Abstract
Background: Although physical activity has been associated negatively with smoking in adolescence, the association is not well understood. Purpose: This study examines the relationship between adolescents’ leisure time physical activity and smoking behavior, while considering BMI, weight concern, sense of coherence, and physically active self-concept as potential mediating and moderating variables. Method: Data were obtained through a postal survey among 3,940 Danes aged 16 to 20. Bivariate and multivariate logistic regressions were performed to identify significant associations as well as mediating and moderating effects. Results: In the bivariate model, leisure time physical activity was negatively associated with smoking; adolescents who were active at least one hour per week were up to half as likely to smoke as inactive adolescents. In the adjusted model, however, the association disappeared. Further analyses revealed that physically active self-concept acted both as a mediator and as a moderator of the studied relationship. Conclusion: The data suggest that participation in leisure time physical activity is indeed inversely associated with adolescent smoking, but only when physical activity is perceived as an important part of the self. Hence, interventions designed to promote physical activity among youth may also aim to boost physically active self-concepts.
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Aaron, D. J., Dearwater, S. R., Anderson, R., Olsen, T., Kriska, A. M., & Laporte, R. E. (1995). Physical activity and the initiation of high-risk health behaviors in adolescents. Medicine & Science in Sports & Exercise, 27, 1639–1645.
Allender, S., Cowburn, G., & Foster, C. (2006). Understanding participation in sports and physical activity among children and adults: A review of qualitative studies. Health Education Research, 21, 826–835.
Amisola, R. V., & Jacobson, M. S. (2003). Physical activity, exercise, and sedentary activity: Relationship to the causes and treatment of obesity. Adolescent Medicine, 14, 23–35.
Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Social Science & Medicine, 36, 725–733.
Audrain-McGovern, J., Rodriguez, D., & Moss, H. B. (2003). Smoking progression and physical activity. Cancer Epidemiology, Biomarkers and Prevention, 12, 1121–1129.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptional, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Bauman, A. E., Sallis, J. F., Dzewaltowski, D. A., & Owen, N. (2002). Toward a better understanding of the influences on physical activity. The roles of determinants, correlates, causal variables, mediators, moderators, and confounders. American Journal of Preventive Medicine, 23, 5–14.
Boles, S. M., & Johnson, P. B. (2001). Gender, weight concerns, and adolescent smoking. Journal of Addictive Diseases, 20, 5–14.
Boreham, C. A., Twisk, J., Savage, M. J., Cran, G. W., & Strain, J. J. (1997). Physical activity, sports participation, and risk factors in adolescents. Medicine and Science in Sports and Exercise, 29, 788–793.
Brown, D. R., & Blanton, C. J. (2002). Physical activity, sports participation, and suicidal behavior among college students. Medicine and Science in Sports and Exercise, 34, 1087–1096.
Camp, D. E., Klesges, R. C., & Relyea, G. (1993). The relationship between body weight concerns and adolescent smoking. Health Psychology, 12, 24–32.
Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal, 320, 1240–1243.
Escobedo, L. G., Marcus, S. E., Holtzman, D., & Giovino, G. A. (1993). Sports participation, age at smoking initiation, and the risk of smoking among U.S. high school students. Journal of the American Medical Association, 269, 1391–1395.
Ezzati, M., & Lopez, A. D. (2003). Estimates of global mortality attributable to smoking in 2000. Lancet, 362, 847–852.
Flay, B. R., Hu, F. B., & Richardson, J. (1998). Psychosocial predictors of different stages of cigarette smoking among high school students. Preventive Medicine, 27, A9-A18.
French, S. A., Perry, C. L., Leon, G. R., & Fulkerson, J. A. (1994). Weight concerns, dieting behavior, and smoking initiation among adolescents: A prospective study. American Journal of Public Health, 84, 1818–1820.
Gillison, F. B., Standage, M., & Skevington, S. M. (2006). Relationships among adolescents’ weight perceptions, exercise goals, exercise motivation, quality of life and leisure-time exercise behavior: A self-determination theory approach. Health Education Research, 21, 836–847.
Glanz, K., Maskarinec, G., & Carlin, L. (2005). Ethnicity, sense of coherence, and tobacco use among adolescents. Annals of Behavioral Medicine, 29, 192–199.
Hassmen, P., Koivula, N., & Uutela, A. (2000). Physical exercise and psychological well-being: A population study in Finland. Preventive Medicine, 30, 17–25.
Janssen, I., Katzmarzyk, P. T., Boyce, W. F., Vereecken, C., Mulvihill, C., Roberts, C., Currie, C., & Pickett, W. (2005). Health Behaviour in School-Aged Children Obesity Working Group. Comparison of overweight and obesity prevalence in school- aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obesity Reviews, 6, 123–132.
Kremers, S. P. J., De Bruijn, G.J., Doomers, M., Van Lenthe, F., & Brug, J. (2007). Moderators of environmental intervention effects on diet and activity in youth. American Journal of Preventive Medicine, 32, 163–172.
