Is Cannabis Use Associated with Sedentary Behavior during Leisure Time? A Study in Canada, 2011–2012

Neilson, Heather K.; Lin, Zhiqiu

doi:10.1080/10826084.2018.1547910

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…A quarter of all primary studies contributed evidence in this section (n = 28). More than half of these studies evaluated data from large population-based surveys or national/regional databases (n = 15), either as cross-sectional studies at a single point in time [95,100,105,107] or sequential designs that analyzed survey data over multiple years [4,102,104,106,116,124,128,134,139,144,146]. One systematic review reported on the association between cannabis use in older adults and the incidence of cancer [44]; no systematic reviews explored associations of cannabis use with other outcomes in healthy older adults or the older general public.…”

Section: Population-based Studies and Studies Of Healthy Older Adultsmentioning

confidence: 99%

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Impacts of medical and non-medical cannabis on the health of older adults: Findings from a scoping review of the literature

et al. 2023

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Background Cannabis legalization has enabled increased consumption in older adults. Age-related mental, physical, and physiological changes may lead to differences in effects of cannabis in older adults compared to younger individuals. Objective To perform a scoping review to map the evidence regarding the health effects of cannabis use for medical and non-medical purposes in older adults. Methods Electronic databases (MEDLINE, Embase, PsycINFO, Cochrane Library) were searched for systematic reviews (SRs), randomized controlled trials (RCTs) and non-randomized/observational studies (NRSs) assessing the health effects and associations of cannabis use (medical or non-medical) in adults ≥ 50 years of age. Included studies met age-related inclusion criteria or involved a priori identified health conditions common among older adults. Records were screened using a liberal accelerated approach and data charting was performed independently by two reviewers. Descriptive summaries, structured tables, effect direction plots and bubble plots were used to synthesize study findings. Findings From 31,393 citations, 133 publications describing 134 unique studies (26 SRs, 36 RCTs, 72 NRSs) were included. Medical cannabis had inconsistent therapeutic effects in specific patient conditions (e.g., end-stage cancer, dementia), with a number of studies suggesting possible benefits while others found no benefit. For medical cannabis, harmful associations outnumbered beneficial, and RCTs reported more negative effects than NRSs. Cannabis use was associated with greater frequencies of depression, anxiety, cognitive impairment, substance use and problematic substance use, accidents/injuries, and acute healthcare use. Studies often were small, did not consistently assess harms, and did not adjust for confounding. Discussion The effects of medical cannabis are inconsistent within specific patient conditions. For older adults, generally, the available evidence suggests cannabis use may be associated with greater frequencies of mental health issues, substance use, and acute healthcare use, and the benefit-to-risk ratio is unclear. Studies with a balanced assessment of benefits and harms may guide appropriate public health messaging to balance the marketing pressures of cannabis to older adults.

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Section: Population-based Studies and Studies Of Healthy Older Adultsmentioning

confidence: 99%

“…Systematic review: 1[44] Non-medical: 5[129,147,153,162] Non-industry: 21[20,95,102,103,106,109,113,116,124,128,129,132,134,135,139,143,146,147,153,162] …”

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confidence: 99%

Impacts of medical and non-medical cannabis on the health of older adults: Findings from a scoping review of the literature

et al. 2023

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“…A study utilizing NHANES data found that females with any lifetime cannabis use had greater self-reported sedentary time compared to females who had never used cannabis [20]. Finally, a population-based survey of Canadians found that, compared to nonusers, cannabis users had greater odds of spending over 35 h per week in sedentary behavior [21].…”

Section: Introductionmentioning

confidence: 99%

Cannabis use, sedentary behavior, and physical activity in a nationally representative sample of US adults

