Evaluating the evidence on sitting, smoking, and health: Is sitting really the new smoking?

Jeff K. Vallance, Paul A. Gardiner, Brigid M. Lynch, Adrijana D'Silva, Terry Boyle, Lorian M. Taylor, Steven T. Johnson, Matthew Buman, Neville Owen

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Sitting has frequently been equated with smoking, with some sources even suggesting that smoking is safer than sitting. This commentary highlights how sitting and smoking are not comparable. The most recent meta-analysis of sedentary behavior and health outcomes reported a hazard ratio of 1.22 (95% confidence interval [CI] = 1.09, 1.41) for all-cause mortality. The relative risk (RR) of death from all causes among current smokers, compared with those who have never smoked, is 2.80 (95% CI = 2.72, 2.88) for men and 2.76 for women (95%CI = 2.69, 2.84). The risk is substantially higher for heavy smokers (< 40 cigarettes per day: RR= 4.08 [95% CI = 3.68, 4.52] for men, and 4.41 [95% CI = 3.70, 5.25] for women). These estimates correspond to absolute risk differences ofmore than 2000 excess deaths from any cause per 100 000 persons per year among the heaviest smokers compared with never smokers, versus 190 excess deaths per 100 000 persons per year when comparing people with the highest volume of sitting with the lowest. Conflicting or distorted information about health risks related to behavioral choices and environmental exposures can lead to confusion and public doubt with respect to health recommendations.

Original languageEnglish (US)
Pages (from-to)1478-1482
Number of pages5
JournalAmerican Journal of Public Health
Volume108
Issue number11
DOIs
StatePublished - Nov 1 2018

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Evaluating the evidence on sitting, smoking, and health: Is sitting really the new smoking?'. Together they form a unique fingerprint.

  • Cite this

    Vallance, J. K., Gardiner, P. A., Lynch, B. M., D'Silva, A., Boyle, T., Taylor, L. M., Johnson, S. T., Buman, M., & Owen, N. (2018). Evaluating the evidence on sitting, smoking, and health: Is sitting really the new smoking? American Journal of Public Health, 108(11), 1478-1482. https://doi.org/10.2105/AJPH.2018.304649