Functional exercise capacity is associated with global functioning in patients with alcohol use disorder

Vancampfort, Davy; Hallgren, Mats; Vandael, Hannelore; Probst, Michel; Damme, Tine Van

doi:10.1016/j.apnu.2019.09.002

Cited by 5 publications

(6 citation statements)

References 20 publications

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“…This study adds to the current knowledge that the 6MWT, which is highly related to functioning in daily life in people with AUD (Vancampfort et al., 2019a), is a reliable outcome measure for inpatients with AUD. More in detail, our findings demonstrate that the 6MWT is highly reliable (ICC = 0.94, 95%CI = 0.90–0.97), indicating that it can be used to quantify the functional exercise capacity of this vulnerable population and monitor changes in functional exercise capacity over the course of illness, as well as in response to lifestyle interventions.…”

Section: Discussionmentioning

confidence: 68%

“…More physical pain, an impaired muscle strength and physical inactivity are known to be negatively associated with functional outcomes in patients with AUD, while associations with risky drinking patterns, smoking behavior and positive and negative affect are less clear, mainly due to a lack of available data (Vancampfort et al., 2019b). Higher 6MWT scores are also associated with better global functioning in daily life among patients with AUD (Vancampfort et al., 2019a). Since recently a call was made that the clinical rehabilitation of patients with AUD should target improvement of functional outcomes (Hallgren et al., 2017), the 6MWT might be an important outcome measure.…”

Section: Introductionmentioning

confidence: 99%

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Test–retest reliability and correlates of the 6‐min walk test in people with alcohol use disorders

Vancampfort

Vandael

Hallgren

et al. 2021

Physiotherapy Res Intl

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Objectives People with alcohol use disorders (AUD) are at a higher risk for physical co‐morbidities. Consequently, their daily life functioning needs to be reliably assessed and followed‐up. We examined the reliability of the 6‐min walk test (6MWT) in a cohort of inpatients with AUD. Secondary aims were to assess minimal detectable changes (MDC95), practice effects and associations of the 6MWT with demographical and clinical variables. Methods Two 6MWTs were administered within 3 days to 45 (32♂) inpatients with a DSM‐5 diagnosis of AUD. Physical complaints before and after the 6MWT were recorded. Patients performed a standing broad jump to assess muscle strength and completed the International Physical Activity Questionnaire, the Positive Affect and Negative Affect Schedule (PANAS) and Alcohol Use Disorders Identification Test. Results Patients walked 636.3 ± 82.3 meters and 638.1 ± 77.6 meters at the first and second test. The intraclass correlation coefficient was 0.94 (95% confidence interval 0.90–0.97). The MDC95 was 15 meters for men and 9 meters for women. No practice effect was detected. The presence of feet or ankle problems or pain before the test, dyspnea after the test, impaired muscle strength and lower PANAS positive affect scores were independently related to shorter 6MWT distance accounting for 67.3% of the variance. Conclusion The 6MWT is a reliable tool for evaluating the functional exercise capacity in inpatients with AUD. Health care professionals should consider musculoskeletal and respiratory symptoms when interpreting fitness test outcomes in this vulnerable population.

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Section: Discussionmentioning

confidence: 68%

Section: Introductionmentioning

confidence: 99%

Test–retest reliability and correlates of the 6‐min walk test in people with alcohol use disorders

Vancampfort

Vandael

Hallgren

et al. 2021

Physiotherapy Res Intl

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“…These results are consistent with recent studies showing that adults receiving treatment for AUD are physically inactive, compared to age-gender matched controls. 4,5 Across all groups, high-hazardous drinkers were also more sedentary (sitting/reclining) in their leisure time than non-hazardous drinkers. These differences were more pronounced among older (40-65 years) adults, especially males, where the proportion that was highly sedentary (75% of the time) during leisure (20.1%) was approximately twice that of highly sedentary non-hazardous drinkers (10.1%) (data not shown).…”

Section: Discussionmentioning

confidence: 99%

“…4 Functional exercise capacity was also shown to be impaired and detrimentally associated with global functioning. 5 These studies highlight the potential importance of physical activity in the treatment of AUD and related health problems. Several trials have evaluated the effects of structured exercise interventions for AUD.…”

