Obese girls more than twice as likely to be addicted to smoking

By Laura Kennedy

Obese teenage girls are more than twice as likely as other girls to develop high-level nicotine addiction as young adults, according to a new study. Nearly 20 percent of American adolescents currently are obese, the authors note.

Smoking is just one of the problematic behaviors that appeal to some teens, along with delinquency, , alcohol use and early or unprotected . Some of the risk factors that could lead teens to engage in these behaviors include , depression and poor academic performance. Obese in the study were more likely to report each of these risk factors.

“As we address the issue of obesity, it is important to prevent poor medical outcomes, but we must also recognize the risk for these psychosocial outcomes and support and counsel teens appropriately,” said lead author Aliya Esmail Hussaini, M.D., of the Michael & Susan Dell Foundation in Austin, Texas.

The study appears online in the Journal of Adolescent Health. The authors analyzed data from a group of more than 4,000 U.S. adolescent girls who responded to three waves of surveys over a six-year period. The findings regarding obesity and nicotine addiction held true regardless of socioeconomic status, age, race, parental smoking and many other factors.

The surveys included a six-question section designed to assess dependence and the authors described the highest scores as “high-level .”

This description might suggest someone similar to “a heroin addict in the last stage of desperation,” said Dr. Richard Jessor, Ph.D., director of the Health and Society Research Program at the University of Colorado-Boulder Institute of Behavioral Science. Jessor, who has no affiliation with the study, said he believes that a more moderate term such as “heavy smoker” would be more appropriate.

It is also important to point out that obesity might not be a stand-alone risk factor for heavy smoking, Jessor said. Instead, similar psychosocial risk factors might lead to a “syndrome” of problem behaviors that includes both obesity and heavy smoking.

Regardless of the exact nature of the correlation, Hussaini and Jessor agree that it is critical for parents to model positive behaviors by not smoking, engaging in healthy eating and physical activity, and promoting commitment to school.

While preparing the study, Hussaini received support from the Robert Wood Johnson Foundation through the Robert Wood Johnson Clinical Scholars Program at the University of Pennsylvania.

More information: Hussaini AE, et al. Alcoholic beverage preferences and associated drinking patterns and risk behaviors among high school youth. J Adolesc Health online, 2011.

add to favorites email to friend print save as pdf

Related Stories

Initial reaction to nicotine can dictate addiction

Oct 01, 2007

Following up on studies that have indicated the speed with which adolescents can get hooked on cigarettes, researchers at the University of Massachusetts Medical School have conducted the first study to determine why some ...

Being overweight just as risky to health as being a smoker

Feb 25, 2009

Obese adolescents have the same risk of premature death in adulthood as people who smoke more than 10 cigarettes a day, while those who are overweight have the same risk as less heavy smokers, according to research published ...

Recommended for you

More involvement needed in models of care

3 hours ago

Clinicians and health administrators need to take a more active role in implementing and evaluating models of care (MoCs) for musculosketal health, according to a recent study.

Researchers developing a digital maternity package

3 hours ago

Every Finnish expectant mother can choose to receive a free of charge maternity package containing baby clothes and other useful items. VTT Technical Research Centre of Finland is currently developing a digital maternity ...

User comments