Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 6/2017

27-04-2017

Anxiety sensitivity predicts increased perceived exertion during a 1-mile walk test among treatment-seeking smokers

Auteurs: Samantha G. Farris, Lisa A. Uebelacker, Richard A. Brown, Lawrence H. Price, Julie Desaulniers, Ana M. Abrantes

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2017

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Smoking increases risk of early morbidity and mortality, and risk is compounded by physical inactivity. Anxiety sensitivity (fear of anxiety-relevant somatic sensations) is a cognitive factor that may amplify the subjective experience of exertion (effort) during exercise, subsequently resulting in lower engagement in physical activity. We examined the effect of anxiety sensitivity on ratings of perceived exertion (RPE) and physiological arousal (heart rate) during a bout of exercise among low-active treatment-seeking smokers. Adult daily smokers (n = 157; M age  = 44.9, SD = 11.13; 69.4% female) completed the Rockport 1.0 mile submaximal treadmill walk test. RPE and heart rate were assessed during the walk test. Multi-level modeling was used to examine the interactive effect of anxiety sensitivity × time on RPE and on heart rate at five time points during the walk test. There were significant linear and cubic time × anxiety sensitivity effects for RPE. High anxiety sensitivity was associated with greater initial increases in RPE during the walk test, with stabilized ratings towards the last 5 min, whereas low anxiety sensitivity was associated with lower initial increase in RPE which stabilized more quickly. The linear time × anxiety sensitivity effect for heart rate was not significant. Anxiety sensitivity is associated with increasing RPE during moderate-intensity exercise. Persistently rising RPE observed for smokers with high anxiety sensitivity may contribute to the negative experience of exercise, resulting in early termination of bouts of prolonged activity and/or decreased likelihood of future engagement in physical activity.
Literatuur
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage.
go back to reference American College of Sports Medicine. (2010). ACSM’s guidelines for exercise testing and prescription. Philadelphia, PA: Lippincott Williams & Wilkins. American College of Sports Medicine. (2010). ACSM’s guidelines for exercise testing and prescription. Philadelphia, PA: Lippincott Williams & Wilkins.
go back to reference Assayag, Y., Bernstein, A., Zvolensky, M. J., Steeves, D., & Stewart, S. S. (2012). Nature and role of change in anxiety sensitivity during NRT-aided cognitive-behavioral smoking cessation treatment. Cognitive Behaviour Therapy, 41, 51–62. doi:10.1080/16506073.2011.632437 CrossRefPubMed Assayag, Y., Bernstein, A., Zvolensky, M. J., Steeves, D., & Stewart, S. S. (2012). Nature and role of change in anxiety sensitivity during NRT-aided cognitive-behavioral smoking cessation treatment. Cognitive Behaviour Therapy, 41, 51–62. doi:10.​1080/​16506073.​2011.​632437 CrossRefPubMed
go back to reference Baldwin, A. S., Kangas, J. L., Denman, D. C., Smits, J. A. J., Yamada, T., & Otto, M. W. (2016). Cardiorespiratory fitness moderates the effect of an affect-guided physical activity prescription: A pilot randomized controlled trial. Cognitive Behaviour Therapy, 45, 445–457. doi:10.1080/16506073.2016.1194454 CrossRefPubMed Baldwin, A. S., Kangas, J. L., Denman, D. C., Smits, J. A. J., Yamada, T., & Otto, M. W. (2016). Cardiorespiratory fitness moderates the effect of an affect-guided physical activity prescription: A pilot randomized controlled trial. Cognitive Behaviour Therapy, 45, 445–457. doi:10.​1080/​16506073.​2016.​1194454 CrossRefPubMed
go back to reference Borg, G. V. (1982). Psychological basis of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377–381.PubMed Borg, G. V. (1982). Psychological basis of perceived exertion. Medicine and Science in Sports and Exercise, 14, 377–381.PubMed
go back to reference Borg, G. (1998). Borg’s perceived exertion and pain scales. Champaign, IL: Human Kinetics. Borg, G. (1998). Borg’s perceived exertion and pain scales. Champaign, IL: Human Kinetics.
