Exercise as a Useful Intervention to Reduce Alcohol Consumption and Improve Physical Fitness in Individuals With Alcohol Use Disorder: A Systematic Review and Meta-Analysis

Lardier, David T.; Coakley, Kathryn E.; Holladay, Kelley R.; Amorim, Fabiano T.; Zuhl, Micah

doi:10.3389/fpsyg.2021.675285

Cited by 15 publications

(11 citation statements)

References 73 publications

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“…Interventions involving physical activity are also an accessible way of reducing the symptoms of severe anxiety or mental illness among adults, including schizophrenia-spectrum disorders, major depressive disorder, and bipolar disorder [ 14 – 18 ]. The effects of physical activity as an additional or stand-alone treatment are sustained in the case of other medical conditions such as: alcohol use disorder [ 19 – 23 ]; functional outcome after stroke [ 24 – 30 ]; cardiovascular disease [ 31 ]; type 2 diabetes [ 32 ]; cancer [ 33 ]. This double role of physical activity [ 34 ] reflects its negative association with demand of health services, which could lead to lower spending on healthcare systems [ 3 , 35 – 37 ].…”

Section: Introductionmentioning

confidence: 99%

Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014

et al. 2022

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Background A growing need and focus on preventing and controlling the diseases and promoting a healthier lifestyle is more evident at global, regional, and national levels. In this respect, it is well-known the positive association between physical activity and population’s health, but also its negative association with the demand of healthcare, which could lead to lower spending on healthcare systems. In France, a lack of physical activity, a high prevalence of sedentary behaviours, and a continuous deterioration of these behaviours are observed since 2006. Therefore, promoting and increasing physical activities could contribute to major societal issues. Within this context, the study aims to analyse how the use of different healthcare services are related to physical activity in a nationally representative sample of French population. Methods The data used was retrieved from the second wave of the EHIS-ESPS 2014. The relationship between physical activity and healthcare utilization, controlled by a set of socioeconomic, demographic, and health behaviour factors, was explored both at the level of the entire population and separately for two age groups (less than 65 years, 65 years and older), employing probit and recursive multivariate probit models. Results Our findings underline that the relation between healthcare utilization and physical activity depends on the type of healthcare services and age group. In this respect, only among adult respondents, we observe a significant negative association between physical activity and prescribed medicines consumption and day hospitalization, while preventive services use is positively related to physical activity. Common to both age groups, the positive association of physical activity with general physician services and non-prescribed medicines reveal that moderately and highly active adults and elders may be more health conscious and therefore may seek referrals to generalist and other prevention measures more frequently than their inactive counterparts. This explanation is also sustained by the negative association between physical activity and overnight hospitalization or home healthcare services. Conclusions This study highlights the double role of physical activity on health as preventive measure and treatment and thus support the implementation of public health policies aimed at increasing the level of physical activity in French population.

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Section: Introductionmentioning

confidence: 99%

Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014

et al. 2022

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“… 31 32 It is also likely that football players are more physically active than the general population. Physical exercise is hypothesised to reduce alcohol consumption and has been suggested as a treatment for alcohol related disorders, 33 although some studies show an association between higher physical activity levels and risk of certain alcohol related disorders. 34 35 We also found that the elite football players had higher income than men from the general population, which could potentially protect against misuse of alcohol and other drugs.…”

Section: Discussionmentioning

confidence: 99%

Alcohol related disorders among elite male football players in Sweden: nationwide cohort study

