Hypertension, chronic obstructive pulmonary disease, diabetes and depression among older methadone maintenance patients in <scp>B</scp>ritish <scp>C</scp>olumbia

Maruyama, Anna; Macdonald, Scott; Borycki, Elizabeth M.; Zhao, Jinhui

doi:10.1111/dar.12031

Cited by 34 publications

(29 citation statements)

References 22 publications

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“…However, like all opioids, both methadone and buprenorphine have risk of addiction and often have potential of drug-drug interactions [7] . Opioid substitutes are also linked to diabetes, nicotine addiction, and premature death [8] – [10] . Therefore, there is a strong interest in finding alternative treatments for SUD.…”

Section: Introductionmentioning

confidence: 99%

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

et al. 2014

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ObjectiveThe goal of this meta-analysis was to examine whether long-term physical exercise could be a potential effective treatment for substance use disorders (SUD).MethodsThe PubMed, Web of Science, Elsevier, CNKI and China Info were searched for randomized controlled trials (RCT) studies in regards to the effects of physical exercise on SUD between the years 1990 and 2013. Four main outcome measures including abstinence rate, withdrawal symptoms, anxiety, and depression were evaluated.ResultsTwenty-two studies were integrated in the meta-analysis. The results indicated that physical exercise can effectively increase the abstinence rate (OR = 1.69 (95% CI: 1.44, 1.99), z = 6.33, p<0.001), ease withdrawal symptoms (SMD = −1.24 (95% CI: −2.46, −0.02), z = −2, p<0.05), and reduce anxiety (SMD = −0.31 (95% CI: −0.45, −0.16), z = −4.12, p<0.001) and depression (SMD = −0.47 (95% CI: −0.80, −0.14), z = −2.76, p<0.01). The physical exercise can more ease the depression symptoms on alcohol and illicit drug abusers than nicotine abusers, and more improve the abstinence rate on illicit drug abusers than the others. Similar treatment effects were found in three categories: exercise intensity, types of exercise, and follow-up periods.ConclusionsThe moderate and high-intensity aerobic exercises, designed according to the Guidelines of American College of Sports Medicine, and the mind-body exercises can be an effective and persistent treatment for those with SUD.

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Section: Introductionmentioning

confidence: 99%

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

et al. 2014

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“…Due to the heterogeneity of the types of drugs used and style of intervention, it is hard to summarise meaningfully the available data of existing interventions. However, with relapse rates as high as 60% 1 year after treatment for substance use disorders (SUD) [ 10 – 12 ] and 60–90% for alcohol use disorders (AUD) [ 13 – 16 ] and drug substitution therapies being associated with innate complications [ 17 – 20 ], there is a need for evidence for new treatments and preventive interventions to help address the growing burden of alcohol and/or substance use.…”

Section: Introductionmentioning

confidence: 99%

Physical activity and the prevention, reduction, and treatment of alcohol and/or substance use across the lifespan (The PHASE review): protocol for a systematic review

et al. 2018

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BackgroundAlcohol and substance use results in significant human and economic cost globally and is associated with economic costs of £21 billion and £15billion within the UK, respectively, and trends for use are not improving. Pharmacological interventions are well researched, but relapse rates across interventions for substance and alcohol use disorders are as high as 60–90%. Physical activity may offer an alternative or adjunct approach to reducing rates of alcohol and substance use that is associated with few adverse side effects, is easily accessible, and is potentially cost-effective. Through psychological, behavioural, and physiological mechanisms, physical activity may offer benefits in the prevention, reduction, and treatment of alcohol and substance use across the lifespan. Whilst physical activity is widely advocated as offering benefit, no systematic review exists of physical activity (in all forms) and its effects on all levels of alcohol and substance use across all ages to help inform policymakers, service providers, and commissioners.MethodsThe objectives of this mixed methods systematic review are to describe and evaluate the quantitative and qualitative research obtained by a diverse search strategy on the impact of physical activity and its potential to:Reduce the risk of progression to alcohol and/or substance use (PREVENTION)Support individuals to reduce alcohol and/or substance use for harm reduction (REDUCTION), andPromote abstinence and relapse prevention during and after treatment for an alcohol and/or substance use disorder (TREATMENT).With the input of key stakeholders, we aim to assess how what we know can be translated into policy and practice. Quantitative, qualitative, service evaluations, and economic analyses will be brought together in a final narrative synthesis that will describe the potential benefits of physical activity for whom, in what conditions, and in what form.DiscussionThis review will provide details of what is known about physical activity and the prevention, reduction, and treatment of alcohol and/or substance use. The synthesised findings will be disseminated to policymakers, service providers, and commissioners in the UK.Systematic review registrationPROSPERO number: CRD42017079322.Electronic supplementary materialThe online version of this article (10.1186/s13643-018-0674-0) contains supplementary material, which is available to authorized users.

