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Cited by 1,388Smoking Behavior and CessationAdolescent Health and BehaviorsObesity, Physical Activity, Diet

The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.

Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors

Kelder, S H, Perry, C L, Klepp, K I, Lytle, L L·1994·American Journal of Public Health
DOI 10.2105/ajph.84.7.1121
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Abstract

OBJECTIVES: A major assumption underlying youth health promotion has been that physiological risk factors track from childhood into adulthood. However, few studies have systematically examined how behaviors change during adolescence. This paper describes longitudinal tracking of adolescent health behaviors in two Minnesota Heart Health Program communities. METHODS: Beginning in sixth grade (1983), seven annual waves of behavioral measurements were taken from both communities (baseline n = 2376). Self-reported data included smoking behavior, physical activity, and food preferences. RESULTS: A progressive increase in the change to weekly smoking status was observed across the smoking status categories. As students began to experiment with smoking, they were more likely to either begin to be or remain regular smokers. Tracking of physical activity and food choice variables was also apparent. In nearly all the follow-up periods, the students identified at baseline as measuring high remained high, and those measuring low remained low. CONCLUSIONS: These results indicate that there is evidence of early consolidation and tracking of physical activity, food preference, and smoking behavior. The early consolidation of health behaviors implies that interventions should begin prior to sixth grade, before behavioral patterns are resistant to change. The smoking results suggest that students are experiencing difficulty quitting smoking; thus, youth smoking cessation interventions are warranted.

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Crossref · 10.2105/ajph.84.7.1121

Cites

25 of 25 references verified0 citation errors · 0 not checkable

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Citations

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Show all 25 references

Research works printed but not linked: 6

  1. Fraser GE. Preventive Cardiology. New York, NY: Oxford University Press; 1986.
  2. Laurer RM, 1988, Pediatrics., 82, 309
  3. McCarthy WJ. The cognitive developmental model and other alternatives to the social skills deficit model of smoking onset. In: Bell CS, Battjes R, eds. Prevention Research: Deterring Drug Abuse among Children and Adolescents. Rockville, Md: National Institute on Drug Abuse; 1987: 153-169. USDHHS publication ADM 87-1334.
  4. Blackburn H, Luepker RV, Kline FG. The Minnesota Heart Health Program: a research and demonstration project in cardiovascular disease prevention. In: Matarazzo JD, Weiss SM, Herd JA, Miller NE, Weiss SM, eds. Behavioral Health:A Handbook of Health Enhancement and Disease Prevention. New York, NY: Wiley Interscience; 1984:1171-1178.
  5. Kelder SH, Perry CL, Trenkner LL, Klepp K-I. Community-wide youth nutrition education: long-term outcomes from the Minnesota Heart Health Program and the Class of 1989 Study. Health Educ Res Theory Pract. In press.
  6. Pallonen UE. Smoking cessation in adolescence. Paper presented at the Western Area Conference on Psychosocial Research; January 1987; Los Angeles, Calif

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Metadata

Authors
Kelder, S. H., Perry, C. L., Klepp, K. I., & Lytle, L. L.
Affiliations
The University of Texas Health Science Center at Houston (US)
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
1994-07
Volume
84
Issue
7
Pages
1121-1126
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.84.7.1121
OpenAlex
W2112860647
Cited by
1,388
References
25
Citations by year
2026: 12 · 2025: 12 · 2024: 15 · 2023: 12 · 2022: 22 · 2021: 61 · 2020: 45 · 2019: 44 · 2018: 51 · 2017: 62 · 2016: 64 · 2015: 60 · 2014: 78 · 2013: 83 · 2012: 76
FWCI
11.09
Type
journal article
Language
en
Open access
closed
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01hl025523-13)
  • National Heart, Lung, and Blood Institute (R01-HL 25523)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
adolescent smoking, physical activity, food choice, smoking initiation, smoking cessation, youth health promotion
MeSH terms
Adolescent, Adolescent Behavior, Child, Diet, Feeding Behavior, Female, Humans, Longitudinal Studies, Male, Smoking, Health Behavior, Exercise

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