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<titleStmt>
<title xml:lang="en">Change in Body Weight Does Not Mediate the Relationship Between Exercise and Smoking Cessation Among Weight-Concerned Women Smokers</title>
<author>
<name sortKey="Emery, Rebecca L" sort="Emery, Rebecca L" uniqKey="Emery R" first="Rebecca L." last="Emery">Rebecca L. Emery</name>
<affiliation>
<nlm:aff id="AF0001">
<institution>Department of Psychology, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Levine, Michele D" sort="Levine, Michele D" uniqKey="Levine M" first="Michele D." last="Levine">Michele D. Levine</name>
<affiliation>
<nlm:aff id="AF0002">
<institution>Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cheng, Yu" sort="Cheng, Yu" uniqKey="Cheng Y" first="Yu" last="Cheng">Yu Cheng</name>
<affiliation>
<nlm:aff id="AF0003">
<institution>Department of Statistics, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marcus, Marsha D" sort="Marcus, Marsha D" uniqKey="Marcus M" first="Marsha D." last="Marcus">Marsha D. Marcus</name>
<affiliation>
<nlm:aff id="AF0002">
<institution>Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
</titleStmt>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">25542920</idno>
<idno type="pmc">4542740</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542740</idno>
<idno type="RBID">PMC:4542740</idno>
<idno type="doi">10.1093/ntr/ntu284</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000113</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000113</idno>
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<title xml:lang="en" level="a" type="main">Change in Body Weight Does Not Mediate the Relationship Between Exercise and Smoking Cessation Among Weight-Concerned Women Smokers</title>
<author>
<name sortKey="Emery, Rebecca L" sort="Emery, Rebecca L" uniqKey="Emery R" first="Rebecca L." last="Emery">Rebecca L. Emery</name>
<affiliation>
<nlm:aff id="AF0001">
<institution>Department of Psychology, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Levine, Michele D" sort="Levine, Michele D" uniqKey="Levine M" first="Michele D." last="Levine">Michele D. Levine</name>
<affiliation>
<nlm:aff id="AF0002">
<institution>Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Cheng, Yu" sort="Cheng, Yu" uniqKey="Cheng Y" first="Yu" last="Cheng">Yu Cheng</name>
<affiliation>
<nlm:aff id="AF0003">
<institution>Department of Statistics, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Marcus, Marsha D" sort="Marcus, Marsha D" uniqKey="Marcus M" first="Marsha D." last="Marcus">Marsha D. Marcus</name>
<affiliation>
<nlm:aff id="AF0002">
<institution>Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Nicotine & Tobacco Research</title>
<idno type="ISSN">1462-2203</idno>
<idno type="eISSN">1469-994X</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Introduction:</title>
<p>Exercise has received attention as a method to prevent or reduce postcessation weight gain. However, little is known about how weight changes following quit attempts contribute to the relationship between exercise and smoking cessation. The present study assessed how exercise relates to cessation and whether initial changes in exercise after quitting smoking promote cessation through attenuated weight gain.</p>
</sec>
<sec>
<title>Methods:</title>
<p>Weight-concerned women smokers (
<italic>N</italic>
= 342) receiving cessation treatment provided biochemical validation of cessation, reported weekly exercise activities, and were weighed at 1, 3, and 6 months following treatment initiation. Survival analyses were used to determine time to and risk of relapse among women who reported engaging in varied levels of exercise at baseline. A mediation analysis was used to examine whether the effect of initial changes in exercise on longer-term cessation was driven by change in weight. All analyses were adjusted for relevant covariates.</p>
</sec>
<sec>
<title>Results:</title>
<p>Women smokers who reported high levels of exercise at baseline were less likely to relapse and returned to smoking more gradually than did women who reported low levels of exercise. Change in weight did not mediate the relationship between exercise and cessation.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Cessation interventions utilizing an exercise component may have to develop exercise regimens of either higher duration or greater intensity to produce beneficial cessation outcomes, particularly when targeting sedentary smokers. Given that change in weight did not mediate the relationship between exercise and cessation, it is likely that other mediational processes are involved.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Nicotine Tob Res</journal-id>
<journal-id journal-id-type="iso-abbrev">Nicotine Tob. Res</journal-id>
<journal-id journal-id-type="hwp">nictob</journal-id>
