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International Journal of Public Health

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01-09-2017 | Original Article

Association between long-term smoking and leisure-time physical inactivity: a cohort study among Finnish twins with a 35-year follow-up

Authors: Maarit Piirtola, Jaakko Kaprio, Karri Silventoinen, Pia Svedberg, Tellervo Korhonen, Annina Ropponen

Published in: International Journal of Public Health | Issue 7/2017

Abstract

Objectives

To investigate longitudinal associations of smoking and a change in smoking status with leisure-time physical inactivity. In addition, to control whether familial confounding (genetics and shared environment) influences the associations.

Methods

Data were based on the population-based Finnish Adult Twin Cohort of 5254 twin individuals born in 1945–1957 (41% men) and who participated in all four surveys over a 35-year follow-up (1975–2011). Logistic and conditional logistic regression models with multiple covariates were used for analyses.

Results

Compared to never-smokers, long-term daily smokers (1975–1990) had the highest likelihood for both long-term inactivity and to change into inactive by 2011. Recurrent smoking was associated with long-term inactivity. Instead, in comparison to persistent daily smokers, quitting smoking decreased the likelihood of becoming physically inactive at leisure time. The associations remained in the analyses which accounted for multiple covariates and/or familial confounding.

Conclusions

Daily smoking increases the likelihood of remaining or becoming physically inactive over the decades. Our results emphasize not only the importance of preventing smoking initiation, but also to support early smoking cessation in promotion of lifelong physical activity.

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Aarnio M, Winter T, Peltonen J, Kujala UM, Kaprio J (2002) Stability of leisure-time physical activity during adolescence—a longitudinal study among 16-, 17- and 18-year-old Finnish youth. Scand J Med Sci Sports 12(3):179–185. doi:10.1034/j.1600-0838.2002.00250.x CrossRefPubMed

Auer R et al (2014) Change in physical activity after smoking cessation: the Coronary Artery Risk Development in Young Adults (CARDIA) study. Addiction 109(7):1172–1183. doi:10.1111/add.12561 CrossRefPubMedPubMedCentral

Azagba S, Asbridge M (2013) Nicotine dependence matters: examining longitudinal association between smoking and physical activity among Canadian adults. Prev Med 57(5):652–657. doi:10.1016/j.ypmed.2013.08.020 CrossRefPubMed

Bauman AE, Reis RS, Sallis JF, Wells JC, Loos RJ, Martin BW (2012) Correlates of physical activity: why are some people physically active and others not? Lancet 380(9838):258–271. doi:10.1016/S0140-6736(12)60735-1 CrossRefPubMed

Boomsma D, Busjahn A, Peltonen L (2002) Classical twin studies and beyond. Nat Rev Genet 3(11):872–882. doi:10.1038/nrg932 CrossRefPubMed

Borodulin K et al (2012) Leisure time physical activity in a 22-year follow-up among Finnish adults. Int J Behav Nutr Phys Act 9:121. doi:10.1186/1479-5868-9-121 CrossRefPubMedPubMedCentral

Borodulin K, Harald K, Jousilahti P, Laatikainen T, Männistö S, Vartiainen E (2016) Time trends in physical activity from 1982 to 2012 in Finland. Scand J Med Sci Sports 26(1):93–100. doi:10.1111/sms.12401 CrossRefPubMed

de Geus EJ, Bartels M, Kaprio J, Lightfoot JT, Thomis M (2014) Genetics of regular exercise and sedentary behaviors. Twin Res Hum Genet 17(4):262–271. doi:10.1017/thg.2014.42 CrossRefPubMed

De Moor MH, Boomsma DI, Stubbe JH, Willemsen G, de Geus EJ (2008) Testing causality in the association between regular exercise and symptoms of anxiety and depression. Arch Gen Psychiatry 65(8):897–905. doi:10.1001/archpsyc.65.8.897 CrossRefPubMed

de Vilhena e Santos DM, Katzmarzyk PT, Seabra AF, Maia JA (2012) Genetics of physical activity and physical inactivity in humans. Behav Genet 42(4):559–578. doi:10.1007/s10519-012-9534-1 CrossRefPubMed

