运动干预戒烟效果的系统评价  

Efficacy of exercise intervention on smoking cessation: a systematic review

作　　者：史鹏 孙金月 李辰洋 张自云[2,3] SHI Peng;SUN Jinyue;LI Chenyang;ZHANG Ziyun(School of Physical Education and Sports Training,Shanghai University of Sport,Shanghai 200438,P.R.China;Institute of Physical Education,Liaoning Normal University,Dalian 116029,P.R.China;Liaoning Key Laboratory of Sports Human Science,Dalian 116029,P.R.China)

机构地区：[1]上海体育学院体育教育训练学院,上海200438 [2]辽宁师范大学体育学院,辽宁大连116029 [3]辽宁省运动人体科学重点实验室,辽宁大连116029

出　　处：《中国循证医学杂志》2022年第4期411-421,共11页Chinese Journal of Evidence-based Medicine

摘　　要：目的 系统评价运动干预戒烟的效果。方法 计算机检索CNKI、WanFang Data、VIP、Web of Science、PubMed和EBSCO数据库,搜集运动干预戒烟的随机对照试验(RCT)和随机交叉对照试验(RCD),检索时限均为建库至2022年3月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 12.0软件进行统计分析。结果 共纳入47个研究(35个RCT和12个RCD),包括5 130例受试者。Meta分析结果显示:急性运动显著降低戒烟者的吸烟欲望(P<0.05),缓解大多数戒断症状。周期运动明显能提高戒烟者的7天时点戒断率和持续戒断率(P<0.05),且至少维持12周,但并未能有效缓解抑郁、压力和改善情绪(P>0.05)。结论 当前证据显示,运动干预戒烟有积极效果,但后续还需更多高质量研究来验证结果的可靠性。Objective To systematically review the efficacy of exercise intervention on smoking cessation.Methods CNKI, WanFang Data, VIP, Web of Science, PubMed and EMbase databases were electronically searched to collect randomized controlled trials(RCTs) and randomized cross controlled trials(RCDs) on exercise intervention for smoking cessation from inception to September 2021. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Then, meta-analysis was performed using Stata 12.0 software. Results A total of 47 studies(35 RCTs and 12 RCDs) involving 5 130 subjects were included. The results of meta-analysis showed that acute exercise could significantly reduce the quitters’ desire to smoke(P<0.05), alleviate most of the withdrawal symptoms, and the effect of acute exercise was maintained for at least 30 minutes. Periodic exercise significantly reduced7-day point abstinence and sustained abstinence rates in ex-smokers(P<0.05), and the effect of periodic exercise was maintained for at least 12 weeks, however, depression and stress were not found to be effectively relieved, and mood was not found to be significantly improved(P>0.05). Conclusion Exercise intervention to quit smoking has a positive effect,however, more high-quality studies are needed to verify the above conclusion.

关 键 词：戒烟 运动 吸烟欲望 戒断症状 Meta分析 系统评价 

分 类 号：R163[医药卫生—公共卫生与预防医学]