Annals of Behavioral Medicine

, Volume 48, Issue 2, pp 194–204

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


    • National Institute for Health InnovationUniversity of Auckland
  • Vaughan Roberts
    • National Institute for Health InnovationUniversity of Auckland
  • Hayden McRobbie
    • UK Centre for Tobacco Control Studies, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen MaryUniversity of London
  • Christopher Bullen
    • National Institute for Health InnovationUniversity of Auckland
  • Harry Prapavessis
    • School of Kinesiology, Faculty of Medical and Health SciencesUniversity of Western Ontario
  • Marewa Glover
    • Centre for Tobacco Control Research, Social and Community Health, School of Population HealthUniversity of Auckland
  • Yannan Jiang
    • National Institute for Health InnovationUniversity of Auckland
  • Paul Brown
    • School of Social Sciences, Humanities, and ArtsUniversity of California
  • William Leung
    • Epidemiology and BiostatisticsUniversity of Auckland
  • Sue Taylor
    • T & T Consulting
  • Midi Tsai
    • National Institute for Health InnovationUniversity of Auckland
Original Article

DOI: 10.1007/s12160-014-9588-9

Cite this article as:
Maddison, R., Roberts, V., McRobbie, H. et al. ann. behav. med. (2014) 48: 194. doi:10.1007/s12160-014-9588-9



Regular exercise has been proposed as a potential smoking cessation aid.


This study aimed to determine the effects of an exercise counseling program on cigarette smoking abstinence at 24 weeks.


A parallel, two-arm, randomized controlled trial was conducted. Adult cigarette smokers (n = 906) who were insufficiently active and interested in quitting were randomized to receive the Fit2Quit intervention (10 exercise telephone counseling sessions over 6 months) plus usual care (behavioral counseling and nicotine replacement therapy) or usual care alone.


There were no significant group differences in 7-day point-prevalence and continuous abstinence at 6 months. The more intervention calls successfully delivered, the lower the probability of smoking (OR, 0.88; 95 % CI 0.81–0.97, p = 0.01) in the intervention group. A significant difference was observed for leisure time physical activity (difference = 219.11 MET-minutes/week; 95 % CI 52.65–385.58; p = 0.01).


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.)


ExerciseAddictionSmoking cessationBehavior changeRandomized controlled trial

Copyright information

© The Society of Behavioral Medicine 2014