Physical Exercise Interventions for Drug Addictive Disorders

T. Archer, R. Badgaiyan, K. Blum
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引用次数: 8

Abstract

Physical exercise physical and psychological health positive through various different avenues, as example, through affecting positively cognitive performance based upon the relocation of cortical activity which seems to advancing the brain development, connectivity and resilience [1]. Any bodily activity that enhances or maintains physical fitness implies the engagement of regular and frequent exercise thereby maintaining physical fitness and the reduction of agents associated with health problems, e.g. cortisol. With regard to the large proportion of individuals with more-or-less sedentary occupations, physical exercise offers probably the most effective health-promoting lifestyle available with positive outcomes for both neurologic and psychiatric conditions [2–10]. The expressions of disorder emerging as consequences of exposure to reward loss have been neglected in approaches to the psychobiology of substance abuse disorders. This notion emphasizes the shared characteristics reward loss and addiction are reviewed, namely, the neural circuitry involved in reward devaluation, the influence of genetic and reward history on the behavioral vulnerability and resilience, the role of competing natural rewards, and emotional selfmedication as a backdrop [11] to the consequences evolving in the “Reward Deficiency Syndrome”. The Reward Deficiency Syndrome, characterized by expressions of rewardseeking behavior and/or addictions and involving a G protein-coupled receptor located on postsynaptic dopaminergic neurons that is centrally involved in reward-mediating mesocorticolimbic pathways, originates from genetic variations, most notably resulting from those carrying the D2A1 allele implicated in addiction and abuse [12, 13]. Individuals carrying the A1 allele tend to have insufficient numbers of D2 receptors in their brain, resulting in lack of pleasure and reward from activities that would provide others with pleasure. Dopamine subtype 2 receptor (D2DR) knockdown mice fail to gain weight or exhibit elevated appetitive motivation in comparison with the wild-type mice within standard environments yet in enriched environments incorporating voluntary exercise facilities, these D2DR knockdown mice expressed markedly lower activity with a rapid increase in obesity compared with the wild-type mice without being receptive of the protective benefit from exercise contingencies [14]. Thus, an underlying mechanism for conceptualizing and
药物成瘾性疾病的体育锻炼干预
体育锻炼通过各种不同的途径对身心健康产生积极的影响,例如,通过影响基于皮层活动重新定位的积极认知表现,这似乎促进了大脑的发育,连通性和恢复力bb0。任何增强或保持身体健康的身体活动都意味着进行有规律和频繁的锻炼,从而保持身体健康并减少与健康问题有关的因素,例如皮质醇。对于大部分从事或多或少久坐不动职业的人来说,体育锻炼可能是最有效的促进健康的生活方式,对神经和精神疾病都有积极的影响[2-10]。在药物滥用障碍的心理生物学方法中,由于暴露于奖励丧失的后果而出现的障碍的表达被忽视了。这一概念强调了奖励丧失和成瘾的共同特征,即参与奖励贬值的神经回路,遗传和奖励历史对行为脆弱性和弹性的影响,竞争性自然奖励的作用,以及情绪自我药物治疗作为“奖励缺乏综合征”演变的背景。奖励缺乏综合征的特征是寻求奖励行为和/或成瘾的表达,涉及位于突触后多巴胺能神经元上的G蛋白偶联受体,该神经元主要参与奖励介导的中皮质边缘通路,它起源于遗传变异,最明显的是由携带与成瘾和滥用有关的D2A1等位基因的基因引起的[12,13]。携带A1等位基因的人大脑中D2受体的数量往往不足,导致他们在给他人带来快乐的活动中缺乏快乐和回报。与野生型小鼠相比,多巴胺亚型2受体(D2DR)敲低小鼠在标准环境中没有增加体重或表现出更高的食欲动机,但在包含自愿运动设施的丰富环境中,与野生型小鼠相比,这些D2DR敲低小鼠的活性明显降低,肥胖迅速增加,而无法接受运动意外事件的保护益处bb0。因此,概念化和
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