The impact of vascular leg disorders on physical activity in methadone‐maintained adults

Pieper, Barbara; Templin, Thomas; Kirsner, Robert S.; Birk, Thomas J.

doi:10.1002/nur.20392

Cited by 8 publications

(5 citation statements)

References 46 publications

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“…While studies have been conducted that include OUD patients, most studies in our review were conducted with subjects recovering from various SUDs. Only 2 studies 18,24 solely examined the role of exercise in an OUD recovery group. Cocaine was the most common substance included in the studies, identified in 13 of 18 articles, with alcohol use next most common, identified in 9 of 18 articles.…”

Section: Discussionmentioning

confidence: 99%

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Opiate Use Disorder and Exercise: A Systematic Review

Mandato,

Kola,

Mailland

et al. 2023

OJPH

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Background: The opiate epidemic continues to cause hardship to American communities, including in all counties in Ohio, and resulted in 100 000 drug overdoses in 2021. Medications such as buprenorphine have helped people affected by opiate use disorder (OUD) to continue through recovery, although medication assisted therapy (MAT) has shown limited retention rates, calling for complimentary interventions to be implemented. Exercise has potential to reduce cardiovascular risk, lower obesity, and improve mental health. The aim of this study is to systematically review the literature on OUD and exercise as an adjunct to MAT. The authors hypothesize that there is a gap in the knowledge as to whether this modality has been thoroughly researched to aid in OUD recovery.Methods: A database literature search of PubMed, CINHAL, and PsychInfo returned a total of 458 abstracts. Four sets of exclusion criteria were implemented resulting in a total of 26 articles. After further review, 8 more articles were excluded by the authors.Results: Eighteen articles including participants with OUD were systematically reviewed. Only 1 article solely fo-cused on participants with OUD and exercise as an adjunct to treatment.Conclusion: Exercise as an adjunct to treatment for OUD is an area of addiction treatment that warrants further investigation. Incorporating exercise into a recovery program for people with substance use disorders (SUD) specifically has been touted as a promising modality, however, limitations in OUD only studies and lack of control groups make it difficult to draw a conclusion to support our hypothesis.

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Section: Discussionmentioning

confidence: 99%

“…Two other additional articles were excluded due to discrepancies within the study designs, leaving 18 articles (Figure 1) for full review. [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] exercise and strength exercise. Nine of the studies were retrospective in nature.…”

Section: Methodsmentioning

confidence: 99%

Opiate Use Disorder and Exercise: A Systematic Review

Mandato,

Kola,

Mailland

et al. 2023

OJPH

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“… 24 IDU also has implications for mobility and balance; overall physical activity among PWID is low, and in a stuporous drug state, PWID may have inactive lower extremity muscles with resultant diminished venous return. 27 Injecting into the lower extremities may additionally cause nerve and muscle damage, with resultant impaired calf muscle and ankle joint function; compromised walking mobility has been found to have a direct relationship with severity of CVD in this population. 25 Mobility deficits, such as difficulty walking, climbing stairs, and working, are thus a largely underrecognized consequence of IDU.…”

Section: Overviewmentioning

confidence: 93%

“…Relative to the general population, PWID have an increased prevalence of DVT, which increases the risk of CVD by 25-fold [24]. IDU also has implications for mobility and balance; overall physical activity among PWID is low, and in a stuporous drug state, PWID may have inactive lower extremity muscles with resultant diminished venous return [27].…”

Section: Idu: Infections Wounds and Other Implicationsmentioning

confidence: 99%

Wounds and Skin and Soft Tissue Infections in People Who Inject Drugs and the Utility of Syringe Service Programs in Their Management

Sanchez

Tookes

Pastar

et al. 2021

Advances in Wound Care

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Significance: Opioid use disorder and transition to injection drug use (IDU) is an urgent, nationwide public health crisis. Wounds and skin and soft tissue infections (SSTIs) are common complications of IDU that disproportionately affect people who inject drugs (PWID) and are a major source of morbidity and mortality for this population.Critical Issues: Injections in a non-sterile environment and re-using or sharing needles facilitates bacterial inoculation, with subsequent risk of serious complications such as sepsis, gangrene, amputation, and death. PWID are susceptible to infections with a wide spectrum of organisms beyond common culprits of SSTI, including Clostridium and Bacillus spp, as well as Candida. Recent Advances: Syringe services programs (SSPs) are cost-effective and successful in reducing harms associated with IDU. SSPs provide new equipment to PWID and aid in discarding used equipment. SSPs aim to reduce the risks of unhygienic injecting practices, which are associated with transmission of infections and blood-borne pathogens. Future Directions: Concurrently run SSPs and wound care clinics are uniquely positioned to facilitate care to PWID. Providing new, sterile equipment as well as early wound care intervention, can reduce morbidity and mortality as well as healthcare expenditures by reducing the number of SSTI and injection-related wounds that require hospital admission. Establishment of wound care clinics as part of an SSP represents an untapped potential to reduce harm.

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“…Recent pilot studies have assessed the efficacy of exercise, a structured and planned form of physical activity, interventions in addressing drug (Brown, et al, 2010), marijuana (Buchowski, et al, 2011), and alcohol (Brown, et al, 2009) misuse, with positive results (Weinstock, Barry, & Petry, 2008). However, to our knowledge only one study has assessed activity level and motivation to exercise in MMT patients; they found low levels of physical activity in MMT participants, but encouragingly, motivation to exercise was the best predictor of physical activity (Pieper, Templin, Kirsner, & Birk, 2010). Understanding benefits and barriers to exercise as well as level of physical activity in a MMT population may be important to motivate this group to increase physical activity.…”

Section: 0 Introductionmentioning

confidence: 99%

Minimum recommended physical activity, and perceived barriers and benefits of exercise in methadone maintained persons

Caviness

Bird

Anderson

et al. 2013

Journal of Substance Abuse Treatment

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Methadone-maintained persons are at increased risk for many physical and mental health disorders compared to the general population. Increased physical activity could offset these risks. We assessed physical activity level, and perceived benefits and barriers to exercise in a group of 305 methadone-maintained smokers. Mean participant age was 39.9 years of age, 50.2% were male, 79.7% were non-Hispanic White, and mean body mass index was 29.8. Nearly 45% endorsed fair or poor physical health. Although participants perceived many benefits of exercise and few barriers, only 38% of participants met weekly recommendations for physical activity, and nearly 25% reported no physical activity. Those who met recommended guidelines were significantly more likely to endorse relapse prevention as a benefit of exercise. Motivating MMT patients to increase physical activity could have important physical, mental health, and drug treatment benefits.

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The impact of vascular leg disorders on physical activity in methadone‐maintained adults

Cited by 8 publications

References 46 publications

Opiate Use Disorder and Exercise: A Systematic Review

Opiate Use Disorder and Exercise: A Systematic Review

Wounds and Skin and Soft Tissue Infections in People Who Inject Drugs and the Utility of Syringe Service Programs in Their Management

Minimum recommended physical activity, and perceived barriers and benefits of exercise in methadone maintained persons

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