Evidence map›Paper›PMID 20414766›Full record

SynthesisPsychopharmacology2010

Meta-analysis of the acute effects of nicotine and smoking on human performance.

Stephen J Heishman, Bethea A Kleykamp, Edward G Singleton

Registry-linked trialOpen access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Psychopharmacology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03091699 (The Acute Effects of Moderate Intensity Exercise and Nicotine on Cognition in Smokers), which is not on this map. Cited by 313 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
313citing papers in PubMed, 11 pooled it
18.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03091699 phase3completednot on this mapstarted 2017, after this paper: background citation

The Acute Effects of Moderate Intensity Exercise and Nicotine on Cognition in Smokers

TypeinterventionalSponsorWestern University, CanadaRan2017 to 2024Enrolled34ConditionsSmoking CessationArmsNicotine, Moderate Intensity Exercise
3 · Its place in the literature

Who cites it

313 citing papers in PubMed, 11 syntheses or guidelines pooled it, 643 citations in OpenAlex.

  1. Pooled it
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  7. Overview of Electronic Nicotine Delivery Systems: A Systematic Review.American journal of preventive medicine · 2017
    Pooled it
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  12. Acute Effects of Nicotine on Non-Drug-Related Reward in Smokers and Non-Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  17. Acetylcholine and noradrenaline enhance foraging optimality in humans.Proceedings of the National Academy of Sciences of the United States of America · 2023
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  20. Nicotine supplementation enhances simulated game performance of archery athletes.Journal of the International Society of Sports Nutrition · 2021
    Trial

253 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Stephen J HeishmanNicotine Psychopharmacology Section, National Institute on Drug Abuse, NIH Intramural Research Program, 251 Bayview Blvd., Baltimore, MD 21224, USA. heishman@nih.gov
Bethea A Kleykamp
Edward G Singleton
Behavioral Pharma (United States) · USNational Institute on Drug Abuse · USStevenson University · US

Funding

HUMAN BEHAVIORAL PHARMACOLOGY OF SUBSTANCE ABUSET32DA007209 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Eric C. Strain, Elise M Weerts · 1985 to 2026
$12.9M
Effect of nicotine and/or tobacco withdrawal on cognition and brain functionZIADA000483 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HEISHMAN, STEPHEN · 2009 to 2012
$1.6M
Effect of nicotine on elements of attention in smokers and nonsmokersZIADA000484 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI HEISHMAN, STEPHEN · 2009 to 2012
$1.0M
Intramural NIH HHS ZIA DA000483Intramural NIH HHS ZIA DA000484NIDA NIH HHS T32 DA007209NIDA NIH HHS T32DA007209-29
6 · The paper itself

Abstract

RATIONALE AND

objectiveEmpirical studies indicate that nicotine enhances some aspects of attention and cognition, suggesting a role in the maintenance of tobacco dependence. The purpose of this review was to update the literature since our previous review (Heishman et al. Exp Clin Psychopharmacol 2:345-395, 1994) and to determine which aspects of human performance were most sensitive to the effects of nicotine and smoking.

methodsWe conducted a meta-analysis on the outcome measures of 41 double-blind, placebo-controlled laboratory studies published from 1994 to 2008. In all studies, nicotine was administered, and performance was assessed in healthy adult nonsmokers or smokers who were not tobacco-deprived or minimally deprived (<or=2 h).

resultsThere were sufficient effect size data to conduct meta-analyses on nine performance domains, including motor abilities, alerting and orienting attention, and episodic and working memory. We found significant positive effects of nicotine or smoking on six domains: fine motor, alerting attention-accuracy and response time (RT), orienting attention-RT, short-term episodic memory-accuracy, and working memory-RT (effect size range = 0.16 to 0.44).

conclusionsThe significant effects of nicotine on motor abilities, attention, and memory likely represent true performance enhancement because they are not confounded by withdrawal relief. The beneficial cognitive effects of nicotine have implications for initiation of smoking and maintenance of tobacco dependence.

Indexed as

AttentionDose-Response Relationship, DrugHumansMemoryMotor SkillsNicotinePsychomotor PerformanceSmokingNicotine

Identifiers

PMID20414766
PMCPMC3151730
OpenAlexW2159223011

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.