Abstract
Rationale
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.
Objectives
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.
Methods
A systematic review of all studies published between January 2006 and June 2011 was conducted.
Results
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.
Conclusions
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.
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References
Arbour-Nicitopoulos KP, Faulkner GE, Hsin A, Selby P (2011) A pilot study examining the acute effects of exercise on cigarette cravings and affect among individuals with serious mental illness. Ment Heal Phys Act 4:89–94
Avecado E, Ekkekakis P (2006) Psychobiology of physical activity. Human Kinetics, Champaign
Bock BC, Marcus BH, King TC, Borrelli B, Roberts MR (1999) Exercise effects on withdrawal and mood among women attempting smoking cessation. Addict Behav 24:399–410
Borrelli B, Spring B, Niaura R, Hitsman B, Papandonatos G (2001) Influences of gender and weight gain on short-term relapse to smoking in a cessation trial. J Consult Clin Psychol 69:511–515
Brandon TH (1994) Negative affect as motivation to smoke. Curr Dir Psychol Sci 3:33–37
Cohen J (1992) A power primer. Psychol Bull 112:155–159
Cox LS, Tiffany ST, Christen AG (2001) Evaluation of the brief questionnaire of smoking urges (QSU-brief) in laboratory and clinical settings. Nicotine Tob Res: Off J Soc Res Nicotine Tob 3:7–16
Curtin F, Altman DG, Elbourne D (2002) Meta-analysis combining parallel and cross-over clinical trials. I: continuous outcomes. Stat Med 21:2131–2144
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 174:320–326
Daniel JZ, Cropley M, Fife-Schaw C (2006) The effect of exercise in reducing desire to smoke and cigarette withdrawal symptoms is not caused by distraction. Addiction 101:1187–1192
Daniel JZ, Cropley M, Fife-Schaw C (2007) Acute exercise effects on smoking withdrawal symptoms and desire to smoke are not related to expectation. Psychopharmacol 195:125–129
Devilly GJ, Borkovec TD (2000) Psychometric properties of the credibility/expectancy questionnaire. J Behav Ther 31:73–86
Elbourne DR, Altman DG, Higgins JP, Curtin F, Worthington HV, Vail A (2002) Meta-analyses involving cross-over trials: methodological issues. Int J Epidemiol 31:140–149
Elibero A, Janse Van Rensburg K, Drobes DJ (2011) Acute effects of aerobic exercise and hatha yoga on craving to smoke. Nicotine Tob Res 13:1140–8
Everson ES, Daley AJ, Ussher M (2006) Does exercise have an acute effect on desire to smoke, mood and withdrawal symptoms in abstaining adolescent smokers? Addict Behav 31:1547–1558
Everson ES, Daley AJ, Ussher M (2008) The effects of moderate and vigorous exercise on desire to smoke, withdrawal symptoms and mood in abstaining young adult smokers. Ment Heal Phys Act 1:26–31
Faulkner GE, Arbour-Nicitopoulos KP, Hsin A (2010) Cutting down one puff at a time: the acute effects of exercise on smoking behaviour [online]. J Smok Cessat 5:130–135
Follmann D, Elliott P, Suh I, Cutler J (1992) Variance imputation for overviews of clinical-trials with continuous response. J Clin Epidemiol 45:769–773
Greenberg RP, Constantino MJ, Bruce N (2006) Are patient expectations still relevant for psychotherapy process and outcome? Clin Psychol Rev 26:657–678
Hardy CJ, Rejeski WJ (1989) Not what, but how one feels: the measurement of affect during exercise. J Sport Exerc Psychol 11:304–317
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
Higgins JPT, Altman DG (2008) Chapter 8: assessing risk of bias in included studies. In: Higgins J, Green S (eds) Cochrane handbook for systematic reviews of interventions. Wiley, Chichester
Higgins JPT, Deeks J, Altman DG (2008) Chapter 16: special topic in statistics. In: Higgins J, Green S (eds) Cochrane handbook for systematic reviews of interventions. Wiley, Chichester
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 Connecticut
Hughes JR (2007) Effects of abstinence from tobacco: valid symptoms and time course. Nicotine Tob Res 9:315–27
Janse Van Rensburg K, Taylor AH (2008) The effects of acute exercise on cognitive functioning and cigarette cravings during temporary abstinence from smoking. Hum Psychopharmacol: Clin Exp 23:193–9
Janse Van Rensburg K, Taylor A, Hodgson T (2009a) The effects of acute exercise on attentional bias towards smoking-related stimuli during temporary abstinence from smoking. Addiction 104:1910–17
Janse Van Rensburg K, Taylor A, HODGSON T, Benattayallah A (2009b) Acute exercise modulates cigarette cravings and brain activation in response to smoking-related images: an fMRI study. Psychopharmacol 203:589–98
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, UK
Laustiola KE, Kotamaki M, Lassila R, Kallioniemi OP, Manninen V (1991) Cigarette smoking alters sympathoadrenal regulation by decreasing the density of beta 2-adrenoceptors. A study of monitored smoking cessation. J Cardiovasc Pharmacol 17:923–8
