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The Benefits of Physical Exercise on Mental Disorders and Quality of Life in Substance Use Disorders Patients. Systematic Review and Meta-Analysis.
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2020-05-23 , DOI: 10.3390/ijerph17103680
Jorge Giménez-Meseguer 1 , Juan Tortosa-Martínez 1 , Juan M Cortell-Tormo 1
Affiliation  

Physical exercise seems to have a promising effect on numerous variables related to the recovery of drug-dependent patients. However, some contradictions are found in the literature. The aim of this study was to perform a systematic review and meta-analysis in order to identify the effect of physical exercise on mental disorders, quality of life, abstinence, and craving, and make a comparison of the effect of exercise depending on the type of program. A search for articles was conducted using PubMed, Web of Science, and Scopus databases. Studies were selected that measured the acute effects or long-term effect (≥2 weeks) of exercise in patients who met criteria for alcohol use disorders or substance use disorders. A total of 59 studies were included. An effect of exercise on mental disorders (standardized mean differences (SMD) = 0.66 (confidence interval (CI): 0.46, 0.86); z = 6.50; p < 0.00001) and quality of life (SMD = 0.69 (95% CI: 0.53, 0.84); z = 8.65; p < 0.00001) was identified. Subgroup analysis revealed an effect of exercise in craving (SMD = 0.80 (CI: 0.07, 1.53); z = 2.15, p = 0.03), stress (SMD = 1.11 (CI: 0.31, 1.91); = 2.73; p = 0.006), anxiety (SMD = 0.50 (CI: 0.16, 0.84); z = 2.88; p = 0.004) and depression (SMD = 0.63 (CI: 0.34, 0.92); z = 4.31; p < 0.0001). Body–mind activities and programs based on improving physical conditions produced similar results in mental disorders and quality of life. Available evidence indicates that physical exercise, both body–mind and physical fitness programs, can be effective in improving mental disorders, craving, and quality of life in drug-dependent patients.

中文翻译:

体育锻炼对精神障碍和药物使用障碍患者生活质量的益处。系统评价和荟萃分析。

体育锻炼似乎对与药物依赖患者康复相关的许多变量具有良好的影响。然而,文献中也发现了一些矛盾。本研究的目的是进行系统回顾和荟萃分析,以确定体育锻炼对精神障碍、生活质量、禁欲和渴望的影响,并根据类型对锻炼的效果进行比较的程序。使用 PubMed、Web of Science 和 Scopus 数据库进行文章搜索。选择的研究测量了运动对符合酒精使用障碍或物质使用障碍标准的患者的急性影响或长期影响(≥2周)。总共纳入了 59 项研究。运动对精神障碍(标准化平均差 (SMD) = 0.66(置信区间 (CI):0.46, 0.86);z = 6.50;p < 0.00001)和生活质量(SMD = 0.69(95% CI:0.53)影响, 0.84); z = 8.65; p < 0.00001) 被识别。亚组分析显示运动对渴望(SMD = 0.80(CI:0.07,1.53);z = 2.15,p = 0.03)和压力(SMD = 1.11(CI:0.31,1.91);= 2.73;p = 0.006)有影响、焦虑(SMD = 0.50(CI:0.16,0.84);z = 2.88;p = 0.004)和抑郁(SMD = 0.63(CI:0.34,0.92);z = 4.31;p < 0.0001)。基于改善身体状况的身心活动和计划在精神障碍和生活质量方面产生了类似的结果。现有证据表明,身体锻炼,包括身心锻炼和体能锻炼,可以有效改善药物依赖患者的精神障碍、渴望和生活质量。
更新日期:2020-05-23
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