Physical Activity Assessment in Clinical Studies of Substance Use Disorder

Dowla, Rhiannon; Murnion, Bridin; Roberts, Kia; Freeston, Jonathan; Rooney, Kieron

doi:10.1007/978-1-4939-7614-0_17

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…A previous meta-analytic study (Wang et al, 2014 ) demonstrated PA to be an effective tool in SUD therapy. However, the benefits of PA on SUD treatment outcomes has not yet been fully proven (Linke & Ussher, 2015 ; Zschucke et al, 2012 ) due to a lack of standardized program methodology and program heterogeneity (Dowla et al, 2018 ) and inconsistent evaluation criteria (Colledge et al, 2018 ). However, positive effects of PA have been observed with short- or long-term exercise programs (Brown et al, 2016 ; Zhao et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Physical activity habits and their effects on quality of life in patients with addiction: data from the Czech Republic

2023

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Addiction, including substance use disorder (SUD), is a complex condition that can cause serious health problems and negatively affect patient quality of life. Physical activity is known to improve the physical and mental health of patients with SUD. This study aims to determine the relationship between regular physical activity (RPA) and quality of life in SUD patients enrolled in inpatient SUD treatment (n = 159). We divided patients into four groups based on their RPA before and during hospitalization. The SF-36 self-report questionnaire was used to assess quality of life. We found that SUD patients had worse quality of life than a representative sample of the Czech population. Furthermore, we demonstrated that RPA before and during hospitalization and changes during hospitalization affect the perception of quality of life of patients with SUDs. Additionally, physically active patients showed significantly better quality of life than inactive patients. However, patients who initiated RPA during hospitalization reported worse quality of life than those who did not; in addition, this group of patients reported the worst quality of life across the most monitored parameters. We suggest that these patients represent the most vulnerable group. Changes in physical activity habits could be considered an indicator for a more intensive therapeutic focus.

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Section: Discussionmentioning

confidence: 99%

Physical activity habits and their effects on quality of life in patients with addiction: data from the Czech Republic

2023

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“…Exercise assessments will include a modified three-minute step test to evaluate cardiorespiratory fitness, the ACSM 3-minute curl up test and push up to fatigue to assess muscular endurance, a balance error scoring system test to assess balance, hand grip dynamometer to assess general body strength and a 6-minute walk test and sit to stand in 30 seconds to assess functional capacity. 19,20…”

Section: Secondary Outcomesmentioning

confidence: 99%

Fitness in recovery: impact of exercise in people with substance use disorder in residential treatment

Dowla

Stubley²,

Murnion

et al. 2022

Int J Clin Trials

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Background: Opioid use disorder has the lowest quality of life (QOL) and highest disease burden of all substance use disorders (SUD). While opioid treatment does lead to initial improvements in QOL it remains below that of the general population. The integration of exercise programs as an adjunct therapy for SUD is gaining popularity. Previous reviews have indicated that exercise offers significant benefits for QOL, however the evidence in an opioid treatment population is lacking. This study will investigate the impact of a 12-week exercise intervention on QOL and mood in a residential opioid treatment rehabilitation program.Methods: This is a 12-week single arm intervention with a natural history control. Participants will complete a baseline screening assessing QOL, mood and exercise habits and those who meet criteria for exercise participation will complete an exercise assessment. The exercise program will be delivered twice per week as part of the group therapy program. Exercise sessions will run for approximately 40 minutes and be at an intensity selected by each of the participants.Conclusions: A recent review indicated that two sessions of exercise for a minimum of 12 weeks leads to an improvement in QOL in general SUD, however, to date minimal studies have been completed in people receiving opioid agonist treatment. Hence, this will be the first study to our knowledge, assessing the role of exercise as an adjunct treatment for QOL in this population.Trial Registration: This trial has been registered with the Australian New Zealand clinical trials registry ACTRN12622000213741.

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Exercise Capacity and Acute Effect of Exercise on Affect in a Substance Use Disorder Population

Dowla

Murnion

Hung

et al. 2021

Journal of Clinical Exercise Physiology

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Background It is known that exercise is beneficial to people with substance use disorder, however little evidence exists regarding their exercise capacity. This pilot study investigates the exercise capacity of patients with substance use disorder and effects of an acute bout of exercise on affect. Methods Twenty-nine participants admitted to a withdrawal management facility were recruited to complete a health and exercise assessment (18 females, 11 males; 41 ± 11 years old). Mood was measured before and after exercise assessments using the subjective experience to exercise scale. Data was grouped by sex, and descriptive analyses were performed against age-matched normative data. Within group, before and after subjective experience to exercise scale measures were analyzed using 2-way ANOVA with sex as a between subject factor. Results Participants ranged from having 2 to 6 modifiable cardiovascular risk factors. Participants performed below average compared to age-matched and sex-matched normative data for the 6-minute walk test (females: 539 ± 54 m, males: 606 ± 89 m); and push-up test (females: 22% good, males: 36% good). Of the 29 participants, 29% failed to achieve the average range for sex-matched norms in the sit-to-stand test. However, all participants achieved above average for curl-ups, and 72% achieved an average or above score in the step-up test. Exercise significantly increased wellbeing (P < 0.001, effect size = 1.12) and decreased psychological distress (P = 0.045, effect size = 1.03) and fatigue (P < 0.001, effect size = 1.32). Conclusion Exercise is both feasible and beneficial in a withdrawal management setting. Capacity to perform exercise was generally poor with high individual variance. Design of future interventions will need tailored prescription for patients in this population.

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Physical Activity Assessment in Clinical Studies of Substance Use Disorder

Cited by 3 publications

References 7 publications

Physical activity habits and their effects on quality of life in patients with addiction: data from the Czech Republic

Physical activity habits and their effects on quality of life in patients with addiction: data from the Czech Republic

Fitness in recovery: impact of exercise in people with substance use disorder in residential treatment

Exercise Capacity and Acute Effect of Exercise on Affect in a Substance Use Disorder Population

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