Ong¹,

Bellettiere

Alvarado

et al. 2021

Harm Reduct J

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Background Prior research examining the relationship between cannabis use, sedentary behavior, and physical activity has generated conflicting findings, potentially due to biases in the self-reported measures used to assess physical activity. This study aimed to more precisely explore the relationship between cannabis use and sedentary behavior/physical activity using objective measures. Methods Data were obtained from the 2005–2006 National Health and Nutrition Examination Survey. A total of 2,092 participants (ages 20–59; 48.8% female) had accelerometer-measured sedentary behavior, light physical activity, and moderate-to-vigorous physical activity. Participants were classified as light, moderate, frequent, or non-current cannabis users depending on how often they used cannabis in the previous 30 days. Multivariable linear regression estimated minutes in sedentary behavior/physical activity by cannabis use status. Logistic regression modeled self-reported moderate-to-vigorous physical activity in relation to current cannabis use. Results Fully adjusted regression models indicated that current cannabis users’ accelerometer-measured sedentary behavior did not significantly differ from non-current users. Frequent cannabis users engaged in more physical activity than non-current users. Light cannabis users had greater odds of self-reporting physical activity compared to non-current users. Conclusions This study is the first to evaluate the relationship between cannabis use and accelerometer-measured sedentary behavior and physical activity. Such objective measures should be used in other cohorts to replicate our findings that cannabis use is associated with greater physical activity and not associated with sedentary behavior in order to fully assess the potential public health impact of increases in cannabis use.

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“…Regarding substance use, cannabis-related problems were singled out for the present study for practical and theoretical reasons. Beyond the evidence that cannabis is addictive and thus cannabis abuse presents many of the characteristics observed in other addictive disorders [ 36 , 37 ], cannabis is the most frequently used illegal drug in western countries [ 1 ], and has been previously linked to sedentary leisure activities, and, particularly, to digital media use [ 3 , 10 , 38 , 39 ]. Therefore, there are at least two reasons why cannabis-related problems are expected to be linked to non-substance-related dysregulated/addictive behaviors.…”

Section: Introductionmentioning

confidence: 99%

Association patterns of cannabis abuse and dependence with risk of problematic non-substance-related dysregulated and addictive behaviors

et al. 2021

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Co-occurrence of drug misuse with other dysregulated behaviors is common. This study was aimed at exploring the associations between the risk of presenting a clinically relevant condition involving non-substance-related addictive or dysregulated behaviors (as measured by the MultiCAGE CAD-4 screening), and cannabis abuse/dependence (CAST/SDS) scores, and the role of gender therein. Participants were recruited using stratified probabilistic sampling at the University of Granada. Mann-Whitney’s U tests were used to compare male and female students in SDS and CAST scores. Associations between gender and MultiCAGE scores were estimated using the γ ordinal correlation index, and tested with χ2. For each MultiCAGE dimension, a Poisson-family mixed-effects model was built with either SDS or CAST as the main input variable, while controlling for nicotine and alcohol dependence, and relevant sociodemographic variables. Incidence rate ratios (IRR) were computed for SDS/CAST effects, and the significance threshold was family-wise Bonferroni-corrected. Gender differences were significant for cannabis dependence/abuse and all MultiCAGE scores for non-substance-related conditions, with males showing higher risk scores for excessive gambling, excessive internet use, excessive video gaming, and hypersexuality, and females presenting higher scores in dysregulated eating and compulsive buying. Cannabis dependence and abuse were significantly associated with a higher risk of problematic video gaming. These associations were mostly driven by males. Importantly, although risk of problematic video gaming was specifically associated with cannabis abuse/dependence, there was only a weak non-significant association between problematic video gaming and alcohol use scores. Risk of alcohol use problems, in turn, was strongly associated with all other non-substance-related problems (problematic gambling, excessive Internet use, dysregulated eating, compulsive buying, and hypersexuality). These differential associations can cast light on the etiological similarities and dissimilarities between problematic substance use and putative addictive behaviors not involving drugs.

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Is Cannabis Use Associated with Sedentary Behavior during Leisure Time? A Study in Canada, 2011–2012

Cited by 6 publications

References 32 publications

Impacts of medical and non-medical cannabis on the health of older adults: Findings from a scoping review of the literature

Impacts of medical and non-medical cannabis on the health of older adults: Findings from a scoping review of the literature

Cannabis use, sedentary behavior, and physical activity in a nationally representative sample of US adults

Association patterns of cannabis abuse and dependence with risk of problematic non-substance-related dysregulated and addictive behaviors

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