Section: Purposementioning

confidence: 99%

Physical Activity, Sedentary Behavior, and Cardiorespiratory Fitness in Hazardous and Non-Hazardous Alcohol Consumers

et al. 2021

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Purpose: To describe physical activity habits, sedentary behavior, and cardiorespiratory fitness levels among alcohol abstainers, hazardous and non-hazardous drinkers. Design: Cross-sectional study with data collected between 2017-19. Setting: Sweden. Subjects: Adults aged 18-65 years (n = 47,559; 59.4% male). Measures: During a routine health assessment, participants answered validated single-item questions regarding: habitual physical activity, structured exercise, and the percentage of time spent sedentary during leisure-time (past 30 days), and completed a 6-minute cycle ergometer test (V02max) to determine cardiorespiratory fitness (CRF). Participants were categorized as alcohol abstainers, non-hazardous drinkers or hazardous drinkers (low/high) based on the Alcohol Use Disorders Identification Test (AUDIT-C) cut-points for men and women. Analysis: Logistic regression models stratified by sex and age. Results: Compared to non-hazardous drinkers, the heaviest drinkers were less physically active (males: OR = 1.38, CI = 1.13-1.67, p = .001; females: OR = 1.41, CI = 1.01-1.97, p = .040) and more sedentary during leisure time (males: OR = 1.94, CI = 1.62-2.32, p = .000; females: OR = 1.62, CI = 1.21-2.16, p = .001). Apart from young females, the heaviest drinkers also did less structured exercise than non-hazardous drinkers (males: OR = 1.22, CI = 1.15-1.51, p = .000; females: OR = 1.43, CI = 1.15-1.78, p = .001). The strongest associations were seen among adults aged 40-65 years (shown here). High-hazardous drinking was associated with low CRF among older males only (OR = 1.19, CI = 1.00-1.41). Conclusion: Middle-aged adults with AUDIT-C scores of ≥6 (women) and ≥7 (men) were less physically active and more sedentary during leisure time and may be appropriate targets for physical activity interventions.

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“…In patients with AUD, programs aiming to enhance PA have demonstrated that such enhancement was associated with a reduction in the subsequent amounts of drinking [ 14 , 15 , 16 ], and levels of craving [ 17 , 18 ], and with an increase in the overall scores of quality of life [ 19 ]. Consequently, it has been proposed to integrate programs based on PA into the treatment schemes of AUD [ 20 , 21 , 22 ]. However, few previous studies have investigated whether the initial level of PA of treatment-seeking patients with AUD could reflect a dimension of severity or outcome of the disease.…”

Section: Introductionmentioning

confidence: 99%

Insufficient Physical Activity Is a Global Marker of Severity in Alcohol Use Disorder: Results from a Cross-Sectional Study in 382 Treatment-Seeking Patients

et al. 2022

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Improving physical activity (PA) in patients with alcohol use disorder (AUD) has recently emerged as an important component of the global treatment strategy to improve drinking outcomes and quality of life. However, this new approach should focus on AUD patients with insufficient baseline PA and requires this subgroup to be better characterized. In a population of 382 treatment-seeking AUD patients, PA was assessed using the International Physical Activity Questionnaire, and participants were divided into two groups: insufficient PA group and sufficient PA group. The severity of the AUD was assessed using the DSM-5 criteria, the Alcohol Use Disorder Identification Test, and the Severity of Alcohol Dependence Questionnaire. In logistic regression models, individuals with insufficient PA were more likely than other AUD individuals to present a higher Body Mass Index (p < 0.001), a higher number of AUD DSM-5 criteria (p < 0.05), more frequent opioid use (p < 0.05), higher scores at the Fagerström Test for Nicotine Dependence (p < 0.001), State-Trait Anxiety Inventory (p < 0.001), impulsivity scale (p < 0.05), Pittsburgh Sleep Quality Inventory (p < 0.05), and lower WHO Quality of Life (p < 0.001) scores. In AUD, an insufficient baseline PA is associated with several markers of severity, and physical exercise interventions should be part of a multimodal treatment program integrating the global impairments of patients.

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Functional exercise capacity is associated with global functioning in patients with alcohol use disorder

Cited by 5 publications

References 20 publications

Test–retest reliability and correlates of the 6‐min walk test in people with alcohol use disorders

Test–retest reliability and correlates of the 6‐min walk test in people with alcohol use disorders

Physical Activity, Sedentary Behavior, and Cardiorespiratory Fitness in Hazardous and Non-Hazardous Alcohol Consumers

Insufficient Physical Activity Is a Global Marker of Severity in Alcohol Use Disorder: Results from a Cross-Sectional Study in 382 Treatment-Seeking Patients

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