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Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults

Paul D. Loprinzi, Ovuokerie Addoh.

Abstract
Purpose: We recently proposed a conceptual smoking cessation model suggesting the potential for physical activity to facilitate smoking cessation via improvements in neurocognition and executive function. Here, we provide a preliminary empirical evaluation of this model. Methods: Data from the 1999-2002 NHANES were used; 2,299 older adult (60-84 yrs) participants provided data on the study variables. Moderate-to-vigorous physical activity (MVPA) and smoking status (yes/no) were assessed via self-report; the Digit Symbol Substitution Test (DSST) was used to assess cognitive function. Results: After adjustments, adults meeting MVPA guidelines had a 61% lower odds of being a smoker (OR = 0.39; 95% CI: 0.25-0.61; p<0.001). After adjustments, participants meeting MVPA guidelines had a higher cognitive function score (β = 6.95; 95% CI: 5.21-8.69; p<0.001). Then, a 1-SD (DSST score of 18) increase in DSST was associated with a 24% (OR = 0.76; 95% CI: 0.64-0.90; P=0.003) reduced odds of being a smoker after adjustments. The indirect beta coefficient was statistically significant (β = -0.01; 95% CI: -0.03 to -0.0004). The proportion of the total effect of MVPA on smoking that was mediated by cognitive function was 6.2%. Conclusion: These preliminary findings provide empirical support for the possibility of cognitive function playing a mediating role regarding the relationship between physical activity and smoking behavior.

Key words: Elderly; epidemiology; executive function; exercise; neurocognition


 
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Pubmed Style

Paul D. Loprinzi, Ovuokerie Addoh. Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. J Behav Health. 2017; 6(2): 107-109. doi:10.5455/jbh.20161210022828


Web Style

Paul D. Loprinzi, Ovuokerie Addoh. Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. http://www.jbehavioralhealth.com/?mno=245827 [Access: September 17, 2019]. doi:10.5455/jbh.20161210022828


AMA (American Medical Association) Style

Paul D. Loprinzi, Ovuokerie Addoh. Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. J Behav Health. 2017; 6(2): 107-109. doi:10.5455/jbh.20161210022828



Vancouver/ICMJE Style

Paul D. Loprinzi, Ovuokerie Addoh. Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. J Behav Health. (2017), [cited September 17, 2019]; 6(2): 107-109. doi:10.5455/jbh.20161210022828



Harvard Style

Paul D. Loprinzi, Ovuokerie Addoh (2017) Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. J Behav Health, 6 (2), 107-109. doi:10.5455/jbh.20161210022828



Turabian Style

Paul D. Loprinzi, Ovuokerie Addoh. 2017. Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. Journal of Behavioral Health, 6 (2), 107-109. doi:10.5455/jbh.20161210022828



Chicago Style

Paul D. Loprinzi, Ovuokerie Addoh. "Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults." Journal of Behavioral Health 6 (2017), 107-109. doi:10.5455/jbh.20161210022828



MLA (The Modern Language Association) Style

Paul D. Loprinzi, Ovuokerie Addoh. "Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults." Journal of Behavioral Health 6.2 (2017), 107-109. Print. doi:10.5455/jbh.20161210022828



APA (American Psychological Association) Style

Paul D. Loprinzi, Ovuokerie Addoh (2017) Potential Mediational Role of Cognitive Function on Physical Activity and Smoking Behavior among Older Adults. Journal of Behavioral Health, 6 (2), 107-109. doi:10.5455/jbh.20161210022828





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