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Am J Public Health. 1994 July; 84(7): 1121–1126.
PMCID: PMC1614729

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

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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  • Perry CL, Stone EJ, Parcel GS, Ellison RC, Nader PR, Webber LS, Luepker RV. School-based cardiovascular health promotion: the child and adolescent trial for cardiovascular health (CATCH). J Sch Health. 1990 Oct;60(8):406–413. [PubMed]
  • Neaton JD, Wentworth D. Serum cholesterol, blood pressure, cigarette smoking, and death from coronary heart disease. Overall findings and differences by age for 316,099 white men. Multiple Risk Factor Intervention Trial Research Group. Arch Intern Med. 1992 Jan;152(1):56–64. [PubMed]
  • ENOS WF, Jr, BEYER JC, HOLMES RH. Pathogenesis of coronary disease in American soldiers killed in Korea. J Am Med Assoc. 1955 Jul 16;158(11):912–914. [PubMed]
  • McNamara JJ, Molot MA, Stremple JF, Cutting RT. Coronary artery disease in combat casualties in Vietnam. JAMA. 1971 May 17;216(7):1185–1187. [PubMed]
  • Porkka KV, Viikari JS, Akerblom HK. Tracking of serum HDL-cholesterol and other lipids in children and adolescents: the Cardiovascular Risk in Young Finns Study. Prev Med. 1991 Nov;20(6):713–724. [PubMed]
  • Clarke WR, Schrott HG, Leaverton PE, Connor WE, Lauer RM. Tracking of blood lipids and blood pressures in school age children: the Muscatine study. Circulation. 1978 Oct;58(4):626–634. [PubMed]
  • Laskarzewski P, Morrison JA, deGroot I, Kelly KA, Mellies MJ, Khoury P, Glueck CJ. Lipid and lipoprotein tracking in 108 children over a four-year period. Pediatrics. 1979 Nov;64(5):584–591. [PubMed]
  • Pagnan A, Ambrosio GB, Vincenzi M, Mormino P, Maiolino P, Gerin L, Barbieri E, Cappelletti F, Dal Palù C. Precursors of atherosclerosis in children: the Cittadella study. Follow-up and tracking of total serum cholesterol, triglycerides, and blood glucose. Prev Med. 1982 Jul;11(4):381–390. [PubMed]
  • Orchard TJ, Donahue RP, Kuller LH, Hodge PN, Drash AL. Cholesterol screening in childhood: does it predict adult hypercholesterolemia? The Beaver County experience. J Pediatr. 1983 Nov;103(5):687–691. [PubMed]
  • Lauer RM, Lee J, Clarke WR. Factors affecting the relationship between childhood and adult cholesterol levels: the Muscatine Study. Pediatrics. 1988 Sep;82(3):309–318. [PubMed]
  • Cleary PD, Hitchcock JL, Semmer N, Flinchbaugh LJ, Pinney JM. Adolescent smoking: research and health policy. Milbank Q. 1988;66(1):137–171. [PubMed]
  • Stone EJ, Perry CL, Luepker RV. Synthesis of cardiovascular behavioral research for youth health promotion. Health Educ Q. 1989 Summer;16(2):155–169. [PubMed]
  • Perry CL, Kelder SH, Murray DM, Klepp KI. Communitywide smoking prevention: long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. Am J Public Health. 1992 Sep;82(9):1210–1216. [PMC free article] [PubMed]
  • Kelder SH, Perry CL, Klepp KI. Community-wide youth exercise promotion: long-term outcomes of the Minnesota Heart Health Program and the Class of 1989 Study. J Sch Health. 1993 May;63(5):218–223. [PubMed]
  • Mittelmark MB, Luepker RV, Jacobs DR, Bracht NF, Carlaw RW, Crow RS, Finnegan J, Grimm RH, Jeffery RW, Kline FG, et al. Community-wide prevention of cardiovascular disease: education strategies of the Minnesota Heart Health Program. Prev Med. 1986 Jan;15(1):1–17. [PubMed]
  • Pechacek TF, Murray DM, Luepker RV, Mittelmark MB, Johnson CA, Shutz JM. Measurement of adolescent smoking behavior: rationale and methods. J Behav Med. 1984 Mar;7(1):123–140. [PubMed]
  • Lichtenstein E, Glasgow RE. Smoking cessation: what have we learned over the past decade? J Consult Clin Psychol. 1992 Aug;60(4):518–527. [PubMed]
  • Baranowski T, Simons-Morton BG. Dietary and physical activity assessment in school-aged children: measurement issues. J Sch Health. 1991 May;61(5):195–197. [PubMed]
  • Pirie PL, Murray DM, Luepker RV. Smoking prevalence in a cohort of adolescents, including absentees, dropouts, and transfers. Am J Public Health. 1988 Feb;78(2):176–178. [PMC free article] [PubMed]

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