Exercise as a Useful Intervention to Reduce Alcohol Consumption and Improve Physical Fitness in Individuals With Alcohol Use Disorder: A Systematic Review and Meta-Analysis

Frontiers in Psychology

article

David T. Lardier¹  Kathryn E. Coakley¹  Kelley R. Holladay³  Fabiano T. Amorim⁵  Micah N. Zuhl⁶ 

[1] Department of Individual, Family and Community Education, College of Education and Human Sciences, University of New Mexico, United States;Department of Psychiatry and Behavioral Sciences, University of New Mexico School of Medicine, University of New Mexico, United States;Department of Individual, Family and Community Education, University of New Mexico, United States;College of Health Sciences, Jacksonville University, United States;Department of Health Education and Sports Sciences College of Education and Human Sciences, University of New Mexico, United States;School of Health Sciences, Central Michigan University, United States

关键词: alcohol use disorder;    alcohol dependence;    binge drinking;    exercise;    physical activity;    randomized controlled trials;   

DOI  :  10.3389/fpsyg.2021.675285

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Objective: This meta-analysis and systematic review examined the effects of exercise interventions on alcohol consumption and binge drinking in individuals with alcohol use disorder (AUD). Data sources: PubMed, Web of Science, Google Scholar, SPORTDiscus, and ERIC databases. Study Inclusion and Exclusion Criteria: Peer-reviewed randomized controlled trials published in English between 1970 and 2021. All studies compared exercise (Ex) and treatment as usual (TAU) to TAU in adults with an alcohol-related diagnosis. All forms of exercise interventions were included (e.g., aerobic exercise, yoga, resistance exercise, etc.). Data Extraction: Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols standard and the Meta-Analyses and Systematic Reviews of Observational Studies guidelines were followed. Risk of bias was assessed using the Cochrane risk-of-bias tool as described by the Cochrane Handbook for Systematic Reviews and Interventions. Results: The literature searches retrieved a combined 2527 studies, with 1,034 studies screened after removal of duplicates and 973 (94%) rejected after reviewing titles and abstracts. Full-text review was performed on 61 studies, with seven studies meeting inclusion criteria for qualitative and meta-analysis. Across seven studies ( n = 492 participants), a significant effect (Z-value = −3.37; g = −0.30; 95% CI [−0.50—−0.09]; p = 0.001) was found for Ex+TAU on drinking volume. There was no effect of Ex+TAU on binge drinking. The effect of Ex+TAU on physical fitness (VO 2 max, ml•kg −1 •min −1 ) was significant (Z-score = 3.70; g = 0.64; 95% CI [0.19–1.08]; p < 0.001). Conclusions: Exercise interventions may decrease alcohol consumption and improve fitness and can be an effective adjunctive treatment for individuals with alcohol-related diagnoses including AUD.

【 授权许可】

CC BY