Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial
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.)
KeywordsExercise Addiction Smoking cessation Behavior change Randomized controlled trial
- 1.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.Google Scholar
- 2.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].Google Scholar
- 4.Hughes JR, Stead LF, Lancaster T. Antidepressants for smoking cessation. Cochrane Database of Systematic Reviews. 2004(4):CD000031.pub2.Google Scholar
- 5.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.
- 6.Ussher MH, Taylor A, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database of Systematic Reviews (Online). 2012; 1, CD002295.Google Scholar
- 8.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.Google Scholar
- 14.The Quit Group. Quitline annual review 2010/2011. New Zealand; 2011. Available from: www.quit.org.nz/file/quit-ar2011-lo-.pdf.
- 15.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.Google Scholar
- 19.West R, Hajek P. Evaluation of the mood and physical symptoms scale (MPSS) to assess cigarette withdrawal. Psychopharmacology (Berl). 2004.Google Scholar
- 21.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.Google Scholar
- 23.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.Google Scholar
- 24.Bandura A. Social foundations of thought and action. New York: Prentice-Hall; 1986.Google Scholar
- 31.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.Google Scholar
- 40.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.
- 42.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.