Participation in a population-based physical activity programme as an aid for smoking cessation: a randomised trial
Identifieur interne : 002F40 ( Main/Exploration ); précédent : 002F39; suivant : 002F41Participation in a population-based physical activity programme as an aid for smoking cessation: a randomised trial
Auteurs : Raphaël Bize [Suisse] ; Carole Willi [Suisse] ; Arnaud Chiolero [Suisse] ; Rebecca Stoianov [Suisse] ; Sylvie Payot [Suisse] ; Isabella Locatelli [Suisse] ; Jacques Cornuz [Suisse]Source :
- Tobacco Control [ 0964-4563 ] ; 2010-12.
English descriptors
- Teeft :
- Abstinence, Acute effects, Ambulatory care, American heart association, Arch intern, Baseline, Body mass index, Cardiovascular disease, Cardiovascular diseases, Cessation, Clinical trial registration number, Community medicine, Comprehensive smoking cessation programme, Consort statement, Continuous smoking abstinence, Continuous smoking abstinence rates, Control group, Control groups, Counselling, Daily cigarette consumption, Depression scale, Energy expenditure, Equal contact conditions, Group session, Group sessions, Heart rate, High baseline, Lausanne, Many smokers, Maximal oxygen uptake, Nicotine, Nicotine replacement therapy, Nicotine therapy, Nicotine withdrawal symptoms, Participant, Physical activities, Physical activity, Physical activity frequency questionnaire, Physical activity group, Physical activity intervention, Physical activity interventions, Physical activity measurements, Physical activity practice, Physical activity programme, Point prevalence abstinence, Primary care, Primary outcome, Programme, Randomised, Randomised participants, Randomized, Randomized trial, Randomized trials, Research paper, Research protocol, Same time, School ethics committee, Science foundation, Secondary outcomes, Sedentary, Sedentary smokers, Smoker, Smoking, Smoking abstinence, Smoking abstinence rates, Smoking behaviour, Smoking cessation, Smoking cessation programme, Smoking cessation rate, Smoking cessation trials, Sports medicine, Standardized patients, Stress scale, Study centre, Study design, Study participants, Tobacco control, Tobacco control research paper, Transdermal patch, Ussher, Visual analogue scale, Weekly session, Weekly volume, Weight gain, Wisconsin smoking withdrawal scale, Withdrawal symptoms.
Abstract
Objectives Exercise combined with nicotine therapy may help smoking cessation and minimise weight gain after quitting. Low participation in vigorous-intensity physical activity programmes precludes their population-wide applicability. In a randomised controlled trial, we tested whether a population-based moderate-intensity physical activity programme increases quit rates among sedentary smokers receiving nicotine therapy. Methods Participants (n=481; 57% male; mean age, 42.2 years (SD 10.1); mean cigarette consumption, 27 (SD 10.2) per day) were offered a nine-week smoking cessation programme consisting of a weekly 15-minute counselling session and the prescription of nicotine replacement therapy. In addition, participants in the physical activity group (n=229) also took part in a programme of moderate-intensity physical activity implemented at the national level, and offering nine weekly 60-minute sessions of physical activity. To ensure equal contact conditions, participants in the control group (n=252) attended weekly 60-minute health behaviour education sessions unrelated to physical activity. The primary outcome was continuous CO-verified smoking abstinence rates at 1-year follow-up. Results Continuous smoking abstinence rates were high and similar in the physical activity group and the control group at the end of the intervention (47% versus 46%, p=0.81) and at 1-year follow-up (27% versus 29%, p=0.71). The mean weight gain after one year was 4.4 kg and 6.2 kg among sustained quitters of the physical activity and control groups, respectively (p=0.06). Conclusion Participation in a population-based moderate-intensity physical activity programme for 9 weeks in addition to a comprehensive smoking cessation programme did not significantly increase smoking cessation rates. A non-significant reduction in weight gain was observed among participants who quit smoking in the physical activity group. Trial registration ClinicalTrials.gov; US National Institutes for Health (available online at http://clinicaltrials.gov/; Clinical Trial Registration Number: NCT00521391)
Url:
DOI: 10.1136/tc.2009.030288
Affiliations:
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<front><div type="abstract">Objectives Exercise combined with nicotine therapy may help smoking cessation and minimise weight gain after quitting. Low participation in vigorous-intensity physical activity programmes precludes their population-wide applicability. In a randomised controlled trial, we tested whether a population-based moderate-intensity physical activity programme increases quit rates among sedentary smokers receiving nicotine therapy. Methods Participants (n=481; 57% male; mean age, 42.2 years (SD 10.1); mean cigarette consumption, 27 (SD 10.2) per day) were offered a nine-week smoking cessation programme consisting of a weekly 15-minute counselling session and the prescription of nicotine replacement therapy. In addition, participants in the physical activity group (n=229) also took part in a programme of moderate-intensity physical activity implemented at the national level, and offering nine weekly 60-minute sessions of physical activity. To ensure equal contact conditions, participants in the control group (n=252) attended weekly 60-minute health behaviour education sessions unrelated to physical activity. The primary outcome was continuous CO-verified smoking abstinence rates at 1-year follow-up. Results Continuous smoking abstinence rates were high and similar in the physical activity group and the control group at the end of the intervention (47% versus 46%, p=0.81) and at 1-year follow-up (27% versus 29%, p=0.71). The mean weight gain after one year was 4.4 kg and 6.2 kg among sustained quitters of the physical activity and control groups, respectively (p=0.06). Conclusion Participation in a population-based moderate-intensity physical activity programme for 9 weeks in addition to a comprehensive smoking cessation programme did not significantly increase smoking cessation rates. A non-significant reduction in weight gain was observed among participants who quit smoking in the physical activity group. Trial registration ClinicalTrials.gov; US National Institutes for Health (available online at http://clinicaltrials.gov/; Clinical Trial Registration Number: NCT00521391)</div>
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