Participating in team sports is associated with a reduced likelihood of youths becoming established smokers, according to a new report. The study from the Dartmouth Medical School in New Hampshire found that young adults who did not take part in team sports were twice as likely to become smokers as those who played sports.

At the same time, the study found that watching movies increases the chances that children will light up. As many as 30 percent to 50 percent of adolescent smokers attribute their smoking to seeing it in films, researchers say.

“Team sports is clearly protective to prevent youth from smoking,” said lead researcher Anna M. Adachi-Mejia, a research assistant professor in the Department of Pediatrics at the Hood Center for Children and Families, at Dartmouth Medical School in Lebanon, N.H.

But movies can undo that positive effect, Adachi-Mejia said. “Parents need to be aware of the need to minimize their child's exposure to movie smoking,” she said. “So even if their child plays sports, that's not enough.”

Professor Adachi-Mejia and her colleagues analyzed data from school- and telephone-based surveys that assessed movie smoking exposure and team sports participation in 2,048 youths from September 1999 through November 1999 and February 2006 through February 2007. Baseline movie smoking exposure was reported when respondents were ages 9 to 14 and team sport participation was assessed at ages 16 to 21 at follow-up. Movie smoking exposure was classified in quartiles with 0 to 522 smoking occurrences for the first quartile, 523 to 947 for the second, 948 to 1,649 for the third and 1,650 to 5,308 for the fourth.

Respondents had been exposed to an average of 1,191 smoking occurrences from 601 movies at baseline with no significant difference in exposure between sports participants and nonparticipants.

A total of 353 (17.2 percent) of the respondents were established smokers (having smoked 100 cigarettes or more in their lifetime) at follow-up. Those with exposure to the highest quartile of movie smoking compared to those with exposure to the lowest quartile were more likely to become established smokers. “Compared with the other respondents, established smokers were significantly more likely to be male, be older, have parents with lower levels of education, have a higher proportion of close friends who smoke, have parents who smoke, report lower school performance, have higher levels of sensation seeking and rebelliousness and be less likely to be enrolled in school at the time of follow-up,” the authors write. Although team sports nonparticipants were twice as likely to become established smokers as sports participants, “in both team sports participants and nonparticipants, the proportion of established smokers increased from lowest to highest levels of movie smoking exposure by the same amount, 19.3 percent.”

“In summary, this study supports the benefits of youth participation in team sports, which appears to protect against established smoking even in the face of movie smoking exposure,” the authors conclude. “However, movie smoking exposure increases the risk of established smoking among both team sports participants and nonparticipants. Parents, teachers, coaches and clinicians should be aware that encouraging team sports participation in tandem with minimizing early exposure to movie smoking may offer the greatest likelihood of preventing youth smoking.”

The study was supported by grants from the National Cancer Institute.