<journal-id journal-id-type="publisher-id">nictob</journal-id>
<journal-title-group>
<journal-title>Nicotine & Tobacco Research</journal-title>
</journal-title-group>
<issn pub-type="ppub">1462-2203</issn>
<issn pub-type="epub">1469-994X</issn>
<publisher>
<publisher-name>Oxford University Press</publisher-name>
<publisher-loc>US</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">25542920</article-id>
<article-id pub-id-type="pmc">4542740</article-id>
<article-id pub-id-type="doi">10.1093/ntr/ntu284</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Investigation</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Change in Body Weight Does Not Mediate the Relationship Between Exercise and Smoking Cessation Among Weight-Concerned Women Smokers</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Emery</surname>
<given-names>Rebecca L.</given-names>
</name>
<degrees>BA, BS</degrees>
<xref ref-type="aff" rid="AF0001">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Levine</surname>
<given-names>Michele D.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="AF0002">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Cheng</surname>
<given-names>Yu</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="AF0003">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Marcus</surname>
<given-names>Marsha D.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="AF0002">
<sup>2</sup>
</xref>
</contrib>
<aff id="AF0001">
<sup>1</sup>
<institution>Department of Psychology, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</aff>
<aff id="AF0002">
<sup>2</sup>
<institution>Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
;</aff>
<aff id="AF0003">
<sup>3</sup>
<institution>Department of Statistics, University of Pittsburgh</institution>
,
<addr-line>Pittsburgh, PA</addr-line>
</aff>
</contrib-group>
<author-notes>
<corresp id="c1">Corresponding Author: Rebecca L. Emery, BA, BS, Department of Psychology, University of Pittsburgh, Bellefield Towers, 100 North Bellefield Avenue Suite 830 Pittsburgh, PA 15213, USA. Telephone:
<phone>412-647-5284</phone>
; Fax: 412-647-2429; E-mail:
<email>rle21@pitt.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>9</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="epub">
<day>26</day>
<month>12</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>9</month>
<year>2016</year>
</pub-date>
<pmc-comment> PMC Release delay is 12 months and 0 days and was based on the . </pmc-comment>
<volume>17</volume>
<issue>9</issue>
<fpage>1142</fpage>
<lpage>1148</lpage>
<history>
<date date-type="received">
<day>2</day>
<month>8</month>
<year>2014</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>12</month>
<year>2014</year>
</date>
</history>
<permissions>
<copyright-statement>© The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract>
<sec>
<title>Introduction:</title>
<p>Exercise has received attention as a method to prevent or reduce postcessation weight gain. However, little is known about how weight changes following quit attempts contribute to the relationship between exercise and smoking cessation. The present study assessed how exercise relates to cessation and whether initial changes in exercise after quitting smoking promote cessation through attenuated weight gain.</p>
</sec>
<sec>
<title>Methods:</title>
<p>Weight-concerned women smokers (
<italic>N</italic>
= 342) receiving cessation treatment provided biochemical validation of cessation, reported weekly exercise activities, and were weighed at 1, 3, and 6 months following treatment initiation. Survival analyses were used to determine time to and risk of relapse among women who reported engaging in varied levels of exercise at baseline. A mediation analysis was used to examine whether the effect of initial changes in exercise on longer-term cessation was driven by change in weight. All analyses were adjusted for relevant covariates.</p>
</sec>
<sec>
<title>Results:</title>
<p>Women smokers who reported high levels of exercise at baseline were less likely to relapse and returned to smoking more gradually than did women who reported low levels of exercise. Change in weight did not mediate the relationship between exercise and cessation.</p>
</sec>
<sec>
<title>Conclusions:</title>
<p>Cessation interventions utilizing an exercise component may have to develop exercise regimens of either higher duration or greater intensity to produce beneficial cessation outcomes, particularly when targeting sedentary smokers. Given that change in weight did not mediate the relationship between exercise and cessation, it is likely that other mediational processes are involved.</p>
</sec>
</abstract>
<counts>
<page-count count="7"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>

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