Dumith SC, Hallal PC, Reis RS, Kohl HW 3rd (2011) Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med 53(1–2):24–28. doi:10.1016/j.ypmed.2011.02.017 CrossRefPubMed

Gold DR, Wang X, Wypij D, Speizer FE, Ware JH, Dockery DW (1996) Effects of cigarette smoking on lung function in adolescent boys and girls. N Engl J Med 335(13):931–937. doi:10.1056/nejm199609263351304 CrossRefPubMed

Higgins M et al (1991) Pulmonary function and cardiovascular risk factor relationships in black and in white young men and women. The CARDIA Study. Chest 99(2):315–322. doi:10.1378/chest.99.2.315 CrossRefPubMed

Kaczynski AT, Manske SR, Mannell RC, Grewal K (2008) Smoking and physical activity: a systematic review. Am J Health Behav 32(1):93–110. doi:10.5555/ajhb.2008.32.1.93 CrossRefPubMed

Kaprio J (2013) The Finnish Twin Cohort Study: an update. Twin Res Hum Genet 16(1):157–162. doi:10.1017/thg.2012.142 CrossRefPubMedPubMedCentral

Kaprio J, Koskenvuo M (1988) A prospective study of psychological and socioeconomic characteristics, health behavior and morbidity in cigarette smokers prior to quitting compared to persistent smokers and non-smokers. J Clin Epidemiol 41(2):139–150. doi:10.1016/0895-4356(88)90088-1 CrossRefPubMed

Koivumaa-Honkanen H, Kaprio J, Honkanen R, Viinamaki H, Koskenvuo M (2004) Life satisfaction and depression in a 15-year follow-up of healthy adults. Soc Psychiatry Psychiatr Epidemiol 39(12):994–999. doi:10.1007/s00127-004-0833-6 CrossRefPubMed

Korhonen T, Koivumaa-Honkanen H, Varjonen J, Broms U, Koskenvuo M, Kaprio J (2011) Cigarette smoking and dimensions of depressive symptoms: longitudinal analysis among Finnish male and female twins. Nicotine Tob Res 13(4):261–272. doi:10.1093/ntr/ntq251 CrossRefPubMed

Krueger H, Turner D, Krueger J, Ready AE (2014) The economic benefits of risk factor reduction in Canada: tobacco smoking, excess weight and physical inactivity. Can J Public Health 105(1):e69–e78CrossRef

Kujala UM, Kaprio J, Rose RJ (2007) Physical activity in adolescence and smoking in young adulthood: a prospective twin cohort study. Addiction 102(7):1151–1157. doi:10.1111/j.1360-0443.2007.01858.x CrossRefPubMedPubMedCentral

Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT (2012) Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet 380(9838):219–229. doi:10.1016/S0140-6736(12)61031-9 CrossRefPubMedPubMedCentral

Li MD, Cheng R, Ma JZ, Swan GE (2003) A meta-analysis of estimated genetic and environmental effects on smoking behavior in male and female adult twins. Addiction 98(1):23–31. doi:10.1046/j.1360-0443.2003.00295.x CrossRefPubMed

Lim SS et al (2012) A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 380(9859):2224–2260. doi:10.1016/S0140-6736(12)61766-8 CrossRefPubMedPubMedCentral

McGue M, Osler M, Christensen K (2010) Causal inference and observational research: the utility of twins. Perspect Psychol Sci 5(5):546–556. doi:10.1177/1745691610383511 CrossRefPubMedPubMedCentral

McGue M, Skytthe A, Christensen K (2014) The nature of behavioural correlates of healthy ageing: a twin study of lifestyle in mid to late life. Int J Epidemiol 43(3):775–782. doi:10.1093/ije/dyt210 CrossRefPubMedPubMedCentral

Midlöv P, Calling S, Sundquist J, Sundquist K, Johansson SE (2014) The longitudinal age and birth cohort trends of smoking in Sweden: a 24-year follow-up study. Int J Public Health 59(2):243–250. doi:10.1007/s00038-013-0535-5 CrossRefPubMed

