(39) and that
changes in health behavior can occur after contracting a medical condition. (40, 41)
However, no previous study tested the sensitivity of the overall effect of smoking
cessation on physical activity to the inclusion of these TDCM in the multivariate
models.…”
Aims
To estimate physical activity trajectories for persons who quit
smoking, and compare them to what would have been expected, had smoking
continued.
Design, Setting and Participants
5115 participants to the CARDIA Study, a population-based study of
African American and European American people recruited at age 18-30 years
in 1985/6 and followed over 25 years.
Measurements
Physical activity was self-reported during clinical examinations at
years 0(1985/6),2,5,7,10,15,20 and 25(2010/11); smoking status was reported
each year (at examinations or by phone, and imputed where missing). We used
mixed linear models to estimate trajectories of physical activity under
varying smoking conditions, with adjustment for participant characteristics
and secular trends.
Findings
We found significant interactions by race-sex (P=.02 for the
interaction with cumulative years of smoking), hence we investigated the
subgroups separately. Increasing years of smoking were associated with a
decline in physical activity in black and white women and black men (e.g.
coefficient for 10 years of smoking:−0.14; 95% CI:−0.20 to
−0.07,P<0.001 for white women). An increase in physical
activity was associated with years since smoking cessation in white men
(coefficient 0.06;95%CI:0 to 0.13,P=0.05). The physical activity trajectory
for persons who quit progressively diverged towards higher physical activity
from the expected trajectory had smoking continued. For example, physical
activity was 34% higher (95%CI:18%,52%;P<0.001) for white women 10
years after stopping compared with continuing smoking for those 10 years(P =
0.21 for race/sex differences).
Conclusions
Smokers who quit have progressively higher levels of physical
activity in the years after quitting compared with continuing smokers.
“…(8, 37,
38) Other studies have also shown that
continuing smokers may develop medical conditions interfering with physical activity
at higher rate than quitters,(39) and that
changes in health behavior can occur after contracting a medical condition. (40, 41)
However, no previous study tested the sensitivity of the overall effect of smoking
cessation on physical activity to the inclusion of these TDCM in the multivariate
models.…”
Aims
To estimate physical activity trajectories for persons who quit
smoking, and compare them to what would have been expected, had smoking
continued.
Design, Setting and Participants
5115 participants to the CARDIA Study, a population-based study of
African American and European American people recruited at age 18-30 years
in 1985/6 and followed over 25 years.
Measurements
Physical activity was self-reported during clinical examinations at
years 0(1985/6),2,5,7,10,15,20 and 25(2010/11); smoking status was reported
each year (at examinations or by phone, and imputed where missing). We used
mixed linear models to estimate trajectories of physical activity under
varying smoking conditions, with adjustment for participant characteristics
and secular trends.
Findings
We found significant interactions by race-sex (P=.02 for the
interaction with cumulative years of smoking), hence we investigated the
subgroups separately. Increasing years of smoking were associated with a
decline in physical activity in black and white women and black men (e.g.
coefficient for 10 years of smoking:−0.14; 95% CI:−0.20 to
−0.07,P<0.001 for white women). An increase in physical
activity was associated with years since smoking cessation in white men
(coefficient 0.06;95%CI:0 to 0.13,P=0.05). The physical activity trajectory
for persons who quit progressively diverged towards higher physical activity
from the expected trajectory had smoking continued. For example, physical
activity was 34% higher (95%CI:18%,52%;P<0.001) for white women 10
years after stopping compared with continuing smoking for those 10 years(P =
0.21 for race/sex differences).
Conclusions
Smokers who quit have progressively higher levels of physical
activity in the years after quitting compared with continuing smokers.
“…On average, smokers experience almost 5 kg of weight gain in the year after quitting, with 41% and 7% gaining at least 5 kg and 10 kg, respectively (Pisinger & Jorgensen, 2007) and 9 kg over 8 years (Lycett, Munafò, Johnstone, Murphy, & Aveyard, 2011), with associated increased health risks (Yeh, Duncan, Schmidt, Wang, & Brancati, 2010). Fear of such changes may prevent quitting or causes relapse (Perkins, 1993).…”
Exercise acutely reduces both AB and cravings for cigarettes and snacks and may help self-regulation of smoking and snacking. Vigorous exercise was only more advantageous for reducing MAB.
Background:
Weight gain following smoking cessation reduces the incentive to quit, especially among women. Exercise and diet interventions may reduce postcessation weight gain, but their long-term effect has not been estimated in randomized trials.
Methods:
We estimated the long-term reduction in postcessation weight gain among women under smoking cessation alone or combined with (1) moderate-to-vigorous exercise (15, 30, 45, 60 minutes/day), and (2) exercise and diet modification (≤2 servings/week of unprocessed red meat; ≥5 servings/day of fruits and vegetables; minimal sugar-sweetened beverages, sweets and desserts, potato chips or fried potatoes, and processed red meat).
Results:
Among 10,087 eligible smokers in the Nurses’ Health Study and 9,271 in the Nurses’ Health Study II, the estimated 10-year mean weights under smoking cessation were 75.0 (95% CI = 74.7, 75.5) kg and 79.0 (78.2, 79.6) kg, respectively. Pooling both cohorts, the estimated postcessation mean weight gain was 4.9 (7.3, 2.6) kg lower under a hypothetical strategy of exercising at least 30 minutes/day and diet modification, and 5.9 (8.0, 3.8) kg lower under exercising at least 60 minutes/day and diet modification, compared with smoking cessation without exercising.
Conclusions:
In this study, substantial weight gain occurred in women after smoking cessation, but we estimate that exercise and dietary modifications could have averted most of it.
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