go back to reference Brown, R. A., Burgess, E. S., Sales, S. D., Whiteley, J. A., Evans, D. M., & Miller, I. W. (1998). Reliability and validity of a smoking timeline follow-back interview. Psychology of Addictive Behaviors, 12, 101–112. doi:10.1037/0893-164X.12.2.101 CrossRef Brown, R. A., Burgess, E. S., Sales, S. D., Whiteley, J. A., Evans, D. M., & Miller, I. W. (1998). Reliability and validity of a smoking timeline follow-back interview. Psychology of Addictive Behaviors, 12, 101–112. doi:10.​1037/​0893-164X.​12.​2.​101 CrossRef
go back to reference Centers for Disease Control and Prevention. (2013). Health behaviors of adults: United States 2008–2010. Vital and Health Statistics, 257, 1–184. Centers for Disease Control and Prevention. (2013). Health behaviors of adults: United States 2008–2010. Vital and Health Statistics, 257, 1–184.
go back to reference Centers for Disease Control and Prevention. (2015). Current cigarette smoking among adults—United States, 2004–2014. Morbidity and Mortality Weekly Report, 64, 1233–1240. Centers for Disease Control and Prevention. (2015). Current cigarette smoking among adults—United States, 2004–2014. Morbidity and Mortality Weekly Report, 64, 1233–1240.
go back to reference Ekkekakis, P. (2005). The study of affective responses to acute exercise: The dual-mode model. In R. Stelter & K. K. Roessler (Eds.), New approaches to exercise and sport psychology (pp. 119–146). Oxford: Meyer & Meyer Sport. Ekkekakis, P. (2005). The study of affective responses to acute exercise: The dual-mode model. In R. Stelter & K. K. Roessler (Eds.), New approaches to exercise and sport psychology (pp. 119–146). Oxford: Meyer & Meyer Sport.
go back to reference Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2005). Variation and homogeneity in affective responses to physical activity of varying intensities: An alternative perspective on dose-response based on evolutionary considerations. Journal of Sports Sciences, 23, 477–500. doi:10.1080/02640410400021492 CrossRefPubMed Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2005). Variation and homogeneity in affective responses to physical activity of varying intensities: An alternative perspective on dose-response based on evolutionary considerations. Journal of Sports Sciences, 23, 477–500. doi:10.​1080/​0264041040002149​2 CrossRefPubMed
go back to reference Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker! Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35, 136–149. doi:10.1007/s12160-008-9025-z CrossRef Ekkekakis, P., Hall, E. E., & Petruzzello, S. J. (2008). The relationship between exercise intensity and affective responses demystified: To crack the 40-year-old nut, replace the 40-year-old nutcracker! Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 35, 136–149. doi:10.​1007/​s12160-008-9025-z CrossRef
go back to reference Ekkekakis, P., & Lind, E. (2006). Exercise does not feel the same when you are overweight: The impact of self-selected and imposed intensity on affect and exertion. International Journal of Obesity, 30, 652–660. doi:10.1038/sj.ijo.0803052 CrossRefPubMed Ekkekakis, P., & Lind, E. (2006). Exercise does not feel the same when you are overweight: The impact of self-selected and imposed intensity on affect and exertion. International Journal of Obesity, 30, 652–660. doi:10.​1038/​sj.​ijo.​0803052 CrossRefPubMed
go back to reference Farris, S. G., Davis, M. L., Rosenfield, D., Kauffman, B. Y., Baird, S. O., Powers, M. B., et al. (2016). Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers. Mental Health and Physical Activity, 10, 25–32. doi:10.1016/j.mhpa.2016.05.001 CrossRefPubMedPubMedCentral Farris, S. G., Davis, M. L., Rosenfield, D., Kauffman, B. Y., Baird, S. O., Powers, M. B., et al. (2016). Exercise self-efficacy moderates the relation between anxiety sensitivity and body mass index and exercise tolerance in treatment-seeking smokers. Mental Health and Physical Activity, 10, 25–32. doi:10.​1016/​j.​mhpa.​2016.​05.​001 CrossRefPubMedPubMedCentral
