通过运动咨询提高戒烟效果:Fit2Quit随机对照试验

2014/05/12

   摘要
   背景:
常规运动被认为可能有助于戒烟。
   目的:本研究旨在确定运动咨询项目对24周时戒烟效果的影响。
   方法:本研究是一项平行、双臂、随机对照试验。对戒烟不够积极/感兴趣的成年吸烟者(n = 906)被随机分为常规护理,伴或不伴Fit2Quit干预(6周内进行10次运动电话咨询会议)。
   结果:两组的7天戒烟率和6个月持续保持戒烟率无显著差异。在干预组,成功进行电话干预的次数越多,吸烟的可能性越小(比值比OR, 0.88; 95 % 可信区间 0.81-0.97, p = 0.01)。在空闲时间身体活动量方面,两组存在显著差异(差异 = 219.11 MET-分钟/周; 95 % CI 52.65-385.58; p = 0.01)。
   结论:电话运动咨询可能不足以在现有戒烟服务的基础上进一步提高戒烟率。

 

(刘国梁 审校)
Ann Behav Med. 2014 Mar 7. [Epub ahead of print]



 

Exercise Counseling to Enhance Smoking Cessation Outcomes: The Fit2Quit Randomized Controlled Trial.
 

Maddison R1, Roberts V, McRobbie H, Bullen C, Prapavessis H, Glover M, Jiang Y, Brown P, Leung W, Taylor S, Tsai M.
 

ABSTRACT
BACKGROUND:
Regular exercise has been proposed as a potential smoking cessation aid.
PURPOSE: This study aimed to determine the effects of an exercise counseling program on cigarette smoking abstinence at 24 weeks.
METHODS: A parallel, two-arm, randomized controlled trial was conducted. Adult cigarette smokers (n = 906) who were insufficiently active and interested in quitting were randomized to receive the Fit2Quit intervention (10 exercise telephone counseling sessions over 6 months) plus usual care (behavioral counseling and nicotine replacement therapy) or usual care alone.
RESULTS: There were no significant group differences in 7-day point-prevalence and continuous abstinence at 6 months. The more intervention calls successfully delivered, the lower the probability of smoking (OR, 0.88; 95 % CI 0.81-0.97, p = 0.01) in the intervention group. A significant difference was observed for leisure time physical activity (difference = 219.11 MET-minutes/week; 95 % CI 52.65-385.58; p = 0.01).
CONCLUSIONS: Telephone-delivered exercise counseling may not be sufficient to improve smoking abstinence rates over and above existing smoking cessation services.

 

Ann Behav Med. 2014 Mar 7. [Epub ahead of print]


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