The acute effects of exercise on cigarette cravings, withdrawal symptoms, affect, and smoking behaviour: systematic review update and meta-analysis
Smoking cessation is associated with cigarette cravings and tobacco withdrawal symptoms (TWS), and exercise appears to ameliorate many of these negative effects. A number of studies have examined the relationships between exercise, cigarette cravings, and TWS.
The objectives of this study were (a) to review and update the literature examining the effects of short bouts of exercise on cigarette cravings, TWS, affect, and smoking behaviour and (b) to conduct meta-analyses of the effect of exercise on cigarette cravings.
A systematic review of all studies published between January 2006 and June 2011 was conducted.
Fifteen new studies were identified, 12 of which found a positive effect of exercise on cigarette cravings. The magnitude of statistically significant effect sizes for ‘desire to smoke’ and ‘strength of desire to smoke’ ranged from 0.4 to 1.98 in favour of exercise compared to passive control conditions, and peaked either during or soon after treatment. Effects were found up to 30 min post-exercise. Cigarette cravings were reduced following exercise with a wide range of intensities from isometric exercise and yoga to activity as high as 80–85 % heart rate reserve. Meta-analyses revealed weighted mean differences of −1.90 and −2.41 in ‘desire to smoke’ and ‘strength of desire to smoke’ outcomes, respectively. Measures of TWS and negative affect were reduced following light–moderate intensity exercise, but increased during vigorous exercise.
Exercise can have a positive effect on cigarette cravings and TWS. However, the most effective exercise intensity to reduce cravings and the underlying mechanisms associated with this effect remain unclear.
KeywordsNicotine Exercise Physical activity Smoking cessation Affect Smoking topography Tobacco withdrawal symptoms Cigarette cravings Behavioural intervention
Mr. Roberts is supported by a University of Auckland Doctoral Scholarship.
Conflict of interest
The authors declare no conflict of interest.
- Avecado E, Ekkekakis P (2006) Psychobiology of physical activity. Human Kinetics, ChampaignGoogle Scholar
- Daniel J, Cropley M, Ussher M, West R (2004) Acute effects of a short bout of moderate versus light intensity exercise versus inactivity on tobacco withdrawal symptoms in sedentary smokers. Psychopharmacol 174:320–326Google Scholar
- Hardy CJ, Rejeski WJ (1989) Not what, but how one feels: the measurement of affect during exercise. J Sport Exerc Psychol 11:304–317Google Scholar
- Harper TM (2011) Mechanisms behind the success of exercise as an adjunct quit smoking aid. Electronic Thesis and Dissertation Repository. Paper 198. http://ir.lib.uwo.ca/etd/198. Accessed 27 September 2011
- Ho J (2009) Effects of resistance exercise on the HPA axis and cardiovascular responses to psychological stress during short-term smoking abstinence in men. Ph.D. dissertation 3367360, University of ConnecticutGoogle Scholar
- Janse Van Rensburg K, Taylor AH, Hodgson T, Benattayallah A (2012) The effects of exercise on cigarette cravings and brain activation in response to smoking-related images. Psychopharmacology. doi: 10.1007/s00213-011-2610-z
- Katomeri M (2009) Acute effects of self-paced walking on smoking withdrawal and cravings. PhD dissertation, University of Plymouth, UKGoogle Scholar
- Reeser KA (1983) The effects of repeated aerobic and non-aerobic exercise on cigarette smoking. Unpublished Master's thesis. University of Alberta, CanadaGoogle Scholar
- Richter EA, Sutton JR (1994) Hormonal adaptation to physical activity. In: Bouchard C, Shephard RJ, Stephens T (eds) Physical activity and health: International Proceedings and Consensus Statement. Human Kinetics, ChampaignGoogle Scholar
- Shiffman S, Shadel WG, Niaura R, Khayrallah MA, Jorenby DE, Ryan CF, Ferguson CL (2003) Efficacy of acute administration of nicotine gum in relief of cue‐provoked cigarette craving. Psychopharmacology 166(4):343–350Google Scholar
- Taylor A, Katomeri M, Ussher M (2006) Effects of walking on cigarette cravings and affect in the context of Nesbitt's paradox and the circumplex model. J Sport Exerc Psychol 28:18–31Google Scholar
- Thayer RE (1989) The biopsychology of mood and arousal. Oxford University Press, New YorkGoogle Scholar