go back to reference Farris, S. G., Leventhal, A. M., Schmidt, N. B., & Zvolensky, M. J. (2015b). Anxiety sensitivity and pre-cessation smoking processes: Testing the independent and combined mediating effects of negative affect-reduction expectancies and motives. Journal of Studies on Alcohol and Drugs, 76, 317–325. doi:10.15288/jsad.2015.76.317 CrossRefPubMedPubMedCentral Farris, S. G., Leventhal, A. M., Schmidt, N. B., & Zvolensky, M. J. (2015b). Anxiety sensitivity and pre-cessation smoking processes: Testing the independent and combined mediating effects of negative affect-reduction expectancies and motives. Journal of Studies on Alcohol and Drugs, 76, 317–325. doi:10.​15288/​jsad.​2015.​76.​317 CrossRefPubMedPubMedCentral
go back to reference Goodin, B. R., McGuire, L. M., Stapleton, L. M., Quinn, N. B., Fabian, L. A., Haythornthwaite, J. A., et al. (2009). Pain catastrophizing mediates the relationship between self-reported strenuous exercise involvement and pain ratings: Moderating role of anxiety sensitivity. Psychosomatic Medicine, 71, 1018–1025. doi:10.1097/PSY.0b013e3181bc62ba CrossRefPubMedPubMedCentral Goodin, B. R., McGuire, L. M., Stapleton, L. M., Quinn, N. B., Fabian, L. A., Haythornthwaite, J. A., et al. (2009). Pain catastrophizing mediates the relationship between self-reported strenuous exercise involvement and pain ratings: Moderating role of anxiety sensitivity. Psychosomatic Medicine, 71, 1018–1025. doi:10.​1097/​PSY.​0b013e3181bc62ba​ CrossRefPubMedPubMedCentral
go back to reference Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86, 1119–1127.CrossRefPubMed Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerstrom, K. O. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire. British Journal of Addiction, 86, 1119–1127.CrossRefPubMed
go back to reference Johnson, K. A., Stewart, S., Rosenfield, D., Steeves, D., & Zvolensky, M. J. (2012). Prospective evaluation of the effects of anxiety sensitivity and state anxiety in predicting acute nicotine withdrawal symptoms during smoking cessation. Psychology of Addictive Behaviors, 26, 289–297. doi:10.1037/a0024133 CrossRefPubMed Johnson, K. A., Stewart, S., Rosenfield, D., Steeves, D., & Zvolensky, M. J. (2012). Prospective evaluation of the effects of anxiety sensitivity and state anxiety in predicting acute nicotine withdrawal symptoms during smoking cessation. Psychology of Addictive Behaviors, 26, 289–297. doi:10.​1037/​a0024133 CrossRefPubMed
go back to reference Langdon, K. J., Leventhal, A. M., Stewart, S., Rosenfield, D., Steeves, D., & Zvolensky, M. J. (2013). Anhedonia and anxiety sensitivity: Prospective relationships to nicotine withdrawal symptoms during smoking cessation. Journal of Studies on Alcohol and Drugs, 74, 469–478. doi:10.15288/jsad.2013.74.469 CrossRefPubMedPubMedCentral Langdon, K. J., Leventhal, A. M., Stewart, S., Rosenfield, D., Steeves, D., & Zvolensky, M. J. (2013). Anhedonia and anxiety sensitivity: Prospective relationships to nicotine withdrawal symptoms during smoking cessation. Journal of Studies on Alcohol and Drugs, 74, 469–478. doi:10.​15288/​jsad.​2013.​74.​469 CrossRefPubMedPubMedCentral
go back to reference Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion-smoking comorbidity. Psychological Bulletin, 141, 176–212. doi:10.1037/bul0000003 CrossRefPubMed Leventhal, A. M., & Zvolensky, M. J. (2015). Anxiety, depression, and cigarette smoking: A transdiagnostic vulnerability framework to understanding emotion-smoking comorbidity. Psychological Bulletin, 141, 176–212. doi:10.​1037/​bul0000003 CrossRefPubMed
