Brief handgrip and isometric exercise intervention for smoking cessation: A pilot randomized trial

Cheung, Yee TakDerek; Lam, Tai Hing; Chan, Ching Han Helen; Ho, Kin Sang; Fok, Wai Yin Patrick; Wang, Man Ping

doi:10.1016/j.addbeh.2019.106119

Cited by 6 publications

(9 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the included studies, 21 focused on acute exercise interventions with a duration of 5–30 min ( Ussher et al, 2001 ; Taylor et al, 2005 ; Taylor et al, 2006 ; Ussher et al, 2006 ; Taylor and Katomeri, 2007 ; Everson et al, 2008 ; Van Rensburg and Taylor, 2008 ; Van Rensburg et al, 2009a ; Van Rensburg et al, 2009b ; Ussher et al, 2009 ; Faulkner et al, 2010 ; Scerbo et al, 2010 ; Van Rensburg et al, 2012 ; Van Rensburg et al, 2013 ; Fong et al, 2014 ; Oh and Taylor, 2014 ; Schneider et al, 2015 ; Tritter et al, 2015 ; De Jesus and Prapavessis, 2018 ; Jeffries et al, 2020 ; Masiero et al, 2020 ). The remaining 19 studies involved long-term exercise interventions ranging from 4 to 19 weeks ( Hill, 1985 ; Hill et al, 1993 ; Marcus et al, 1995 ; Marcus et al, 1999 ; Marcus et al, 2005 ; Prapavessis et al, 2007 ; Al-Chalabi et al, 2008 ; Kinnunen et al, 2008 ; Bize et al, 2010 ; Williams et al, 2010 ; Ciccolo et al, 2011 ; Bock et al, 2012 ; Linke et al, 2012 ; Whiteley et al, 2012 ; Abrantes et al, 2014 ; Abrantes et al, 2018 ; Cheung et al, 2020 ; Oncken et al, 2020 ; Dunsiger et al, 2021 ). The included studies incorporated various exercise modalities, including aerobic exercise, isometric exercise, resistance exercise, yoga, and multicomponent training (combinations of different exercises such as aerobic exercise, resistance exercise, balance, and flexibility exercises).…”

Section: Resultsmentioning

confidence: 99%

“…The analysis included a total of 16 randomized controlled trials (RCTs) involving 1937 participants, with 976 in the exercise group and 961 in the control group, to assess the 7-day point prevalence abstinence as the outcome ( Hill, 1985 ; Hill et al, 1993 ; Marcus et al, 1995 ; Marcus et al, 1999 ; Marcus et al, 2005 ; Prapavessis et al, 2007 ; Al-Chalabi et al, 2008 ; Williams et al, 2010 ; Ciccolo et al, 2011 ; Bock et al, 2012 ; Linke et al, 2012 ; Whiteley et al, 2012 ; Abrantes et al, 2014 ; Cheung et al, 2020 ; Oncken et al, 2020 ; Dunsiger et al, 2021 ). Additionally, 10 RCTs comprising 1862 participants, with 922 in the exercise group and 940 in the control group, were included to evaluate continuous abstinence ( Marcus et al, 1999 ; Marcus et al, 2005 ; Prapavessis et al, 2007 ; Kinnunen et al, 2008 ; Bize et al, 2010 ; Williams et al, 2010 ; Ciccolo et al, 2011 ; Whiteley et al, 2012 ; Abrantes et al, 2014 ; Dunsiger et al, 2021 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Effect of exercise intervention on smoking cessation: a meta-analysis

Zhou¹,

Feng²,

Guo³

et al. 2023

Front. Physiol.

View full text Add to dashboard Cite

Background: Exercise has emerged as an effective approach to promote individual health and has shown potential in aiding smoking cessation. However, the specific benefits of exercise in smoking cessation remain unclear, and conflicting findings across studies may be attributed to variations in study populations and intervention characteristics. This study aims to conduct a meta-analysis to evaluate the impact of exercise interventions on tobacco dependence in smokers and assess the effectiveness of exercise in facilitating smoking cessation.Methods: A comprehensive search was performed in databases including PubMed, Web of Science, Embase, The Cochrane Library, and Scopus to identify relevant randomized controlled trials published before 30 October 2022. The Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed during the review process. The quality of evidence (QoE) was assessed with GRADE (grading of recommendations, assessment, development and evaluations) methodology.Results: Acute exercise was found to significantly reduce smoking cravings [MD = −1.84, 95% CI (−2.92, −0.76), p < 0.001; SMD = −1.64, 95% CI (−2.22, −1.05), p < 0.001] and alleviate most withdrawal symptoms in smokers. However, there was no significant difference in the smoking cessation rate between the exercise group and the control group (p > 0.05). Exercise was associated with increased positive mood [SMD = 0.36, 95% CI (0.14, 0.58), p = 0.001] and reduced negative mood in smokers [SMD = −0.26, 95% CI (−0.39, −0.12), p < 0.001].Conclusion: Acute exercise interventions effectively reduce cravings and withdrawal symptoms in smokers. However, long-term exercise interventions do not significantly improve the smoking cessation rate. Exercise can help reduce negative mood and enhance positive mood in smokers. Smokers with high levels of tobacco dependence may derive less benefit from exercise. Factors such as literature quality, exercise intervention characteristics, and exercise adherence may influence the effectiveness of interventions.Trial registration: This research protocol was registered in the International Prospective Register for Systematic Reviews (PROSPERO https://www.crd.york.ac.uk/PROSPERO/). Registration number: CRD42022326109.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effect of exercise intervention on smoking cessation: a meta-analysis

Zhou¹,

Feng²,

Guo³

et al. 2023

Front. Physiol.

