Abstract
Smokers, whether they are looking to quit or not, experience cravings and tobacco withdrawal symptoms (TWS), which can cause relapse. These acute symptoms are traditionally treated with nicotine replacement therapy (NRT). Exercise has demonstrated a number of beneficial effects using both temporary abstinence and real quit-attempt paradigms. Specifically, acute bouts of moderate-intensity exercise have been shown to significantly reduce levels of cravings and certain TWS in smokers, regardless of smoking status. Acute bouts of exercise are effective, even in the presence of sequential or concurrent stressors, and can also be combined with NRT to provide additive craving relief. Currently, the most widely tested and supported mechanism for exercise-craving relationship is the affect hypothesis. Acute bouts of exercise can effectively provide relief for cravings and TWS in smokers and should be prescribed as such.
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