The Impact of Physical Activity on Sleep in Alcohol Users: A Systematic Review

IF 2.6 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY
Lilou Duquet, Silvio Galli, Emmanuel Haffen, Julie Giustiniani
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Abstract

Alcohol misuse impairs sleep quality and circadian rhythms. Yet, sleep is essential, as a lack of sleep is a predictive factor for addiction and relapse risk in patients with alcohol use disorder (AUD). On the contrary, effective insomnia treatment after withdrawal increases abstinence. Meanwhile, physical activity (PA) has been shown to improve sleep quality and circadian rhythms in nonclinical population. Hence, it would be interesting to assess the impact of PA on sleep in alcohol users with and without dependence. Systematic search was conducted using Prisma guidelines for the screening and ROB-1 for bias analysis of randomized controlled trial (RCT). Out of 4995 studies screened, none assess as main purpose the impact of PA on sleep in alcohol users. Still, 81.8% of the selected studies, in their secondary outcomes, highlight PA's positive association with sleep in alcohol users with or without dependence. Main positive sleep outcomes were insomnia and sleep fragmentation reduction as well as sleep quality and duration improvement. There is a lack of publication regarding the impact of PA on sleep in nonclinical alcohol users and AUD patients. Still, PA appears to enhance sleep in both populations. Further well-designed RCTs are needed to produce robust data. In the first instance, feasibility study should be performed as adhesion can be an issue in the population. Finally, different PA programs (frequency, intensity, time, type and duration) should be compared to determine the optimal dose in different AUD status (intoxication, withdrawal and abstinence).

Abstract Image

体育活动对酒精使用者睡眠的影响:一项系统综述
酒精滥用会损害睡眠质量和昼夜节律。然而,睡眠是必不可少的,因为睡眠不足是酒精使用障碍(AUD)患者成瘾和复发风险的预测因素。相反,戒断后有效的失眠治疗会增加戒断。与此同时,体育活动(PA)已被证明可以改善非临床人群的睡眠质量和昼夜节律。因此,评估PA对有或无酒精依赖的酒精使用者睡眠的影响将是一件有趣的事情。采用Prisma筛选指南进行系统检索,采用rob1进行随机对照试验(RCT)偏倚分析。在筛选的4995项研究中,没有一项评估PA对饮酒者睡眠影响的主要目的。尽管如此,81.8%的入选研究在其次要结果中强调了PA与有或无酒精依赖的酒精使用者的睡眠呈正相关。主要的积极睡眠结果是失眠和睡眠碎片减少,以及睡眠质量和持续时间的改善。缺乏关于PA对非临床酒精使用者和AUD患者睡眠影响的文献。尽管如此,PA似乎可以改善两种人群的睡眠。需要进一步设计良好的随机对照试验来产生可靠的数据。首先,应该进行可行性研究,因为粘连可能是人口中的一个问题。最后,比较不同的PA方案(频率、强度、时间、类型和持续时间),确定不同AUD状态(中毒、戒断和戒断)下的最佳剂量。
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来源期刊
Addiction Biology
Addiction Biology 生物-生化与分子生物学
CiteScore
8.10
自引率
2.90%
发文量
118
审稿时长
6-12 weeks
期刊介绍: Addiction Biology is focused on neuroscience contributions and it aims to advance our understanding of the action of drugs of abuse and addictive processes. Papers are accepted in both animal experimentation or clinical research. The content is geared towards behavioral, molecular, genetic, biochemical, neuro-biological and pharmacology aspects of these fields. Addiction Biology includes peer-reviewed original research reports and reviews. Addiction Biology is published on behalf of the Society for the Study of Addiction to Alcohol and other Drugs (SSA). Members of the Society for the Study of Addiction receive the Journal as part of their annual membership subscription.
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