Obesity

Associations of smoking status and leisure-time physical activity with waist circumference change—10-year follow-up among twin adults

Int J Obes (Lond)Published Prospective twin cohort study

Main finding · WC change (cm)Result — go to the resultAdjusted β 2.04 cm 95% CI 0.94–3.14

Authors' conclusion

Smoking cessation seems to be associated with WC increase, but familial confounding may be involved in this process. LTPA appears to mitigate increase in WC independently of smoking status and familial influences.

Study context

Population
Twin adults in the FinnTwin16 cohort (46% men) reporting smoking status, leisure-time physical activity (LTPA) and weight circumference (WC) in early adulthood and 10 years later
Participants
3,322 twins
Exposure
Smoking status and LTPA with WC change
  • Quittersn = 273
Outcome
WC change (cm)
Follow-up
10 years
Methodological details10-year follow-up, within-pair fixed-effect analyses, Within-pair analyses among 660 dizygotic and 390 monozygotic twin pairs
  • 10-year follow-up
  • Within-pair fixed-effect analyses
  • Within-pair analyses among 660 dizygotic and 390 monozygotic twin pairs

Main finding

As reported in the abstract

10-year follow-up

Adjusted β

2.04 cm

95% CI 0.94–3.14

Change by group

Quitters

8.4

mean · SD 8.1 · cm

Each additional MET-h/week of LTPA associated with less WC increase, independently of smoking status (adjusted β; 95% CI −0.07, −0.05); replicated in within-pair analyses
−0.06

Observational data: associations, not effects.

Further findings

Smoking cessation among baseline daily smokers · 10-year follow-up — Quitters
36.4%
LTPA change · 10-year follow-up — Quitters
mean 5.0 (SD 35.0) MET-h/week

LTPA change · 10-year follow-up

Participants in general decreased LTPA during follow-up, except quitters

Original publication

Associations of smoking status and leisure-time physical activity with waist circumference change—10-year follow-up among twin adults. Int J Obes (Lond). Published 29 June 2025. doi:10.1038/s41366-025-01820-7

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