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Clinical exercise interventions in alcohol use disorders: a systematic review
Esther S Giesen1, Hubertus Deimel2, Wilhelm Bloch1
1Institute of Cardiovascular Research and Sport Medicine, Department of Molecular and Cellular Sport Medicine, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Köln, Germany.
Journal of Substance Abuse Treatment
|February 3, 2015
Summary
Exercise interventions show promise as a safe, complementary treatment for alcohol use disorder (AUD), potentially improving physical function and some psychological aspects. Further high-quality research is needed to confirm these benefits.
Area of Science:
- Exercise science
- Psychiatry
- Addiction medicine
Background:
- Exercise is proven effective for psychiatric conditions like depression and anxiety.
- Evidence for exercise interventions in substance use disorders, particularly alcohol use disorder (AUD), is less explored.
- No systematic review previously summarized exercise interventions specifically for AUD.
Purpose of the Study:
- To systematically review and evaluate the evidence for exercise interventions in the treatment of alcohol use disorder (AUD).
- To assess the feasibility, safety, and potential benefits of exercise as a complementary treatment for AUD.
Main Methods:
- Systematic review of 14 studies identified through Medline, CCMed, Cochrane Library, and PsychINFO.
- Evaluation of evidence quality using the Oxford Centre for Evidence-Based Medicine (2011) system.
- Analysis of reported effects on physical functioning, psychological domains, and drinking behavior.
Main Results:
- Exercise interventions were found to be feasible and safe for AUD patients, with no reported adverse events.
- Potential benefits observed in physical functioning (VO2max, heart rate, strength, activity level).
- Inconsistent effects noted for anxiety, mood, craving, and drinking behavior, requiring further verification.
Conclusions:
- Exercise may serve as a beneficial complementary treatment for AUD, particularly for physical health.
- Methodological limitations and heterogeneity necessitate cautious interpretation of current findings.
- High-quality randomized controlled trials (RCTs) are crucial for establishing evidence-based exercise recommendations for AUD.
Keywords:
Alcohol dependenceAlcohol use disorderExerciseExercise therapyLifestyle modificationPhysical activityMore Related Videos
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