go back to reference Moshier, S. J., Szuhany, K. L., Hearon, B. A., Smits, J. A. J., & Otto, M. W. (2016). Anxiety sensitivity uniquely predicts exercise behaviors in young adults seeking to increase physical activity. Behavior Modification, 40(1–2), 178–198. doi:10.1177/0145445515603704 CrossRefPubMed Moshier, S. J., Szuhany, K. L., Hearon, B. A., Smits, J. A. J., & Otto, M. W. (2016). Anxiety sensitivity uniquely predicts exercise behaviors in young adults seeking to increase physical activity. Behavior Modification, 40(1–2), 178–198. doi:10.​1177/​0145445515603704​ CrossRefPubMed
go back to reference Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., et al. (2016). Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion. Clinical Psychology Review, 49, 67–78. doi:10.1016/j.cpr.2016.07.003 CrossRefPubMed Otto, M. W., Eastman, A., Lo, S., Hearon, B. A., Bickel, W. K., Zvolensky, M., et al. (2016). Anxiety sensitivity and working memory capacity: Risk factors and targets for health behavior promotion. Clinical Psychology Review, 49, 67–78. doi:10.​1016/​j.​cpr.​2016.​07.​003 CrossRefPubMed
go back to reference Pober, D. M., Freedson, P. S., Kline, G. M., McInnis, K. J., & Rippe, J. M. (2002). Development and validation of a one-mile treadmill walk test to predict peak oxygen uptake in healthy adults ages 40 to 79 years. Canadian Journal of Applied Physiology, 27, 575–589. doi:10.1139/h02-033 CrossRefPubMed Pober, D. M., Freedson, P. S., Kline, G. M., McInnis, K. J., & Rippe, J. M. (2002). Development and validation of a one-mile treadmill walk test to predict peak oxygen uptake in healthy adults ages 40 to 79 years. Canadian Journal of Applied Physiology, 27, 575–589. doi:10.​1139/​h02-033 CrossRefPubMed
go back to reference Shaw, B. A., & Agahi, N. (2014). Smoking and physical inactivity patterns during midlife as predictors of all-cause mortality and disability: A 39-year prospective study. European Journal of Ageing, 11, 195–204. doi:10.1007/s10433-013-0298-0 CrossRefPubMed Shaw, B. A., & Agahi, N. (2014). Smoking and physical inactivity patterns during midlife as predictors of all-cause mortality and disability: A 39-year prospective study. European Journal of Ageing, 11, 195–204. doi:10.​1007/​s10433-013-0298-0 CrossRefPubMed
go back to reference Smits, J. A. J., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39, 28–36. doi:10.1080/16506070902915261 CrossRefPubMed Smits, J. A. J., Tart, C. D., Presnell, K., Rosenfield, D., & Otto, M. W. (2010). Identifying potential barriers to physical activity adherence: Anxiety sensitivity and body mass as predictors of fear during exercise. Cognitive Behaviour Therapy, 39, 28–36. doi:10.​1080/​1650607090291526​1 CrossRefPubMed
go back to reference Smits, J. A. J., & Zvolensky, M. J. (2006). Emotional vulnerability as a function of physical activity among individuals with panic disorder. Depression and Anxiety, 23, 102–106. doi:10.1002/da.20146 CrossRefPubMed Smits, J. A. J., & Zvolensky, M. J. (2006). Emotional vulnerability as a function of physical activity among individuals with panic disorder. Depression and Anxiety, 23, 102–106. doi:10.​1002/​da.​20146 CrossRefPubMed
go back to reference Smits, J. A., Zvolensky, M. J., Rosenfield, D., Marcus, B. H., Church, T. S., Frierson, G. M., et al. (2015). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity. Psychosomatic Medicine. doi:10.1097/PSY.0000000000000264 Smits, J. A., Zvolensky, M. J., Rosenfield, D., Marcus, B. H., Church, T. S., Frierson, G. M., et al. (2015). The efficacy of vigorous-intensity exercise as an aid to smoking cessation in adults with high anxiety sensitivity. Psychosomatic Medicine. doi:10.​1097/​PSY.​0000000000000264​
go back to reference StataCorp LP. (2015). Stata user’s guide release 14. College Station, TX: A State Press Publication. StataCorp LP. (2015). Stata user’s guide release 14. College Station, TX: A State Press Publication.
