Silvia Eiken Alpers, Einar Furulund, Ståle Pallesen, Asgeir Mamen, Sindre M Dyrstad, Lars Thore Fadnes
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引用次数: 1
摘要
背景:在接受阿片类药物替代治疗的患者的治疗和随访中使用体育活动是一个研究不足的研究领域。因此,本系统综述的目的是综合目前关于体育活动在阿片类药物替代治疗中的作用以及该组的适当适应的研究。方法:系统检索PsycINFO、EMBASE、MEDLINE、CINAHL和Web of Science,检索截止日期为2021年9月(prospero - regg)。没有:CRD42020109873)。纳入标准是涉及阿片类药物替代患者身体活动干预的研究。筛选相关研究的参考文献,以确定其他相关研究。提取的数据被汇编成表格并描述性地呈现。结果:搜索产生了2105条唯一记录。共纳入10项研究,其方法学质量从满意到非常好不等。研究质量采用7 /8分的质量评分进行评估。经Cohen’s kappa评估,审稿人之间的一致性为0.91。总的来说,结果表明体育活动增加了阿片类药物替代治疗患者的身体健康,减少了药物使用。这一领域的少数研究具有较高的质量和足够的影响力。结论:本系统综述的结果表明,体育活动对阿片类药物替代治疗患者的身体健康、物质使用和心理健康有有益的影响。尽管各研究的结果相当一致,但需要高质量的研究和足够有力的临床试验来证实和验证这些发现,并得出影响程度的结论。
The Role of Physical Activity in Opioid Substitution Therapy: A Systematic Review of Interventional and Observational Studies.
Background: Use of physical activity in the treatment and follow-up of people receiving opioid substitution therapy is an understudied area of research. Therefore, the objective of this systematic review was to synthesize the currently available research on the role of physical activity in opioid substitution therapy and proper adaptions for the group.
Methods: A systematic search was performed on PsycINFO, EMBASE, MEDLINE, CINAHL, and Web of Science until September 2021 (PROSPERO-reg.no: CRD42020109873). The inclusion criteria were studies involving physical activity interventions for opioid substitution patients. Reference lists of relevant studies were screened to identify additional relevant studies. Data extracted were compiled into tables and descriptively presented.
Results: The search yielded 2105 unique records. A total of 10 studies were included, whose methodological quality ranged from satisfactory to very good. Study quality was assessed using a 7-/8-point quality score. The agreement between the reviewers, assessed with Cohen's kappa, was 0.91. Overall, the results suggest that physical activity increases physical fitness of patients in opioid substitution therapy and decreases substance use. The minority of studies in this field are of high quality with sufficient power.
Conclusions: The findings of this systematic review suggest beneficial effects of physical activity on physical fitness, substance use, and mental health for patients in opioid substitution therapy. Although the findings are quite consistent across studies, high-quality studies and sufficiently powered clinical trials are needed to confirm and validate the findings and to conclude on the degree of impact.