Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial

Maddison, Ralph; Roberts, Vaughan S; McRobbie, Hayden; Bullen, Chris; Prapavessis, Harry; Glover, Marewa; Jiang, Yannan; Brown, Paul; Leung, William; Taylor, Susan; Tsai, Midi

doi:10.1007/s12160-014-9588-9

Cited by 23 publications

(56 citation statements)

References 38 publications

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“…Thus, both problems contribute to and compound risk for morbidity and early mortality. Increasing physical activity is one important modifiable health behavior that can facilitate weight management (United States Department of Health & Human Servies [USDHHS], 1996), reduce risk of cardiovascular disease (Fletcher, 1999), and promote smoking cessation (Abrantes et al, 2014; Korhonen, Goodwin, Miesmaa, Dupuis, & Kinnunen, 2011; Maddison et al, 2014; Marcus et al, 2005). However, engagement in and adherence to physical activity programs is low (Marcus et al, 2000) and may be affected by a host of biopsychosocial factors (e.g., motivational status, low social support, limited access to physical activity facilities, depression, and anxiety; Ekkekakis & Lind, 2006).…”

mentioning

confidence: 99%

Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers

Farris

Davis

Rosenfield

et al. 2016

Mental Health and Physical Activity

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There is little known about factors that contribute to the comorbidity of cigarette smoking and obesity. The current study sought to test whether exercise self-efficacy moderated the relation between anxiety sensitivity (fear of internal sensations) and BMI and exercise tolerance among cigarette smokers. Smokers (n = 72; 50% female; Mcpd = 19.3, SD = 10.65) were recruited to participate in a smoking cessation treatment trial. During medical screen, we measured weight, height, and exercise tolerance (functional capacity) employing a standardized maximal exercise testing protocol. After adjusting for participant sex and cigarettes per day, exercise self-efficacy moderated the association between anxiety sensitivity and BMI, such that the positive association between anxiety sensitivity and BMI was significantly stronger when exercise self-efficacy was low. The same pattern of results emerged for exercise tolerance. Exercise self-efficacy moderated the association between anxiety sensitivity and exercise tolerance, such that the negative association between anxiety sensitivity and exercise tolerance was significantly stronger when exercise self-efficacy was low. Among smokers, anxiety sensitivity may be a risk variable that, directly and indirectly in the context of low self-efficacy for exercise, causes or maintains higher body weight and lower exercise tolerance.

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mentioning

confidence: 99%

Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers

Farris

Davis

Rosenfield

et al. 2016

Mental Health and Physical Activity

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“…Supervised exercise was offered prior to the quit date at week 4 because exercise and smoking are not compatible behaviours, thus providing smokers the opportunity to replace a harmful behaviour with one that is beneficial. Exercise can be seen as a gateway to smoking cessation, which is supported by previous research [31][32][33][48][49][50] which did not instruct participants to decrease cigarette consumption before their quit date (approximately 3-4 weeks away). The decision to start the NRT program at week 4 was based on two considerations.…”

Section: Methodsmentioning

confidence: 60%

“…Overall, our continuous abstinence rates (40.3 % at 14 weeks, 21.5 % at week 26 and 14 % at week 52) suggest that our exercise-aided smoking cessation program with builtin maintenance components was either superior [20,33] or in line [31,32] with other similar programs. Furthermore, the 14-and 26-week abstinence rates are consistent with those reported using varenicline [63,64].…”

Section: Discussionmentioning

confidence: 68%

“…16 %) on the primary variable of interest, continuous smoking abstinence [51,52]. Our estimated treatment effect is larger than what has been shown in other exercise-aided smoking cessation trials [31,33]. This is because no previous trial has implemented both cessation and exercise maintenance components to specifically enhance post-treatment cessation rates.…”

Section: Sample Sizementioning

confidence: 76%

“…Two recent studies [32,33] have produced mixed results which weaken the claim that can be made about the value of exercise as a smoking cessation aid. Our "Getting Physical on Cigarettes" trial is designed to examine whether quitters exposed to an exercise-aided NRT smoking cessation intervention program that has built-in maintenance components could enhance post-intervention 14-, 26-and 56-week cessation rates compared to contact controls.…”

Section: Introductionmentioning

confidence: 98%

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Exercise to Enhance Smoking Cessation: the Getting Physical on Cigarette Randomized Control Trial

et al. 2016

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Exercise interventions for smoking cessation

Ussher

Faulkner

Angus

et al. 2019

Cochrane Database of Systematic Reviews

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Background Taking regular exercise may help people give up smoking by moderating nicotine withdrawal and cravings, and by helping to manage weight gain. Objectives To determine whether exercise-based interventions alone, or combined with a smoking cessation programme, are more effective than a smoking cessation intervention alone. Search methods We searched the Cochrane Tobacco Addiction Group Specialized Register in April 2014, and searched MEDLINE, EMBASE, PsycINFO, and CINAHL Plus in May 2014. Selection criteria We included randomized trials which compared an exercise programme alone, or an exercise programme as an adjunct to a cessation programme, with a cessation programme (which we considered the control in this review). Studies were required to recruit smokers or recent quitters and have a follow-up of six months or more. Studies that did not meet the full inclusion criteria because they only assessed the acute effects of exercise on smoking behaviour, or because the outcome was smoking reduction, are summarised but not formally included. Data collection and analysis We extracted data on study characteristics and smoking outcomes. Because of differences between studies in the characteristics of the interventions used we summarized the results narratively, making no attempt at meta-analysis. We assessed risk of selection and attrition bias using standard methodological procedures expected by The Cochrane Collaboration. Main results We identified 20 trials with a total of 5,870 participants. The largest study was an internet trial with 2,318 participants, and eight trials had fewer than 30 people in each treatment arm. Studies varied in the timing and intensity of the smoking cessation and exercise programmes offered. Only one included study was judged to be at low risk of bias across all domains assessed. Four studies showed significantly higher abstinence rates in a physically active group versus a control group at end of treatment. One of these studies also showed a significant benefit for exercise versus control on abstinence at the three-month follow-up and a benefit for exercise of 1 Exercise interventions for smoking cessation (Review)

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Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial

Abstract: Telephone-delivered exercise counseling may not be sufficient to improve smoking abstinence rates over and above existing smoking cessation services. (Australasian Clinical Trials Registry Number: ACTRN12609000637246.).

Cited by 23 publications

References 38 publications

Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers

Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers

Exercise to Enhance Smoking Cessation: the Getting Physical on Cigarette Randomized Control Trial

Exercise interventions for smoking cessation

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