Ueda

Pasternak

Svanström

et al. 2022

BMJ

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Objectives To assess whether male elite football players are at increased risk of alcohol related disorders compared with men from the general population, and whether such an increased risk would vary on the basis of calendar year of the first playing season in the top tier of competition, age, career length, and goal scoring abilities. Design Nationwide cohort study. Setting Sweden, 1924-2020. Participants 6007 male football players who had played in the Swedish top division, Allsvenskan, from 1924 to 2019 and 56 168 men from the general population matched to players based on age and region of residence. Main outcome measures Primary outcome was alcohol related disorders (diagnoses recorded in death certificates, during hospital admissions and outpatient visits, or use of prescription drugs for alcohol addiction); secondary outcome was disorders related to misuse of other drugs. Results During follow-up up to 31 December 2020, 257 (4.3%) football players and 3528 (6.3%) men from the general population received diagnoses of alcohol related disorders. In analyses accounting for age, region of residence, and calendar time, risk of alcohol related disorders was lower among football players than among men from the general population (hazard ratio 0.71, 95% confidence interval 0.62 to 0.81). A reduced risk of alcohol related disorders was observed for football players who played their first season in the top tier in the early 1960s and later, while no significant difference versus men from the general population was seen in the risk for football players from earlier eras. The hazard ratio was lowest at around age 35 years, and then increased with age; at around age 75 years, football players had a higher risk of alcohol related disorders than men from the general population. No significant association was seen between goal scoring, number of games, and seasons played in the top tier and the risk of alcohol related disorders. Risk of disorders related to other drug misuse was significantly lower among football players than the general population (hazard ratio 0.22, 95% confidence interval 0.15 to 0.34). Conclusions In this nationwide cohort study, male football players who had played in the Swedish top tier of competition had a significantly lower risk of alcohol related disorders than men from the general population.

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“…Exercise is planned, structured, repetitive, and intentional physical activity intended to improve or maintain physical tness (8). Exercise has been suggested as an adjunctive treatment strategy for people with substance use disorder (7) due to its positive effects on health, quality of life and reducing the burden of substance use disorder patterns (9,10). Physical activity and exercise can be effective adjunctive treatment methods for reducing nicotine, alcohol and drug use (7,11,12).…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Integrated exercise program in opioid agonist therapy clinics and effect on psychological distress: Study protocol for a randomised controlled trial (BAReAktiv)

Furulund

Madebo

Druckrey-Fiskaaen³

et al. 2022

Preprint

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Background Substance use disorder is associated with unhealthy lifestyle choices, resulting in adverse social and health consequences. People with opioid use disorder receiving opioid agonist therapy, in particular, have high morbidity and reduced quality of life. Physical activity is recommended as an adjunctive treatment for people with substance use disorder, but there is minimal evidence from randomized controlled trials on effect of this among people with substance use disorder receiving opioid agonist therapy. Methods BAReAktiv is a multicentre randomised controlled trial. The study aims to recruit 324 patients receiving opioid agonist therapy (randomised 1:1 to integrated exercise intervention or control). A 16-week group-based integrated exercise intervention with workouts twice a week. The exercise program consists of endurance and resistance training. The target group will be patients 18 years and older receiving opioid agonist therapy in outpatient clinics in several centres in Western Norway. The primary outcome of the study is the effect on psychological distress measured by Hopkins’ symptom checklist with ten items. Secondary outcome measures include physical functioning assessed with a 4-minutes step-test, activity level, fatigue symptoms, quality of life and changes in inflammation markers. This study will provide improved knowledge on the effects of an integrated exercise program in opioid agonist therapy. Discussion Systematically integrating exercise programs for people receiving opioid agonist therapy could lead to a shift towards a stronger focus on health behaviours in outpatient care. Integrating exercise could benefit patient recovery and reduce disease burden. Further scale-up will be considered if the provided exercise program is safe and effective. Trial Registration : ClinicalTrials.gov.no NCT05242848. Date of registry February 16, 2022. Integrated Exercise Program in Opioid Agonist Therapy Clinics - Full Text View - ClinicalTrials.gov

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Exercise as a Useful Intervention to Reduce Alcohol Consumption and Improve Physical Fitness in Individuals With Alcohol Use Disorder: A Systematic Review and Meta-Analysis

Cited by 15 publications

References 73 publications

Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014

Physical activity and healthcare utilization in France: evidence from the European Health Interview Survey (EHIS) 2014

Alcohol related disorders among elite male football players in Sweden: nationwide cohort study

Integrated exercise program in opioid agonist therapy clinics and effect on psychological distress: Study protocol for a randomised controlled trial (BAReAktiv)

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