Kremers, S. P. J., Mudde, A. N., & De Vries, H. (2001). Kicking the initiation: Do adolescent ex-smokers differ from other groups within the initiation continuum? Preventive Medicine, 33, 392–401.
La Greca, A. M., Prinstein, M. J., & Fetter, M. D. (2001). Adolescent peer crowd affiliation: Linkages with health-risk behaviors and close friendships. Journal of Pediatric Psychology, 26, 131–143.
Levin, S., Lowry, R., Brown, D. R., & Dietz, W. H. (2003). Physical activity and body mass index among U.S. adolescents: Youth Risk Behavior Survey, 1999. Archives of Pediatric and Adolescent Medicine, 157, 816–820.
McMurray, R. G., Ring, K. B., Treuth, M. S., Welk, G. J., Pate, R. R., Schmitz, K. H., Pickrel, J. L., Gonzalez, V., Almedia, M. J., Young, D. R., & Sallis, J.F. (2004). Comparison of two approaches to structured physical activity surveys for adolescents. Medicine & Science in Sports & Exercise, 36, 2135–2143.
Melnick, M. J., Miller, M. E., Sabo, D. F., Farrell, M. P., & Barnes, G. M. (2001). Tobacco use among high school athletes and non-athletes: Results of the 1997 Youth Risk Behavior Survey. Adolescence, 36, 727–747.
Neumark-Sztainer, D., Paxton, S. J., Hannan, P. J., Haines, J., & Story, M. (2006). Does body satisfaction matter? Five-year longitudinal associations between body satisfaction and health behaviors in adolescent females and males. Journal of Adolescent Health, 39, 244–251.
Pate, R. R., Heath, G. W., Dowda, M., & Trost, S. G. (1996). Associations between physical activity and other health behaviors in a representative sample of U.S. adolescents. American Journal of Public Health, 86, 1577–1581.
Patrick, D. L., Cheadle, A., Thompson, D. C., Diehr, P., Koepsell, T., & Kinne, S. (1994). The validity of self-reported smoking: A review and meta-analysis. American Journal Public Health, 84, 1086–1093.
Potter, B. K., Pederson, L. L., Chan, S. S., Aubut, J. A., & Koval, J. J. (2004). Does a relationship exist between body weight, concerns about body weight, and smoking among adolescents? An integration of the literature with an emphasis on gender. Nicotine and Tobacco Research, 6, 397–425.
Rodriguez, D., & Audrain-McGovern, J. (2005). Physical activity, global self-concept, and adolescent smoking. Annals of Behavioral Medicine, 30, 251–259.
Ryan, R. M., Frederick, C. M., Lepes, D., Rubio, N., & Sheldon, K. M. (1997). Intrinsic motivation and exercise adherence. International Journal of Sport Psychology, 28, 335–354.
Sallis, J. F., Prochaska, J. J., & Taylor, W. C. (2000). A review of correlates of physical activity of children and adolescents. Medicine & Science in Sports & Exercise, 32, 693–975.
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological methodology (pp. 290–312). San Francisco: Jossey-Bass.
Sparks, P., & Shepherd, R. (1992). Self-identity and the theory of planned behavior: Assessing the role of identification with “green consumerism.” Social Psychology Quarterly, 55, 388–399.
Verkooijen, K. T., de Vries, N. K., & Nielsen, G. A. (2007). Youth crowds and substance use: The impact of perceived group norms and multiple group identification. Psychology of Addictive Behaviors, 21, 55–61.
Vlachopoulos, S. P., Karageorghis, C. I., & Terry, P. C. (2000). Motivation profiles in sport: A self-determination theory perspective. Research Quarterly for Exercise and Sport, 71, 387–397.
Wankel, L. M., & Sefton, J. M. (1994). Physical activity and other lifestyle behaviors. In R. Bouchard, R. J. Shephard, & T. Stephens (Eds.), Physical activity, fitness and health (pp. 530–550). Champaign, IL: Human Kinetics.
Wang, Z., Patterson, C. M., & Hills, A. P. (2002). A comparison of self-reported and measured height, weight and BMI in Australian adolescents. Australian and New Zealand Journal of Public Health, 26,473–478.
Wilson, D. B., Smith, B. N., Speizer, I. S., Bean, M. K., Mitchell, K. S., Uguy, L. S., & Fries, E. A. (2005). Differences in food intake and exercise by smoking status in adolescents. Preventive Medicine, 40, 872–879.
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This research was conducted with financial support from the Danish National Board of Health and the Danish Cancer Society.
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Verkooijen, K.T., Nielsen, G.A. & Kremers, S.P.J. The association between leisure time physical activity and smoking in adolescence: An examination of potential mediating and moderating factors. Int. J. Behav. Med. 15, 157–163 (2008). https://doi.org/10.1080/10705500801929833
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DOI: https://doi.org/10.1080/10705500801929833