The efficacy of exercise as an aid for smoking cessation in women -: A randomized controlled trial

被引:281
作者
Marcus, BH
Albrecht, AE
King, TK
Parisi, AF
Pinto, BM
Roberts, M
Niaura, RS
Abrams, DB
机构
[1] Miriam Hosp, Ctr Behav & Prevent Med, Providence, RI 02906 USA
[2] Miriam Hosp, Div Cardiol, Providence, RI 02906 USA
[3] Brown Univ, Sch Med, Providence, RI 02912 USA
关键词
D O I
10.1001/archinte.159.11.1229
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Smoking prevalence rates among women are declining at a slower rate than among men. Objective: To determine if exercise, a healthful alternative to smoking, enhances the achievement and maintenance of smoking cessation. Methods: Two hundred eighty-one healthy, sedentary female smokers were randomly assigned to either a cognitive-behavioral smoking cessation program with vigorous exercise (exercise) or to the same program with equal staff contact time (control). Subjects participated in a 12-session, group-based smoking cessation program. Additionally, exercise subjects were required to attend 3 supervised exercise sessions per week and control subjects were required to participate in 3 supervised health education lectures per week. Abstinence from smoking was based on self-report, was verified by saliva cotinine level, and was measured at 1 week after quit day (week 5), end of treatment (week 12), and 3 and 12 months later (20 and 60 weeks after quit day, respectively). Results: Compared with control subjects (n = 147), exercise subjects (n = 134) achieved significantly higher levels of continuous abstinence at the end of treatment (19.4% vs 10.2%, P = .03) and 3 months (16.4% vs 8.2%, P = .03) and 12 months (11.9% vs 5.4%, P = .05) following treatment. Exercise subjects had significantly increased functional capacity (estimated (V) over doto(2) peak, 25 +/- 6 to 28 +/- 6, P<.01) and had gained less weight by the end of treatment (3.05 vs 5.40 kg, P = .03). Conclusions: Vigorous exercise facilitates short- and longer-term smoking cessation in women when combined with a cognitive-behavioral smoking cessation program. Vigorous exercise improves exercise capacity and delays weight gain following smoking cessation.
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页码:1229 / 1234
页数:6
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