Lerman C, Tyndale RF, Patterson F, Wileyto EP, Shields PG, Pinto A, Benowitz N (2006) Nicotine metabolic ratio predicts efficacy of transdermal nicotine for smoking cessation. Clin Pharmacol Ther 79:600–8
Lucini D, Bertocchi F, Malliani A, Pagani M (1996) A controlled study of the autonomic changes produced by habitual cigarette smoking in healthy subjects. Cardiovasc Res 31:633–639
Niedermaier ON, Smith ML, Beightol LA, Zukowskagrojec Z, Goldstein DS, Eckberg DL (1993) Influence of cigarette-smoking on human autonomic function. Circulation 88:562–571
Reed J, Ones DS (2006) The effect of acute aerobic exercise on positive activated affect: a meta-analysis. Psychol Sport Exerc 7:477–514
Reeser KA (1983) The effects of repeated aerobic and non-aerobic exercise on cigarette smoking. Unpublished Master's thesis. University of Alberta, Canada
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, Champaign
Scerbo F, Faulkner G, Taylor A, Thomas S (2010) Effects of exercise on cravings to smoke: the role of exercise intensity and cortisol. J Sports Sci 28:11–9
Schnoll RA, Patterson F, Wileyto EP, Tyndale RF, Benowitz N, Lerman C (2009) Nicotine metabolic rate predicts successful smoking cessation with transdermal nicotine: a validation study. Pharmacol Biochem Behav 92:6–11
Shiffman S (2005) Dynamic influences on smoking relapse process. J Pers 73:1715–1748
Shiffman SM, Jarvik ME (1976) Smoking withdrawal symptoms in two weeks of abstinence. Psychopharmacol 50:35–39
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):343–350
Stein PK, Rottman JN, Kleiger RS (1996) Effect of 21 mg transdermal nicotine patches and smoking cessation on heart rate variability. Am J Cardiol 77:701–705
Stroop JR (1935) Interference in serial verbal reaction. J Exp Psychol 18:643–661
Svebak S, Murgatroyd S (1985) Metamotivational dominance: a multimethod validation of reversal theory constructs. J Percept Soc Psychol 48:107–116
Taylor A, Katomeri M (2007) Walking reduces cue-elicited cigarette cravings and withdrawal symptoms, and delays ad libitum smoking. Nicotine Tob Res 9:1183–1190
Taylor A, Katomeri M, Ussher M (2005) Acute effects of self-paced walking on urges to smoke during temporary smoking abstinence. Psychopharmacol 181:1–7
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 28:18–31
Taylor AH, Ussher MH, Faulkner G (2007) The acute effects of exercise on cigarette cravings, withdrawal symptoms, affect and smoking behaviour: a systematic review. Addiction 102(4):534–43
Thayer RE (1989) The biopsychology of mood and arousal. Oxford University Press, New York
Thayer RE, Peters DP, Takahashi PJ, Birkhead-Flight AM (1993) Mood and behavior (smoking and sugar snacking) following moderate exercise: a partial test of self-regulation theory. Personal Individ Differ 14:97–104
Tiffany ST, Drobes DJ (1991) The development and initial validation of a questionnaire on smoking urges. Br J Addict 86:1467–76
Ussher M, Nunziata P, Cropley M, West R (2001) Effects of a short bout of exercise on tobacco withdrawal symptoms and desire to smoke. Psychopharmacol 158:66–72
Ussher M, West R, Doshi R, Sampuran AK (2006) Acute effect of isometric exercise on desire to smoke and tobacco withdrawal symptoms. Hum Psychopharmacol: Clin Exp 21:39–46
Ussher M, Cropley M, Playle S, Mohidin R, West R (2009) Effect of isometric exercise and body scanning on cigarette cravings and withdrawal symptoms. Addiction 104:1251–7
Ussher MH, Taylor A, Faulkner G (2012) Exercise interventions for smoking cessation. Cochrane Database Syst Rev 1:CD002295, Online
Ward KD, Garvey AJ, Bliss RE, Sparrow D, Young JB, Landsberg L (1991) Changes in urinary catecholamine excretion after smoking cessation. Pharmacol Biochem Behav 40:937–40
West R, Hajek P (2004) Evaluation of the mood and physical symptoms scale (MPSS) to assess cigarette withdrawal. Psychopharmacol 177:195–9
West R, Hajek P, Belcher M (1989) Severity of withdrawal symptoms as a predictor of outcome of an attempt to quit smoking. Psychol Med 19:981–85
Williams DM, Dunsiger S, Whiteley JA, Ussher MH, Ciccolo JT, Jennings EG (2011) Acute effects of moderate intensity aerobic exercise on affective withdrawal symptoms and cravings among women smokers. Addict Behav 36:894–897
Acknowledgments
Mr. Roberts is supported by a University of Auckland Doctoral Scholarship.
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The authors declare no conflict of interest.
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Roberts, V., Maddison, R., Simpson, C. et al. The acute effects of exercise on cigarette cravings, withdrawal symptoms, affect, and smoking behaviour: systematic review update and meta-analysis. Psychopharmacology 222, 1–15 (2012). https://doi.org/10.1007/s00213-012-2731-z
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DOI: https://doi.org/10.1007/s00213-012-2731-z