Physical activity as a strategy for maintaining tobacco abstinence: A randomized trial

Abstract

Physical activity as a strategy for maintaining tobacco abstinence: a randomized trial. Objectives. For smoking cessation, physical activity (PA) may help manage withdrawal symptoms, mood, stress, and weight; yet studies of PA as an aid for smoking cessation have been mixed. This study examined: A B S T R A C T A R T I C L E I N F O(1) the impact of an extended relapse prevention program on increasing moderate to vigorous PA (MVPA) in adults enrolled in a tobacco cessation treatment trial; (2) whether changes in MVPA were associated with sustained abstinence from smoking; and (3) mechanisms by which MVPA may support sustained abstinence from smoking.Methods. In a randomized controlled trial conducted from [2003][2004][2005][2006] in San Francisco, California, 407 adult smokers received a 12 week group-based smoking cessation treatment with bupropion and nicotine patch with the quit date set at week 3. At week 12, participants were randomized to no further treatment or to 40 weeks of bupropion or placebo with or without an 11-session relapse prevention intervention of which 2 sessions (held at weeks 16 and 20) focused on PA. Participants receiving the PA intervention (n = 163) received a pedometer, counseling to increase steps 10% biweekly towards a 10,000 steps/day goal, and personalized reports graphing progress with individualized goals. The International Physical Activity Questionnaire assessed weekly minutes of MVPA at baseline and weeks 12 and 24. Sustained abstinence from tobacco at week 24 was validated with expired carbon monoxide.Results. In a repeated mixed model analysis, intervention participants significantly increased their MVPA relative to control participants, F(1,475) = 3.95, p = .047. Pedometer step counts also increased significantly, t(23) = 2.36, p = .027, though only 15% of intervention participants provided 6 weeks of pedometer monitoring. Controlling for treatment condition, increased MVPA predicted sustained smoking abstinence at week 24, odds ratio = 1.84 (95% CI: 1.07, 3.05). Among participants with sustained abstinence, increased MVPA was associated with increased vigor (r = 0.23, p = .025) and decreased perceived difficulty with staying smoke-free (r = −0.21, p = .038).Conclusion. PA promotion as an adjunct to tobacco treatment increases MVPA levels; changes in MVPA predict sustained abstinence, perhaps by improving mood and self-efficacy.

Refusal Self Efficacy, Self Esteem, Smoking Refusal Skills and Water Pipe (Hookah) Smoking among Iranian Male Adolescents

“…So, we can hypothesize that living in a supportive and friendly family environment is a significant factor in preventing smoking in adolescent. Studies investigating Asian Pacific Journal of Cancer Prevention, Vol 14, 2013 7287 DOI:http://dx.doi.org/10.7314/APJCP.2013.14.12.7283 Refusal Self Efficacy, Self Esteem, Smoking Refusal Skills and Water Pipe Smoking by Iranian Male Adolescents the association between smoking and physical activity have yielded mixed results (Trinh, 2005;Prochaska et al, 2008;Vandita et al, 2008). While most have found physical activity to be protective against smoking (Trinh, 2005;Nelson and Gordon-Larsen, 2006), others have found physical activity to be associated with higher rates of smoking (Prochaska et al, 2008;Vandita et al, 2008).…”

Effects of Physical Activity on Teen Smoking Cessation

“…In contrast, an extended adult intervention study using pedometers and fitness counseling found that moderate/vigorous physical activity was positively associated with sustained smoking abstinence at 24 weeks. 9 Interestingly, women had significantly higher quit rates in a cessation intervention, compared with programs with no fitness component. 4 Ultimately, Ussher et al 3 concluded that there is no harm in encouraging physical activity as a smokingcessation aid, because there is no evidence that it interferes with cessation.…”

“…4 Ultimately, Ussher et al 3 concluded that there is no harm in encouraging physical activity as a smokingcessation aid, because there is no evidence that it interferes with cessation. Dual intervention efforts seem logical, because a majority of youth and adult smokers are physically inactive 9 and a large body of evidence demonstrates the critical importance of physical activity for health throughout the life span. 2 The research described above focused exclusively on adults, but there is evidence that physical activity, ranging from aerobic activities (eg, team sports) to less-vigorous activities (eg, walking), is protective against smoking initiation and acceleration among youths.…”

Efectividad del ejercicio físico como intervención coadyuvante en las adicciones: una revisión

“…Al igual que en el estudio de Read et al, (2001) el tipo de ejercicio preferido fue caminar, especialmente en el caso de las mujeres. Los pacientes se mostraron igualmente dispuestos a utilizar podómetros como medida de registro de su evolución, instrumento cuya utilización se ha demostrado que favorece el incremento de la motivación y los niveles de actividad física tanto en población general (Bravata et al, 2007) como en fumadores (Prochaska et al, 2008). intensidad de las sesiones deberían ser mayores y, en cualquier caso, teniendo presente que el control del peso mediante ejercicio físico no es inmediato -al requerir tiempo para compensar el gasto energético-debería adecuarse tanto el volumen y la intensidad de las sesiones (Blundell, Stubbs, Hughes, Whybrow y King, 2003;Chaput et al, 2011), como su frecuencia, preferiblemente diaria.…”