title: Cigarette smoking and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention.
abstract: This study explored cigarette smoking, health status, and interest in quitting among overweight and obese adults with serious mental illness enrolled in a fitness intervention. Baseline data from two studies of the In SHAPE fitness intervention were combined. A total of 341 overweight or obese adults with serious mental illness were assessed on smoking, interest in quitting, cardiovascular fitness, lipids, body mass index, readiness to change diet, and psychiatric symptoms. Thirty-six percent (n = 122) of participants were categorized as current smokers. The majority of smokers (84%) were interested in quitting. Smokers were more likely to be younger, male, and less educated than non-smokers. Smokers had lower high-density lipoprotein cholesterol and were less ready to reduce dietary fat, after adjusting for age, gender, and education. Findings highlight the potential to address both fitness and smoking to reduce cardiovascular risk in individuals with serious mental illness.
authors.affiliation: *Dartmouth Centers for Health and Aging, Geisel School of Medicine, Dartmouth College, Hanover; †Dartmouth Psychiatric Research Center, Lebanon, NH; ‡Bowdoin College, Brunswick, ME; and §Biomedical Data Science at the Geisel School of Medicine, Dartmouth College, Hanover, NH.
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Aschbrenner
authors.forename: Mary F
authors.initials: MF
authors.lastname: Brunette
authors.forename: Raleigh
authors.initials: R
authors.lastname: McElvery
authors.forename: John A
authors.initials: JA
authors.lastname: Naslund
authors.forename: Emily A
authors.initials: EA
authors.lastname: Scherer
authors.forename: Sarah I
authors.initials: SI
authors.lastname: Pratt
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Bartels
mesh_terms: D000328:Adult; D005081:Exercise Therapy; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology*; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology / Q000503:physiopathology / Q000628:therapy; D050177:Overweight / Q000097:blood / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology* / Q000706:statistics & numerical data