Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial
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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.)
- US Department of Health & Human Services. How tobacco smoke causes disease: the biology and behavioral basis for smoking-attributable disease: a report of the surgeon general. Atlanta, GA: US Department of Health & Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2010.
- World Health Organization. WHO report on the global tobacco epidemic, 2011: warning about the dangers of tobacco Geneva: World Health Organisation; 2011 [27/10/2012].
- Cahill K, Stead LF, Lancaster T. Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews. 2012; 4, CD006103. doi:10.1002/14651858.CD006103.pub6.
- Hughes JR, Stead LF, Lancaster T. Antidepressants for smoking cessation. Cochrane Database of Systematic Reviews. 2004(4):CD000031.pub2.
- Stead LF, Perera R, Bullen C, Mant D, Lancaster T. Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews. 2008(1):CD000146. doi:10.1002/14651858.CD000146.pub3.
- Ussher MH, Taylor A, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database of Systematic Reviews (Online). 2012; 1, CD002295.
- Benowitz NL. Neurobiology of nicotine addiction: implications for smoking cessation treatment. American Journal of Medicine. 2008; 121(4 Suppl 1): S3–10. doi:10.1016/j.amjmed.2008.01.015. CrossRef
- Taylor AH, Ussher MH, Faulkner G. The acute effects of exercise on cigarette cravings, withdrawal symptoms, affect and smoking behaviour: a systematic review. Addiction. 2007; 102(4): 534–543.
- Haasova M, Warren FC, Ussher M, et al. The acute effects of physical activity on cigarette cravings: systematic review and meta-analysis with individual participant data (IPD). Addiction. 2013; 108(1): 26–37. CrossRef
- Roberts V, Maddison R, Simpson C, et al. The acute effects of exercise on cigarette cravings, withdrawal symptoms, affect, and smoking behaviour: systematic review update and meta-analysis. Psychopharmacology. 2012; 222(1): 1–15. CrossRef
- Marcus BH, Albrecht A, Niaura RS, et al. Usefulness of physical exercise for maintaining smoking cessation in women. American Journal of Cardiology. 1991; 68: 406–7. CrossRef
- Marcus BH, Albrecht AE, King TK, et al. The efficacy of exercise as an aid for smoking cessation in women: a randomized controlled trial. Archives of Internal Medicine. 1999; 159(11): 1229–34. CrossRef
- Martin JE, Calfas KJ, Patten CA, et al. Prospective evaluation of three smoking interventions in 205 recovering alcoholics: one-year results of Project SCRAP-Tobacco. Journal of Consulting & Clinical Psychology. 1997; 65(1): 190–194. CrossRef
- The Quit Group. Quitline annual review 2010/2011. New Zealand; 2011. Available from: www.quit.org.nz/file/quit-ar2011-lo-.pdf.
- McRobbie H. Treating smokers ‘On Top’ and ‘Down Under’—models of tobacco treatment from England and New Zealand. World Conference on Tobacco or Health; 13–15 July; Washington DC2006.
- Elley R, Kerse N, Arroll B, et al. Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. British Medical Journal. 2003; 326: 793–799. CrossRef
- Maddison R, Roberts V, Bullen C, et al. Design and conduct of a pragmatic randomized controlled trial to enhance smoking-cessation outcomes with exercise: The Fit2Quit study. Mental Health and Physical Activity. 2010; 3(2): 92–101. CrossRef
- Heatherton T, Kozlowski L, Frecker R, et al. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction. 1991; 86(9): 1119–1127. CrossRef
- West R, Hajek P. Evaluation of the mood and physical symptoms scale (MPSS) to assess cigarette withdrawal. Psychopharmacology (Berl). 2004.
- Craig CL, Marshall AJ, Sjöström M, et al. International Physical Activity Questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise. 2003; 35(8): 1381–1395. CrossRef
- Swinburn BA, Wlater LG, Arroll B, Tilyard MW, Russull DG. The green prescription study: A randomized controlled trial of written exercise advice provided by general practitioners. American Journal of Public Health. 1998; 88(2):288–91.
- Nigg CR, Allegrante JP, Ory M. Theory-comparison and multiple-behavior research: common themes advancing health behavior research. Health Education Research. 2002; 17(5): 670–679. CrossRef
- U.S. Department of Health & Human Services. Physical activity and health: a report of the surgeon general. Atlanta, GA: US Department of Health & Human Services, Centres of Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996.
- Bandura A. Social foundations of thought and action. New York: Prentice-Hall; 1986.
