Evidence map›Paper›PMID 30368021›Full record

Trial reportAddictive behaviors2019

Sleep quality in cigarette smokers: Associations with smoking-related outcomes and exercise.

Himal Purani, Samantha Friedrichsen, Alicia M Allen

3 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% 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.

NCT05046535 completednot on this mapstarted 2021, after this paper: background citation

The Effect of Cigarette Smoke on Sleep Quality and Physical Activity in People With Multiple Sclerosis

TypeobservationalSponsorUniversity of JordanRan2021 to 2024Enrolled72ConditionsMultiple SclerosisArmsSleep quality and physical activity, Nicotine dependence, Nicotine and cotinine serum levels, Smoking
NCT06629467 nacompletednot on this mapstarted 2023, after this paper: background citation

Cognitive Behavioral Treatment With Activity Trackers for Smoking Cessation

TypeinterventionalSponsorUniversity of OviedoRan2023 to 2025Enrolled128ConditionsTobacco Use Cessation, Physical ActivityArmsCognitive-behavioral therapy for smoking cessation, Personalized PA plan, Fitbit Versa 3
NCT06629493 nacompletednot on this mapstarted 2022, after this paper: background citation

Feasibility and Effects of Activity Trackers Among Alcohol Users Receiving In-patient Treatment for Alcohol Use Disorder

TypeinterventionalSponsorUniversity of OviedoRan2022 to 2025Enrolled90ConditionsSubstance-Related Disorders, Alcohol-Related Disorders, Alcohol Use Disorder (AUD)ArmsFitbit Versa 3, In-patient alcohol use disorder treatment
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 132 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Sleep quality and health among pregnant smokers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Trial
  4. Trial
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  6. Impact of Physical Activity on Smoking, Sleep Disorders, and Depression Among U.S. Adults.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
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  14. Review
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5 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 2 institutions in 1 country.

Himal PuraniDepartment of Family Medicine & Community Health, Medical School, University of Minnesota, 717 Delaware Street SE, Suite 454, Minneapolis, MN 55414, United States.
Samantha FriedrichsenDepartment of Family Medicine & Community Health, Medical School, University of Minnesota, 717 Delaware Street SE, Suite 454, Minneapolis, MN 55414, United States.
Alicia M AllenDepartment of Family & Community Medicine, College of Medicine, University of Arizona, 3950 South Country Club Drive, Suite 330, Tucson, AZ 85716, United States. Electronic address: aliciaallen@email.arizona.edu.
University of Minnesota · USUniversity of Arizona · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Univ of Minnesota Buidling Interdisciplinary Research Careers in Women's HealthK12HD055887 · NICHD · UNIVERSITY OF MINNESOTA · PI ALLEN, SHARON S, BERGE, JERICA M · 2007 to 2023
$8.6M
NCATS NIH HHS UL1 TR000114NICHD NIH HHS K12 HD055887
6 · The paper itself

Abstract

introductionCompared to the general population, cigarette smokers report poorer sleep quality. Poor sleep quality in cigarette smokers is associated with greater nicotine dependence. While exercise is known to improve sleep quality in the general population, less is known about how exercise effects sleep in those who smoke. The goal of this study was to explore the relationships between exercise, sleep, and smoking in cigarette smokers.

methodsData on sleep quality (Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI)), smoking-related outcomes (e.g., cigarettes/day, Fagerstrom Test for Nicotine Dependence, Minnesota Nicotine and Withdrawal Scale, and Questionnaire of Smoking Urges) and exercise (Fitbit activity measures) were collected for 32 participants (63% female, mean age 30.3 ± 1.0 years) participating in a 12-week clinical research study. Analyses included simple linear regression models.

resultsOverall, participants reported poor sleep quality at baseline (PSQI > 5). Poorer sleep quality at baseline was associated with increased withdrawal (β = 1.63 ± 0.53, p = 0.0043), craving (β = 0.51 ± 0.43, p = 0.2471), and total smoking urges (β = 1.10 ± 0.41, p = 0.0118). During follow-up (i.e., from baseline to week 12), a daily increase in exercise was associated with improved sleep quality over the same time period (PSQI: β = -0.82 ± 0.35, p = 0.0379).

conclusionOur data suggest that better sleep quality may be associated with lower levels of withdrawal, craving, and smoking urges. Further, exercise may be associated with better sleep quality in cigarette smokers. Future work should explore how increasing exercise and improving sleep quality could inform future smoking cessation interventions.

Indexed as

ExerciseSleepSmokersAdultCigarette SmokingCravingFemaleHumansMaleSurveys and QuestionnairesTobacco Use DisorderCigarette smokingExerciseSleep qualitySmoking behaviorWithdrawal

Identifiers

PMID30368021
PMCPMC6324958
OpenAlexW2895978878

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.