PhD Program in Health Promotion and Cognitive Sciences, Sport and Exercise Research Unit, Department of Psychological, Pedagogical and Education Sciences, University of Palermo, 90144 Palermo, Italy.
Faculty of Science and Education, Mostar, Bosnia and Herzegovina, University of Mostar, 88000 Mostar, Bosnia and Herzegovina.
Medicina (Kaunas). 2021 Feb 27;57(3):214. doi: 10.3390/medicina57030214.
: Although smoking and the physical activity level (PAL) are important determinants of health status in adolescence, there is a lack of information on the relationship between smoking and PAL in early adolescence. The objective of this study was to evaluate the gender-specific relationship between smoking and PAL in 14-to-16-year-old adolescents. : The sample included 650 adolescents (337 girls, 14.7 ± 0.5 years at first testing wave) from Bosnia and Herzegovina. During the first testing wave, participants were tested using structured questionnaires. Second testing was commenced after approximately 20 months (16.4 ± 0.6 years). The variables were age, gender, socioeconomic status, living environment, cigarette smoking (predictors), and PAL (criterion). Predictors were measured at the first wave, and criterion at the first-wave and second-wave. : For girls, smoking was negatively correlated to PAL at the first-wave (OR: 0.75, 95% CI: 0.55-0.95) and at the second-wave (OR: 0.73, 95% CI: 0.71-0.96). No significant association between smoking and PAL was found for boys. Results suggest that adolescent boys and girls do not follow the equal trajectories when it comes to relationships between smoking and PAL. : In developing promotional public health actions related to a decrease of smoking and increase of PAL, a gender-specific approach is highly recommended. Further studies analyzing the cause-effect relationship between consumption of other types of psychoactive substances and PAL in this age group are warranted.
尽管吸烟和身体活动水平（PAL）是青少年健康状况的重要决定因素，但关于青少年早期吸烟与 PAL 之间关系的信息仍然缺乏。本研究的目的是评估 14 至 16 岁青少年中吸烟与 PAL 之间的性别特异性关系。
该样本包括来自波斯尼亚和黑塞哥维那的 650 名青少年（337 名女孩，首次测试波时年龄为 14.7±0.5 岁）。在第一次测试波期间，参与者使用结构化问卷进行了测试。大约 20 个月后（16.4±0.6 岁）开始了第二次测试。变量包括年龄、性别、社会经济地位、生活环境、吸烟（预测因素）和 PAL（标准）。预测因素在第一次波中进行测量，标准在第一次波和第二次波中进行测量。
对于女孩，吸烟与第一次波时的 PAL 呈负相关（OR：0.75，95%CI：0.55-0.95），与第二次波时的 PAL 也呈负相关（OR：0.73，95%CI：0.71-0.96）。对于男孩，吸烟与 PAL 之间没有显著关联。结果表明，在吸烟与 PAL 之间的关系方面，青少年男孩和女孩并不遵循相同的轨迹。
在制定与减少吸烟和增加 PAL 相关的促进公共卫生的行动时，强烈建议采取性别特异性方法。进一步的研究分析该年龄组中其他类型的精神活性物质消耗与 PAL 之间的因果关系是有必要的。