Morris LJ, D’Este C, Sargent-Cox K, Anstey KJ (2016) Concurrent lifestyle risk factors: clusters and determinants in an Australian sample. Prev Med 84:1–5. doi:10.1016/j.ypmed.2015.12.009 CrossRefPubMed

Nagaya T, Yoshida H, Takahashi H, Kawai M (2007) Cigarette smoking weakens exercise habits in healthy men. Nicotine Tob Res 9(10):1027–1032. doi:10.1080/14622200701591575 CrossRefPubMed

Ng M et al (2014) Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA 311(2):183–192. doi:10.1001/jama.2013.284692 CrossRefPubMed

Paavola M, Vartiainen E, Haukkala A (2004) Smoking, alcohol use, and physical activity: a 13-year longitudinal study ranging from adolescence into adulthood. J Adolesc Health 35(3):238–244. doi:10.1016/j.jadohealth.2003.12.004 CrossRefPubMed

Perkins KA, Rohay J, Meilahn EN, Wing RR, Matthews KA, Kuller LH (1993) Diet, alcohol, and physical activity as a function of smoking status in middle-aged women. Health Psychol 12(5):410–415. doi:10.1037/0278-6133.12.5.410 CrossRefPubMed

Piirtola M, Kaprio J, Ropponen A (2014) A study of sedentary behaviour in the older Finnish twin cohort: a cross sectional analysis. Biomed Res Int 2014:209140. doi:10.1155/2014/209140 CrossRefPubMedPubMedCentral

Piirtola M et al (2016) Leisure-time physical inactivity and association with body mass index: a Finnish Twin Study with a 35-year follow-up. Int J Epidemiol. doi:10.1093/ije/dyw007 (Published online: March 15, 2016) CrossRef

Sarna S, Kaprio J, Sistonen P, Koskenvuo M (1978) Diagnosis of twin zygosity by mailed questionnaire. Hum Hered 28(4):241–254. doi:10.1159/000152964 CrossRefPubMed

Sedentary Behaviour Research Network (2012) Letter to the editor: standardized use of the terms “sedentary” and “sedentary behaviours”. Appl Physiol Nutr Metab 37(3):540–542. doi:10.1139/h2012-024 CrossRef

Taylor AE et al (2014a) Investigating the possible causal association of smoking with depression and anxiety using Mendelian randomisation meta-analysis: the CARTA consortium. BMJ Open 4(10):e006141. doi:10.1136/bmjopen-2014-006141 CrossRefPubMedPubMedCentral

Taylor G, McNeill A, Girling A, Farley A, Lindson-Hawley N, Aveyard P (2014b) Change in mental health after smoking cessation: systematic review and meta-analysis. BMJ 348:g1151. doi:10.1136/bmj.g1151 CrossRefPubMedPubMedCentral

Waller K, Kaprio J, Kujala UM (2008) Associations between long-term physical activity, waist circumference and weight gain: a 30-year longitudinal twin study. Int J Obes (Lond) 32(2):353–361. doi:10.1038/sj.ijo.0803692 CrossRef

Wee CC, Rigotti NA., Davis RB, Phillips RS (2001) Relationship between smoking and weight control efforts among adults in the united states. Arch Intern Med 161(4):546–550CrossRef

World Health Organization (2011) Global status report on noncommunicable diseases 2010. WHO Press, Geneva

Title: Association between long-term smoking and leisure-time physical inactivity: a cohort study among Finnish twins with a 35-year follow-up
Authors: Maarit Piirtola
Jaakko Kaprio
Karri Silventoinen
Pia Svedberg
Tellervo Korhonen
Annina Ropponen
Publication date: 01-09-2017
Publisher: Springer International Publishing
Published in: International Journal of Public Health / Issue 7/2017
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-017-0975-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Association between long-term smoking and leisure-time physical inactivity: a cohort study among Finnish twins with a 35-year follow-up

Abstract

Objectives

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

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