“…For example, unlike other smoking cessation treatments (NRT, cognitive behavioral therapy), exercise reduces the risk of various smoking-related diseases (Type 2 diabetes, arterial stiffness, low bone mineral density, Linke et al, 2013;Singh et al, 2011;inflammation, Korhonen et al, 2011;COPD, Garcia-Aymerich et al, 2007) and increases cardiovascular fitness (maximum oxygen consumption [V O 2 max]); Korhonen et al, 2011), even among smokers who do not achieve complete abstinence during exercise-based interventions. In addition, neuroimaging research indicates that exercise activates brain reward circuitry and releases neurotransmitters purportedly responsible for smoking reward (epinephrine, serotonin, dopamine; Boecker et al, 2008;Bortz et al, 1981), which suggests that exercise may function as a rewarding substitute for smoking.…”