Living with a Smoker and Physical Inactivity across Eight Years in High-Risk Medical Patients.

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Charles J Holahan, Carole K Holahan, Sangdon Lim, Daniel A Powers, Rebecca J North
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Abstract

Recent research has demonstrated a link between living with a smoker and physical inactivity. However, no research has examined this issue in the context of recovery in medical patients. The present study broadens research on living with a smoker by applying it to physical inactivity in a group of high-risk medical patients with histories of cancer or cardiovascular disease compared to a control group without histories of these conditions. In addition, this study extends the time frame of research on living with a smoker in predicting physical inactivity to eight years. Participants were 76,758 women between 49 and 81 years of age from the Women's Health Initiative Observational Study. Data on living with a smoker were collected at baseline; data on physical activity were collected at baseline and annually from 3 to 8 years. Analyses utilized latent growth modeling. Patient status, compared to control status, was associated with more physical inactivity at baseline. Independent of patient status, living with a smoker predicted a significant increase in the odds of no moderate or strenuous exercise and a significant increase in the odds of no walking at baseline. The effect of living with a smoker on physical inactivity was stronger than that of patient status. Moreover, the living with a smoker effect on physical inactivity remained stable across eight years. These findings highlight an overlooked impediment to compliance with recommendations for lifestyle change among high-risk medical patients.

Abstract Image

高风险医疗患者与吸烟者和缺乏身体活动的人一起生活八年。
最近的研究表明,与吸烟者生活在一起与缺乏体育锻炼之间存在联系。然而,没有研究在医疗病人康复的背景下检查这个问题。目前的研究扩大了对与吸烟者一起生活的研究,将其应用于一组有癌症或心血管疾病病史的高风险患者的缺乏运动,而不是没有这些病史的对照组。此外,这项研究将与吸烟者生活在一起预测缺乏身体活动的研究时间范围延长至8年。参与者是来自妇女健康倡议观察研究的76,758名年龄在49至81岁之间的妇女。在基线时收集与吸烟者一起生活的数据;在3至8年期间,在基线和每年收集身体活动数据。分析利用潜在增长模型。与对照组相比,患者状态与基线时更多的身体活动有关。与患者状态无关,与吸烟者生活在一起预示着不进行中度或剧烈运动的几率显著增加,基线时不行走的几率显著增加。与吸烟者一起生活对缺乏身体活动的影响大于患者自身状况的影响。此外,吸烟者对缺乏运动的影响在八年内保持稳定。这些发现强调了一个被忽视的障碍,即在高危患者中遵守改变生活方式的建议。
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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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