Giesen, Esther S

Hallgren, Mats

Lundin, Andreas

Stubbs, Brendon

Vancampfort, Davy

British Journal of Sports Medicine

OBJECTIVES: To conduct a systematic review and meta-analysis investigating effects of exercise for people with alcohol use disorders (AUDs) across multiple health outcomes. We also investigated the prevalence and predictors of dropout from exercise studies in AUDs.DESIGN: Systematic review and random effects meta-analysis with meta-regression analyses.DATA SOURCES: 3 major electronic databases were searched from inception until April 2016 for exercise intervention studies in adults with AUDs.ELIGIBILITY CRITERIA: Studies of acute exercise in people with AUDs; and randomised and non-randomised trials examining effects of long-term (≥2 weeks) exercise.RESULTS: 21 studies and 1204 unique persons with AUDs (mean age 37.8 years, mean illness duration 4.4 years) were included. Exercise did not reduce daily alcohol consumption (standardised mean difference (SMD) =-0.886, p=0.24), or the Alcohol Use Disorders Identification Test (AUDIT) total scores (SMD=-0.378, p=0.18). For weekly consumption (n=3 studies), a statistically significant difference was observed favouring exercise (SMD=-0.656, p=0.04), but not after adjustment for publication bias (SMD=-0.16, 95% CI -0.88 to 0.55). Exercise significantly reduced depressive symptoms versus control (randomised controlled trials (RCTs) =4; SMD=-0.867, p=0.006, I(2)=63%) and improved physical fitness (VO2) (RCTs=3; SMD=0.564, p=0.01, I(2)=46%). The pooled dropout rate was 40.3% (95% CI 23.3% to 60.1%) which was no different to control conditions (OR=0.73, p=0.52). Dropouts were higher among men (β=0.0622, p&lt;0.0001, R(2)=0.82).LIMITATIONS: It was not possible to investigate moderating effects of smoking.CONCLUSIONS: Available evidence indicates exercise appears not to reduce alcohol consumption, but has significant improvements in other health outcomes, including depression and physical fitness. Additional long-term controlled studies of exercise for AUDs are required.</p

King's Research Portal

English

Exercise as treatment for alcohol use disorders:systematic review and meta-analysis

Mats Hallgren

Davy Vancampfort

Esther S Giesen

Andreas Lundin

Brendon Stubbs

Crossref

Exercise as treatment for alcohol use disorders: systematic review and meta-analysis

https://kclpure.kcl.ac.uk/portal/files/63492923/Exercise_as_treatment_for_alcohol_use_disorders_HALLGREN_Accepted13December2016_GREEN_AAM.pdf

Exercise as treatment for alcohol use disorders:systematic review and meta-analysis

Abstract

Similar works

Full text

Available Versions

King's Research Portal

Crossref