View full text Add to dashboard Cite

show abstract

“…To date, we have found that only our previous pilot RCT tested the effect of handgrip and isometric exercises on tobacco abstinence at 6-month follow-up among smokers using smoking cessation services 18 . In the present pilot RCT, we adopted a short-bout '10-second exercise' (10s-E) to help smokers relieve tobacco cravings efficiently, as tobacco cravings typically persist for several minutes 18 . The 10s-E includes repeatedly and rapidly gripping and releasing a handgrip at least 30 times in 10 seconds for each hand, along with hand pushing and pulling, each also for 10 seconds.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of simple and very brief handgrip and isometric exercises for reducing withdrawal symptoms in cigarette smokers: A pilot randomized controlled trial

Zhang,

Cheung,

Wang

et al. 2024

Tob. Induc. Dis.

Self Cite

View full text Add to dashboard Cite

INTRODUCTION Withdrawal symptoms lead to smoking relapse and reduce the intention to quit. The present pilot RCT examined the effect of simple and very brief handgrip and isometric exercises on reducing withdrawal symptoms, measured by the strength of tobacco craving, Questionnaire of Smoking Urges-Brief (QSU-B), Mood and Physical Symptoms Scale (MPSS), and Positive and Negative Affect Schedule (PANAS). METHODS In this 2-arm, open-labeled pilot RCT, 30 current smokers who had abstained from tobacco for at least 9 hours were randomly assigned (allocation ratio 1:1) to either the intervention group that watched a 5-minute video and did 5-minute handgrip and isometric exercises (pulling and pushing) or control group that watched 10-minute healthy-diet videos. Measurements were taken before, immediately after, and 10 minutes post-intervention. Outcomes were selfreported strength of tobacco craving, QSU-B, MPSS, and PANAS scores. The effect size for group-by-time interaction was assessed using Cohen's f 2 (small=0. 02, medium=0.15, large=0.35). RESULTS Group-by-time interactions showed that the intervention group showed larger reductions than the control group in the strength of tobacco craving (Cohen's f 2 =0.54, 95% CI: 0.52-0.57), QSU-B (Cohen's f 2 =0.77; 95% CI: 0.74-0.80), and MPSS (Cohen's f 2 =0.51; 95% CI: 0.46-0.56) over the three measurement points. CONCLUSIONS This RCT showed that simple and brief handgrip and isometric exercises could immediately reduce withdrawal symptoms and up to 10 minutes.CLINICAL TRIAL REGISTRATION: in https://clinicaltrials.gov/ IDENTIFIER: NCT04059497

show abstract

“…However, the highly addictive nature of cigarettes makes it difficult to quit smoking (Jha 2020 ; Cheung et al 2020 ). Nicotine is one of the most addictive ingredients in cigarettes that can cause dependence (Jha 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…If the constant stimulation of the reward system by nicotine is absent, a strong craving to smoke and withdrawal symptoms such as sleep disturbances, difficulty concentrating, increased appetite, weight gain, restlessness or negative affect (e.g. depression, irritability) may occur (Yingst et al 2022 ; Cheung et al 2020 ; Weinberger et al 2016 ; Robinson et al 2019 ). Withdrawal symptoms after smoking cessation are therefore often the reason why smoking cessation quit attempts end in relapse within the first weeks (Weinberger et al 2016 ; Yingst et al 2022 ; Schnoll et al 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Acute effects of outdoor and indoor walking on cigarette cravings, withdrawal symptoms and affective response during temporary smoking abstinence

Schöttl,

Insam,

Frühauf

et al. 2023

Psychopharmacology

View full text Add to dashboard Cite

Rationale Cigarette smoking is one of the leading preventable causes of premature death worldwide. There is evidence in the literature that brief exercise units indoors can improve well-being in temporarily abstinent smokers and reduce cigarette cravings and withdrawal symptoms. Objective Because exercise in natural environments showed enhanced psychological effects, the aim of our study was to examine the acute effects of outdoor exercise compared with indoor exercise on craving, withdrawal symptoms and affective response in temporarily abstinent smokers. Methods In a randomized controlled within-subject-design, temporarily abstinent smokers (N = 16) participated in three interventions lasting 10 min: outdoor walking (OUT-EX), indoor walking (IN-EX) and a sedentary control condition (CC). Self-reported cigarette craving, withdrawal symptoms and affective response were assessed pre-, mid-, post-interventions and at follow-up. Results In contrast to CC, OUT-EX and IN-EX significantly reduced cigarette cravings during and at the end of the intervention compared to pre-intervention, but not at 20 min follow-up. Cigarette withdrawal symptoms decreased significantly over time in all three groups, but no significant group differences were found. OUT-EX and IN-EX, but not CC, showed significantly improved affective valence at the end of the intervention and at follow-ups. Outdoor walking resulted in significantly lower cigarette cravings than indoor walking at the end of the intervention. Conclusion The study adds to existing evidence that short bouts of indoor or outdoor exercise can help reduce cigarette cravings and increase well-being in abstinent smokers. Further studies are needed to address the potential additional effect of outdoor exercise on craving, affective states and smoking cessation.

show abstract

Brief handgrip and isometric exercise intervention for smoking cessation: A pilot randomized trial

Cited by 6 publications

References 29 publications

Effect of exercise intervention on smoking cessation: a meta-analysis

Effect of exercise intervention on smoking cessation: a meta-analysis

Efficacy of simple and very brief handgrip and isometric exercises for reducing withdrawal symptoms in cigarette smokers: A pilot randomized controlled trial

Acute effects of outdoor and indoor walking on cigarette cravings, withdrawal symptoms and affective response during temporary smoking abstinence

Contact Info

Product

Resources

About