Korean J Fam Pract. 2018; 8(5): 735-740  https://doi.org/10.21215/kjfp.2018.8.5.735
The Relationship between Physical Activity, Sedentary Behavior and Intention to Quit Smoking in Adult Smokers
Nojin Lee, Seokhan Lee, Semi Park, Kyung Hwan Cho*, Yang Hyun Kim, Seokwon Park, Jihyun Kim, Keunjoo Bae
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea
Kyung Hwan Cho
Tel: +82-2-920-5105, Fax: +82-2-928-8083
E-mail: chokh@korea.ac.kr
ORCID: http://orcid.org/0000-0003-2521-3064
Received: July 21, 2017; Revised: October 1, 2017; Accepted: October 8, 2017; Published online: October 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Health risk behaviors such as smoking, physical activity, and sedentary behavior have an important influence on chronic disease prevalence and mortality. Determining the relationship between these health risk behaviors will be helpful in preventing chronic disease and developing appropriate individualized cessation plans for smokers.
Methods: The purpose of this study was to investigate the relationship between the level of physical activity, sedentary behavior time, and intention to discontinue smoking in adult male smokers aged between 20 and 59 years old in Korea. We used multivariate logistic regression analysis to determine the relationship between these factors. We used raw data from the first year (2013) of the sixth Korean National Health and Nutrition Examination Survey.
Results: Compared to the group with less than 5 hours of sedentary behavior without exercise, the odds ratio of the intention to discontinue smoking for the group with less than 5 hours of sedentary behavior with exercise was 2.694 (95% confidence interval 1.299–5.588). This model was adjusted for age, sex, body mass index, lifetime alcohol consumption experience, educational status, and income.
Conclusion: Groups with a longer exercise time and shorter sedentary behavior time had a higher intention to discontinue smoking than those without. This is thought to be because of the psychological rewards of exercise and changes in neurotransmitters involved in the positive reinforcement by substance abuse.
Keywords: Smokers; Exercise; Sedentary Lifestyle; Smoking; Smoking Cessation; Health Behavior
References
  1. World Health Organization. The world health report 2002: reducing risks, promoting healthy life. Geneva: WHO; 2002.
  2. Chowdhury PP, Balluz L, Murphy W, Wen XJ, Zhong Y, Okoro C, et al. Surveillance of certain health behaviors among states and selected local areasUnited States, 2005. MMWR Surveill Summ 2007; 56: 1-160.
    Pubmed
  3. U.S. Department of Health and Human Services. The health consequences of smoking-50 years of progress: a report of the surgeon general: executive summary. Rockville, MD: US Department of Health and Human Services;2014.
  4. Kim HR. Socioeconomic inequality and its trends in cigarette smoking in South Korea, 1998-2005. Health and Social Welfare Review 2007; 27: 25-43.
    CrossRef
  5. Organisation for Economic Cooperation and Development. OECD factbook 2014: economic, environmental, and social statistics. Paris, France:OECD; 2014.
  6. Bize R, Johnson JA, Plotnikoff RC. Physical activity level and health-related quality of life in the general adult population: a systematic review. Prev Med 2007; 45: 401-15.
    Pubmed CrossRef
  7. U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans: be active, healthy, and happy!. Washington, DC:U.S. Department of Health and Human Services; 2008.
  8. Korea Centers for Disease Control and Prevention. Korea health statistics 2010: Korea national health and nutrition examination survey (KNHANES V-1). Sejong: Ministry of Health and Welfare; 2011.
  9. Nagaya T, Yoshida H, Takahashi H, Kawai M. Cigarette smoking weakens exercise habits in healthy men. Nicotine Tob Res 2007; 9: 1027-32.
    Pubmed CrossRef
  10. Hamilton MT, Healy GN, Dunstan DW, Zderic TW, Owen N. Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep 2008; 2:292-8.
    Pubmed KoreaMed CrossRef
  11. Ford ES, Caspersen CJ. Sedentary behaviour and cardiovascular disease: a review of prospective studies. Int J Epidemiol 2012; 41: 1338-53.
