运动和处方阿片类药物滥用之间的关联:范围审查
Whitney S Córdoba-Grueso1, Paola P Mattey-Mora1, Chen Chen1
1Department of Epidemiology and Biostatistics, Indiana University School of Public Health.
定期炼可以减少处方阿片类药物的滥用. 然而,研究结果各不相同,一些研究显示滥用率较低,其中一项表明大学运动员的滥用率更高.
科学领域:
- 运动科学运动科学
- 公共卫生 公共卫生
- 疼痛管理 疼痛管理
背景情况:
- 众所周知,运动可以预防慢性疾病并控制疼痛.
- 通常使用阿片类止痛药,增加了滥用风险.
- 运动和处方阿片类药物滥用之间的关系需要进一步调查.
研究的目的:
- 系统地审查有关运动和处方阿片类药物滥用之间的联系的现有文献.
- 综合成人观察和实验研究的发现.
主要方法:
- 在多个数据库 (Cochrane,Embase,Medline,Pubmed) 进行了全面的文献搜索,截至2021年12月.
- 纳入标准侧重于研究运动/体育和阿片类药物滥用的成年人研究,不包括特定人群和海洛因使用.
- 偏差风险和质量评估由独立审查员使用NIH工具进行.
主要成果:
- 从10,796个记录中包括了8项研究,显示出显著的临床和方法异质性.
- 分析了三项干预试验,三项横截面研究和两项队列研究.
- 大多数研究表明,与运动一起的处方阿片类药物滥用率较低,但一项研究发现,大学运动员滥用率增加.
结论:
- 运动和处方阿片类药物滥用之间的关联是复杂的,发现是不一致的.
- 建议对更大样本,标准化措施和共同结果进行进一步的研究,以澄清这种关系.
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