Annals of Behavioral Medicine

, Volume 48, Issue 2, pp 194–204 | Cite as

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

  • Ralph Maddison
  • Vaughan Roberts
  • Hayden McRobbie
  • Christopher Bullen
  • Harry Prapavessis
  • Marewa Glover
  • Yannan Jiang
  • Paul Brown
  • William Leung
  • Sue Taylor
  • Midi Tsai
Original Article



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.)


Exercise Addiction Smoking cessation Behavior change Randomized controlled trial 


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Copyright information

© The Society of Behavioral Medicine 2014

Authors and Affiliations

  • Ralph Maddison
    • 1
  • Vaughan Roberts
    • 1
  • Hayden McRobbie
    • 2
  • Christopher Bullen
    • 1
  • Harry Prapavessis
    • 3
  • Marewa Glover
    • 4
  • Yannan Jiang
    • 1
  • Paul Brown
    • 5
  • William Leung
    • 6
  • Sue Taylor
    • 7
  • Midi Tsai
    • 1
  1. 1.National Institute for Health InnovationUniversity of AucklandAucklandNew Zealand
  2. 2.UK Centre for Tobacco Control Studies, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen MaryUniversity of LondonLondonUK
  3. 3.School of Kinesiology, Faculty of Medical and Health SciencesUniversity of Western OntarioLondonCanada
  4. 4.Centre for Tobacco Control Research, Social and Community Health, School of Population HealthUniversity of AucklandAucklandNew Zealand
  5. 5.School of Social Sciences, Humanities, and ArtsUniversity of CaliforniaMercedUSA
  6. 6.Epidemiology and BiostatisticsUniversity of AucklandAucklandNew Zealand
  7. 7.T & T ConsultingLevinNew Zealand

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