Exercise Interventions for Reducing Nicotine Dependence and Craving in E-Cigarette Users: A Narrative Review
DOI:
https://doi.org/10.12775/QS.2026.59.72758Keywords
electronic cigarettes, vaping cessation, exercise interventions, nicotine dependence, nicotine withdrawal, physical activityAbstract
Background. Electronic cigarette (e-cigarette) use has increased considerably, particularly among adolescents and young adults, raising concerns regarding nicotine dependence and difficulties associated with vaping cessation. Craving and withdrawal symptoms may contribute to continued nicotine use and complicate abstinence attempts.
Aim. This review aimed to evaluate current evidence regarding the relationship between exercise and nicotine dependence associated with e-cigarette use and to examine the potential applicability of physical activity within vaping cessation approaches.
Material and Methods. A narrative review was conducted using literature identified through PubMed, PubMed Central (PMC), and Google Scholar in April 2026. Publications related to e-cigarette use, nicotine dependence, exercise interventions, biological mechanisms, and vaping cessation were screened and synthesized. The final review included 43 publications representing different study designs and evidence types.
Results. Exercise interventions were most frequently associated with reductions in craving and withdrawal-related symptoms during temporary nicotine abstinence. Additional findings suggested favorable effects involving emotional regulation, stress responses, and behavioral factors associated with nicotine use. Emerging evidence also indicated biological alterations related to vaping exposure, including endothelial dysfunction, oxidative stress, and inflammatory responses.
Conclusions. Exercise may represent a complementary component within vaping cessation strategies. Potential benefits may extend beyond craving reduction and involve broader psychological and behavioral factors associated with nicotine dependence. However, further investigations among exclusive e-cigarette users remain necessary.
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Copyright (c) 2026 Katarzyna Gozdera, Anna Janiszewska, Wiktor Kołkowski, Jan Jakubczyk, Monika Wądołowska, Magdalena Antoszewska, Maria Grabowska, Jakub Koszewski, Wiktoria Pielak, Katarzyna Oszast
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