YMCA Commit to Quit: Randomized Trial Outcomes

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• 作者：Jessica A. Whiteley ; David M. Williams ; Shira Dunsiger ; Ernestine G. Jennings ; Joseph T. Ciccolo ; Beth C. Bock ; Anna Albrecht ; Alfred Parisi ; Sarah E. Linke ; Bess H. Marcus
• 刊名：American Journal of Preventive Medicine
• 出版年：2012
• 出版时间：September, 2012
• 年：2012
• 卷：43
• 期：3
• 页码：256-262
• 全文大小：280 K

文摘

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Background

Vigorous-intensity exercise has been shown to aid in smoking cessation, especially among women. In a previous trial, cognitive behavioral therapy (CBT) for smoking cessation plus regular vigorous aerobic exercise enhanced cessation rates, improved exercise capacity, and reduced weight gain compared to CBT plus equal contact time.

Purpose

This study examined the effectiveness of this program adapted for and implemented in the YMCAs.

Design

An RCT comparing CBT + Exercise (Exercise) to CBT + Contact Control (Control).

Setting/participants

Apparently healthy female smokers were recruited to four local YMCAs.

Intervention

YMCA staff members were trained to lead the manualized CBT smoking-cessation intervention and a standardized YMCA exercise program.

Main outcome measures

Seven-day point prevalence and continuous abstinence.

Results

Participants (330 women, mean age=44 years) were randomized to the Exercise (n=166) or Control (n=164) group. Results revealed no differences in 7-day point prevalence (29.5 % vs 29.9 % ) nor continuous abstinence (13.9 % vs 14.0 % ) between the Exercise and Control groups, respectively, at end of treatment or at the 3-, 6-, and 12-month follow-up. An examination of the relationship between exercise dose and quit status at end of treatment revealed that over 12 weeks, the odds of being quit (7-day point prevalence) grew by 4.5 % for each additional aerobic exercise session (OR=1.05, 95 % CI=1.01, 1.08) and by 7.7 % for each additional resistance training session (OR=1.08, 95 % CI=1.02, 1.14). Analyses were conducted between August 19, 2010, and December 16, 2011.

Conclusions

No differences were seen between groups in smoking outcomes. The association between greater exercise participation and higher odds of quitting within the exercise condition suggests that the lack of between-group differences might be a result of poor compliance with the exercise program.

Trial registration

This study is registered at .