阿片类药物使用障碍患者体育锻炼综合概述

IF 2.3 3区 医学 Q2 PSYCHIATRY
Evan Matthews , Hannah Fabian , Martina Gooney , Denise Rogers , Joseph Firth
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引用次数: 0

摘要

背景阿片类药物滥用障碍患者和康复者面临着身心健康状况不佳的负担。方法我们进行了一项叙述性综述,除关键综述证据外,还纳入了大量定量和定性证据,概述了体育活动对以下方面的益处:(i) 戒烟及相关结果;(ii) 其他心理健康和认知结果;(iii) 身体健康结果;(iv) 社会健康和福祉结果。我们还讨论了以下方面的证据:(v) 阿片类药物滥用障碍患者的体育锻炼水平和行为;(vi) 以及影响阿片类药物滥用障碍患者体育锻炼行为的关键因素。文章最后对未来的研究和实践提出了重要建议。结果关于利用体育活动改善阿片类药物使用障碍患者的戒断、身体健康、心理健康和社会健康状况的证据有限。迄今为止,此类干预措施在质量和规模上都有一定的局限性,很少有人研究过轻度和中度强度以外的效果,包括高强度体育锻炼和阻力运动干预。阿片类药物滥用障碍患者的体育锻炼行为似乎存在细微差别,受到大量个人、人际和环境因素的影响。这些人群的体育锻炼水平通常也较低,但还需要更多的研究来了解这一点。结论显然需要采取综合措施,改善体育锻炼机会,以此作为阿片类药物使用障碍治疗的一部分。还需要将阿片类药物使用障碍患者纳入体育锻炼实施研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An integrative overview of physical activity for people with opioid use disorder

Background

People with and in recovery from opioid use disorder face a burden of poor physical and mental health. However, an emergent and growing body of evidence shows that physical activity has a multidimensional therapeutic potential to help people with opioid use disorders during recovery.

Methods

We conducted a narrative review that incorporated a broad range of quantitative and qualitative evidence, in addition to key review evidence, to offer an overview of the benefits of physical activity on (i) abstinence and related outcomes, (ii) other mental health and cognitive outcomes, (iii) physical health outcomes, (iv) social health and wellbeing outcomes. We also discuss the evidence for (v) physical activity levels and behaviour in people with opioid use disorder, (vi) and, key factors of influences on physical activity behaviour among people with opioid use disorder. The article concludes with key recommendations for future research and practice.

Results

A limited body of evidence exists for using physical activity to improve outcomes of abstinence, improved physical health, mental health and social health among people with opioid use disorder. To date, such interventions are somewhat limited in quality and scale, and few have examined effects beyond light and moderate intensity, including high intensity PA and resistance exercise intervention. People with opioid use disorder appear to have nuanced physical activity behaviours that are influenced by a plethora of individual, interpersonal and environmental factors. Such populations also typically have low levels of physical activity, but more research is required to understand this.

Conclusion

There is an apparent need for integrated efforts to improve opportunities for physical activity as part of treatment for opioid use disorders. There is also a need for the inclusion of people with opioid use disorder in PA implementation research.
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来源期刊
CiteScore
6.70
自引率
6.40%
发文量
43
审稿时长
32 days
期刊介绍: The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;
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