Most Read Articles
2 days ago
No association exists between physical activity and the risk of urological cancer, according to a population-based prospective study in Japan.
12 Feb 2019
Olanzapine confers a modest therapeutic effect on weight compared with placebo in adult outpatients with anorexia nervosa, a study has shown. However, it does not appear to offer significant benefit for psychological symptoms.
3 days ago
Patients with childhood-onset inflammatory bowel disease are more likely to die than the general population, a study suggests.
3 days ago
Reduced caloric intake results in a significant improvement in glucose metabolism and body-fat composition, including liver-fat content, according to a study. Changes in ferritin levels appear to mediate the striking reduction in liver fat.

Overweight, obese adolescents highly likely to experiment with cigarettes

06 Oct 2018

Adolescents with increased body mass index (BMI) tend to feel negatively about their appearance and bodies, and this negative perception may lead them to experiment with cigarettes, a study reports.

Researchers analysed longitudinal panel data from 1,023 middle school youth (mean age at enrolment, 12.5 years; 52 percent female; 24 percent of nonwhite ethnicity). They examined whether smoking initiation was concurrently and prospectively associated with self-reported BMI, and whether self-esteem for physical appearance (SEPA) mediated the effect of BMI on risk of early cigarette smoking.

Unadjusted Pearson correlations showed that BMI predicted smoking initiation concurrently and prospectively. In adjusted models, SEPA showed a mediating effect on the association between BMI and smoking initiation.

Specifically, lower SEPA significantly mediated the positive association between BMI and subsequent smoking (B, 0.10; 95 percent CI, 0.01–0.22).

The present data bring to the foreground an increased risk of experimentation with cigarettes in adolescents who are overweight or obese, who are more likely to have low self-esteem due to their appearance and bodies, researchers said.

Overall, the findings are of clinical importance, given that overweight or obese adolescents who begin smoking have disproportionate risk of negative health consequences because of the individual and interactive risks associated with both excess weight and smoking, they added.

Researchers recommended that healthcare providers discuss weight status with patients and parents, as well as suggest interventions to reduce associated health consequences of increased BMI in a way that is not stigmatizing or judgmental (eg, using neutral words in conversation and documentation) with the aim of avoiding any negative effects on SEPA.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Doctor - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
2 days ago
No association exists between physical activity and the risk of urological cancer, according to a population-based prospective study in Japan.
12 Feb 2019
Olanzapine confers a modest therapeutic effect on weight compared with placebo in adult outpatients with anorexia nervosa, a study has shown. However, it does not appear to offer significant benefit for psychological symptoms.
3 days ago
Patients with childhood-onset inflammatory bowel disease are more likely to die than the general population, a study suggests.
3 days ago
Reduced caloric intake results in a significant improvement in glucose metabolism and body-fat composition, including liver-fat content, according to a study. Changes in ferritin levels appear to mediate the striking reduction in liver fat.