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. 2019 Oct 30;2019(10):CD002295. doi: 10.1002/14651858.CD002295.pub6

Hill 1993.

Methods Country: USA
 Recruitment: community volunteers, smoking at least 30 yrs, not currently walking for exercise
 Randomisation: in blocks of 8 to 12, method not described
Participants 82 (43 women, 39 men), mean age 59, mean CPD 28, irregular walkers
Interventions (a) Intervention 1: Walk: group/individual, facility/home, 15 ‐ 35 mins, 60% ‐ 70% HR reserve, 1 ‐ 3 times/week for 12 weeks (n = 20)
 (b) Intervention 2: as (a) + CP 1 ‐ 4 times/week for 12 weeks (n = 18)
 (c) Intervention 3: CP as (b) + nicotine gum (n = 22)
 (d) Control: CP alone (n = 22)
 Exercise began before quit date
Outcomes 5‐day PPA
 Validation: CO < 10 ppm
 Follow‐up: 1, 4, 9 months
Notes (b) compared to (d) for effect of exercise programme
Funding: Information not provided
Conflict of interest: Information not provided
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not stated
Allocation concealment (selection bias) Low risk No details given
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Details of blinding not specified, but as self‐reports of smoking were validated objectively by expired CO risk is considered as low
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 4 individuals dropped out and were excluded from the analysis. The main findings were the same with or without the 4 dropouts
Selective reporting (reporting bias) Low risk Smoking outcomes reported as stated in Methods