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“…While many studies have shown that SUD is associated with preventable conditions/ACSCs ( Sumino et al, 2014 , Sumino and Cabana, 2013 , Caponnetto et al, 2013 , Clark et al, 2009 , Gore et al, 2010 , Maruyama et al, 2013 , Coffey et al, 2012 ), the relationships between ACSC admissions and substance use/dependency are relatively under-explored. In a systematic qualitative review of studies on preventable hospitalization in chronic diseases, Muenchberger and Kendall found that over one-third of the reviewed studies focused on health status, socioeconomic status, or general demographics, whereas substance abuse/dependency was examined by less than 5% ( Muenchberger and Kendall, 2010 ).…”

Section: Introductionmentioning

confidence: 99%

Preventable hospitalizations among adult Medicaid beneficiaries with concurrent substance use disorders

Leung

Parks

Topolski

2015

Preventive Medicine Reports

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ObjectiveWe aim to examine the relationships between substance use disorders and preventable hospitalizations for Ambulatory Care Sensitive Conditions among adult Medicaid beneficiaries.MethodsCross-sectional analysis using de-identified Medicaid claims data in 2012 from 177,568 beneficiaries in Missouri was conducted. Logistic regression models were estimated for the associations of substance use disorder status with Ambulatory Care Sensitive Conditions, demographics, chronic physical and mental illnesses. Zero-inflated negative binomial regressions assessed substance use disorders, hospitalization for Ambulatory Care Sensitive Conditions, and length of hospital stay for Ambulatory Care Sensitive Conditions adjusting for co-morbid physical illnesses, mental illnesses and demographics.ResultsOver 12% of the sample had been diagnosed for substance use disorder. Beneficiaries with substance use disorder were more likely than Nonsubstance use disorder beneficiaries to have admissions for chronic conditions including short/long-term complications of diabetes, uncontrolled diabetes, hypertension, chronic obstructive pulmonary disease/asthma, but not for acute conditions. While substance use disorder beneficiaries were more likely than Nonsubstance use disorder beneficiaries to be hospitalized for any Ambulatory Care Sensitive Conditions; there were no statistical differences between the two groups in terms of length of hospital stays.ConclusionsSubstance use disorder is statistically associated with hospitalizations for most Ambulatory Care Sensitive Conditions but not with length of hospital stay for Ambulatory Care Sensitive Conditions, after adjusting for covariates. The significant associations between substance use disorder and Ambulatory Care Sensitive Condition admissions suggest unmet primary health care needs for substance use disorder beneficiaries and a need for integrated primary/behavioral healthcare.

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Hypertension, chronic obstructive pulmonary disease, diabetes and depression among older methadone maintenance patients in British Columbia

Cited by 34 publications

References 22 publications

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

Impact of Physical Exercise on Substance Use Disorders: A Meta-Analysis

Physical activity and the prevention, reduction, and treatment of alcohol and/or substance use across the lifespan (The PHASE review): protocol for a systematic review

Preventable hospitalizations among adult Medicaid beneficiaries with concurrent substance use disorders

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