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Smoking and Physical Activity: A Systematic Review

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Objectives : To better understand the co-occurrence of smoking and physical inactivity.

Methods : A review of 5 databases identified 50 articles reporting empirical relationships between smoking and physical activity (PA).

Results : Almost 60% of the articles reported a definitely negative association, but this relationship was often attenuated or reversed among adolescents and males and for moderate (vs vigorous) exercise. Stages of change for smoking and PA were relatively unrelated.

Conclusion : Smoking and PA are largely incongruent behaviors. Potential explanations for the observed relationships are described. These ranged from physiological (eg, lung function) to psychological (eg, depression) to socio-demographic (eg, education) factors.
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Keywords: literature review; physical activity; smoking

Document Type: Research Article

Affiliations: 1 Research Associate, Department of Recreation and Leisure Studies, University of Waterloo, Waterloo, Ontario, Canada.

Publication date: January 1, 2008

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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