    Pubmed KoreaMed CrossRef
  12. Thorp AA, Owen N, Neuhaus M, Dunstan DW. Sedentary behaviors and subsequent health outcomes in adults a systematic review of longitudinal studies, 1996-2011. Am J Prev Med 2011; 41: 207-15.
    Pubmed CrossRef
  13. Kaufman A, Augustson EM, Patrick H. Unraveling the relationship between smoking and weight: the role of sedentary behavior. J Obes 2012; 2012:735465.
    Pubmed KoreaMed CrossRef
  14. Zhou X, Nonnemaker J, Sherrill B, Gilsenan AW, Coste F, West R. Attempts to quit smoking and relapse: factors associated with success or failure from the ATTEMPT cohort study. Addict Behav 2009; 34: 365-73.
    Pubmed CrossRef
  15. Hughes JR. Treatment of smoking cessation in smokers with past alcohol/drug problems. J Subst Abuse Treat 1993; 10: 181-7.
    CrossRef
  16. Heffner JL, Barrett SW, Anthenelli RM. Predicting alcohol misusers’ readiness and ability to quit smoking: a critical review. Alcohol Alcohol 2007; 42:186-95.
    Pubmed CrossRef
  17. Ussher MH, Taylor AH, Faulkner GE. Exercise interventions for smoking cessation. Cochrane Database Syst Rev 2014; (8): CD002295.
    CrossRef
  18. Oh JY, Yang YJ, Kim BS, Kang JH. Validity and reliability of Korean version of international physical activity questionnaire (IPAQ) short form. J Korean Acad Fam Med 2007; 28: 532-41.
  19. Audrain-McGovern J, Rodriguez D, Cuevas J, Sass J. Initial insight into why physical activity may help prevent adolescent smoking uptake. Drug Alcohol Depend 2013; 132: 471-8.
    Pubmed KoreaMed CrossRef
  20. Comer SD, Collins ED, Wilson ST, Donovan MR, Foltin RW, Fischman MW. Effects of an alternative reinforcer on intravenous heroin self-administration by humans. Eur J Pharmacol 1998; 345: 13-26.
    CrossRef
  21. Green L, Freed DE. The substitutability of reinforcers. J Exp Anal Behav 1993; 60: 141-58.
    Pubmed KoreaMed CrossRef
  22. Eime RM, Young JA, Harvey JT, Charity MJ, Payne WR. A systematic review of the psychological and social benefits of participation in sport for adults:informing development of a conceptual model of health through sport. Int J Behav Nutr Phys Act 2013; 10: 135.
    Pubmed KoreaMed CrossRef
  23. Rodriguez D, Dunton GF, Tscherne J, Sass J. Physical activity and adolescent smoking: a moderated mediation model. Mental Health and Physical Activity 2008; 1: 17-25.
    CrossRef
  24. Chen M, Wu Y, Narimatsu H, Li X, Wang C, Luo J, et al. Socioeconomic status and physical activity in Chinese adults: a report from a communitybased survey in Jiaxing, China. PLoS One 2015; 10: e0132918.
    Pubmed KoreaMed CrossRef
  25. Stamatakis E, Coombs N, Rowlands A, Shelton N, Hillsdon M. Objectivelyassessed and self-reported sedentary time in relation to multiple socioeconomic status indicators among adults in England: a cross-sectional study. BMJ open 2014; 4: e006034.
    Pubmed KoreaMed CrossRef
  26. Smith AM, Baghurst KI. Public health implications of dietary differences between social status and occupational category groups. J Epidemiol Community Health 1992; 46: 409-16.
    CrossRef
  27. Kushi LH, Folsom AR, Jacobs DR Jr, Luepker RV, Elmer PJ, Blackburn H. Educational attainment and nutrient consumption patterns: the Minnesota heart survey. J Am Diet Assoc 1988; 88: 1230-6.
    Pubmed
  28. Kim SR, Khang YH, Cho HJ , Kim OK, Yun KE. Socioeconomic factors associated with initiating and quitting cigarette smoking among Korean men. J Korean Acad Fam Med 2009; 30: 415-25.
    CrossRef

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