go back to reference Stenholm, S., Head, J., Kivimäki, M., Kawachi, I., Aalto, V., Zins, M., et al. (2016). Smoking, physical inactivity and obesity as predictors of healthy and disease-free life expectancy between ages 50 and 75: A multicohort study. International Journal of Epidemiology, 45, 1260–1270. doi:10.1093/ije/dyw126 PubMed Stenholm, S., Head, J., Kivimäki, M., Kawachi, I., Aalto, V., Zins, M., et al. (2016). Smoking, physical inactivity and obesity as predictors of healthy and disease-free life expectancy between ages 50 and 75: A multicohort study. International Journal of Epidemiology, 45, 1260–1270. doi:10.​1093/​ije/​dyw126 PubMed
go back to reference Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. doi:10.1037/1040-3590.19.2.176 CrossRefPubMed Taylor, S., Zvolensky, M. J., Cox, B. J., Deacon, B., Heimberg, R. G., Ledley, D. R., et al. (2007). Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3. Psychological Assessment, 19, 176–188. doi:10.​1037/​1040-3590.​19.​2.​176 CrossRefPubMed
go back to reference U.S. Burden of Disease Collaborators. (2013). The state of US health, 1990–2010: Burden of diseases, injuries, and risk factors. Journal of the American Medical Association, 310, 591–608. doi:10.1001/jama.2013.13805 CrossRef U.S. Burden of Disease Collaborators. (2013). The state of US health, 1990–2010: Burden of diseases, injuries, and risk factors. Journal of the American Medical Association, 310, 591–608. doi:10.​1001/​jama.​2013.​13805 CrossRef
go back to reference U.S. Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans. Washington, DC. U.S. Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans. Washington, DC.
go back to reference Zvolensky, M. J., Stewart, S. H., Vujanovic, A. A., Gavric, D., & Steeves, D. (2009). Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment. Nicotine & Tobacco Research, 11, 323–331. doi:10.1093/ntr/ntn037 CrossRef Zvolensky, M. J., Stewart, S. H., Vujanovic, A. A., Gavric, D., & Steeves, D. (2009). Anxiety sensitivity and anxiety and depressive symptoms in the prediction of early smoking lapse and relapse during smoking cessation treatment. Nicotine & Tobacco Research, 11, 323–331. doi:10.​1093/​ntr/​ntn037 CrossRef
Metagegevens
Titel
Anxiety sensitivity predicts increased perceived exertion during a 1-mile walk test among treatment-seeking smokers
Auteurs
Samantha G. Farris
Lisa A. Uebelacker
Richard A. Brown
Lawrence H. Price
Julie Desaulniers
Ana M. Abrantes
Publicatiedatum
27-04-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2017
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-017-9853-z

Andere artikelen Uitgave 6/2017

Journal of Behavioral Medicine 6/2017 Naar de uitgave