- Sluijs EM, Knibbe JJ. Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance. Patient Education and Counseling. 1991; 17: 191–204. CrossRef
- Baranowski T, Anderson C, Carmack C. Mediating variable framework in physical activity interventions. How are we doing? How might we do better? American Journal of Preventive Medicine. 1998; 15(4): 266–297. CrossRef
- Jeffery R. How can Health Behavior Theory be made more useful for intervention research? International Jounral of Behavioral Nutrition and Physical Activity. 2004; 1: 1–10. CrossRef
- Velicer WF, Prochaska JO, Rossi JS, et al. Assessing outcome in smoking cessation studies. Psychological Bulletin. 1992; 111(1): 23–41. CrossRef
- SRNT subcommittee on biochemical verification. Biochemical verification of tobacco use and cessation. Nicotine & Tobacco Research. 2002; 4(2): 149–159. CrossRef
- West R, Hajek P, Stead L, et al. Outcome criteria in smoking cessation trials: proposal for a common standard. Addiction. 2005; 100(3): 299–303. CrossRef
- Bauman A, Ainsworth BE, Bull F, et al. Progress and pitfalls in the use of the International Physical Activity Questionnaire (IPAQ) for adult physical activity surveillance. Jounral of Physical Activity and Health. 2009; 6(Suppl 1): S5-S8.
- Bize R, Willi C, Chiolero A, et al. Participation in a population-based physical activity programme as an aid for smoking cessation: a randomised trial. Tobacco Control: An International Journal. 2010; 19(6): 488–494. CrossRef
- Ciccolo JT, Dunsiger SI, Williams DM, et al. Resistance training as an aid to standard smoking cessation treatment: a pilot study. Nicotine and Tobacco Research. 2011; 13(8): 756–760. CrossRef
- Vickers KS, Patten CA, Lewis BA, et al. Feasibility of an exercise counseling intervention for depressed women smokers. Nicotine & Tobacco Research. 2009; 11(8): 985–995. CrossRef
- Kinnunen T, Leeman RF, Korhonen T, et al. Exercise as an adjunct to nicotine gum in treating tobacco dependence among women. Nicotine and Tobacco Research. 2008; 10(4): 689–703. CrossRef
- McKay H, Danaher BG, Seeley JR, et al. Comparing two web-based smoking cessation programs: randomized controlled trial. Journal of Medical Internet Research. 2008; 10(5): 68–81. CrossRef
- Ussher M, West R, McEwen A, et al. Efficacy of exercise counselling as an aid for smoking cessation: a randomized controlled trial. Addiction. 2003; 98(4): 523–532. CrossRef
- Ussher M, West R, McEwen A, et al. Randomized controlled trial of physical activity counseling as an aid to smoking cessation: 12 month follow-up. Addictive Behaviors. 2007; 32(12): 3060–3064. CrossRef
- Lindson N, Aveyard P, Hughes JR. Reduction versus abrupt cessation in smokers who want to quit. Cochrane Database of Systematic Reviews. 2010; 3, CD008033. doi:10.1002/14651858.CD008033.pub2.
- Walker N, Howe C, Bullen C, et al. The combined effect of very low nicotine content cigarettes, used as an adjunct to usual Quitline care (nicotine replacement therapy and behavioural support), on smoking cessation: a randomized controlled trial. Addiction. 2012:1857–1867. doi:10.1111/j.1360-0443.2012.03906.x.
- Marcus B, Lewis BA, Hogan J, et al. The efficacy of moderate-intensity exercise intervention as an aid for smoking cessation in women: a randomized controlled trial. Nicotine & Tobacco Research. 2005; 7(6): 871. CrossRef
- Harper T, Fitzgeorge L, Tritter A, Prapavessis H. Acute exercise effects on craving and withdrawal symptoms among women attempting to quit smoking using nicotine replacement therapy. Journal of Smoking Cessation. 2012:Available on CJO. doi:10.1017/jsc.2012.15.
- Walker N, Bullen C, McRobbie H. Reduced-nicotine content cigarettes: is there potential to aid smoking cessation? Nicotine and Tobacco Research. 2009; 11(11): 1274–1279. doi:10.093/ntr/ntp147. CrossRef
- Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial
Annals of Behavioral Medicine
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- 1. National Institute for Health Innovation, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
- 2. UK Centre for Tobacco Control Studies, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary, University of London, London, UK
- 3. School of Kinesiology, Faculty of Medical and Health Sciences, University of Western Ontario, 1151 Richmond St, London, ON, Canada, N6A 3K7
- 4. Centre for Tobacco Control Research, Social and Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand
- 5. School of Social Sciences, Humanities, and Arts, University of California, Merced, CA, USA
- 6. Epidemiology and Biostatistics, University of Auckland, Auckland, Private Bag 92019, New Zealand
- 7. T & T Consulting, PO Box 311, Levin, New Zealand