加利福尼亚州一组吸烟者的身体活动、久坐行为、肥胖与戒烟行为之间的关系。

The relationships among physical activity, sedentary behaviour, obesity and quitting behaviours within a cohort of smokers in California.

作者信息

Linke S E, Strong D R, Myers M G, Edland S D, Hofstetter C R, Al-Delaimy W K

机构信息

Department of Family Medicine & Public Health, University of California, San Diego, USA.

出版信息

Public Health. 2016 Dec;141:232-240. doi: 10.1016/j.puhe.2016.09.028. Epub 2016 Nov 3.

DOI:10.1016/j.puhe.2016.09.028

PMID:27932008

Abstract

BACKGROUND

Smoking, insufficient physical activity (PA), sedentary behaviour (SB) and obesity are leading risk factors for morbidity and premature mortality. Few studies examining the relationship between these behavioural risk factors and quitting behaviours among cohorts of smokers have been published.

PURPOSE

The goals of this study are to examine the cross-sectional relationships among behavioural health risk factors (insufficient PA, SB and obesity) and past year quitting behaviours within a sample of smokers.

METHODS

The California Smokers Cohort, conducted from 2011 through 2013, is a population-based survey of adult smokers in California. Using follow-up data (n = 1050), participants' self-reported health behaviours and past year quitting behaviours were examined in univariate analyses and multivariate logistic regression analyses controlling for demographic covariates.

RESULTS

In univariate analyses examining health behaviours among smokers, all three health behaviours examined (PA, SB and obesity) were related, and significantly more obese smokers with high PA and low SB reported a ≥20% smoking rate reduction than smokers with other combinations of health behaviours (48.8%, Chi-squared = 4.765, P = 0.045). In multivariate models adjusted for sociodemographic characteristics, obese smokers (odds ratio [OR] = 1.450, 95% confidence interval [CI]: 1.088-1.932, P = 0.011) and smokers with higher levels of PA (OR = 1.448, 95% CI: 1.111-1.887, P = 0.006) were more likely to report a past year ≥24-hour quit attempt regardless of SB, and obese smokers (OR = 1.760, 95% CI: 1.095-2.828, P = 0.019) were more likely to report being quit for ≥30 days regardless of PA and SB.

CONCLUSIONS

Overall, the results demonstrated that more physically active and obese smokers were more likely to report positive strides towards quitting. These findings support the potential positive effect of addressing multiple health behaviours along with smoking.

摘要

背景

吸烟、身体活动不足、久坐行为和肥胖是发病和过早死亡的主要危险因素。很少有研究探讨这些行为危险因素与吸烟者队列中的戒烟行为之间的关系。

目的

本研究的目的是在吸烟者样本中检验行为健康危险因素（身体活动不足、久坐行为和肥胖）与过去一年戒烟行为之间的横断面关系。

方法

2011年至2013年进行的加利福尼亚吸烟者队列研究是一项基于人群的加利福尼亚成年吸烟者调查。利用随访数据（n = 1050），在单因素分析和控制人口统计学协变量的多因素逻辑回归分析中，对参与者自我报告的健康行为和过去一年的戒烟行为进行了检查。

结果

在对吸烟者健康行为进行的单因素分析中，所检查的所有三种健康行为（身体活动、久坐行为和肥胖）都存在关联，与具有其他健康行为组合的吸烟者相比，身体活动量大且久坐行为少的肥胖吸烟者报告吸烟率降低≥20%的比例显著更高（48.8%，卡方=4.765，P = 0.045）。在根据社会人口学特征进行调整的多因素模型中，肥胖吸烟者（优势比[OR]=1.450，95%置信区间[CI]：1.088 - 1.932，P = 0.011）和身体活动水平较高的吸烟者（OR = 1.448，95%CI：1.111 - 1.887，P = 0.006）更有可能报告过去一年有≥24小时的戒烟尝试，而不论久坐行为如何，肥胖吸烟者（OR = 1.760，95%CI：1.095 - 2.828，P = 0.019）更有可能报告戒烟≥30天，而不论身体活动和久坐行为如何。