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

Rhiannon Dowla, C. Stubley, B. Murnion, E. Cayanan, Y. Mavros, Scarlett Hardy, K. Rooney
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Abstract

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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康复中的健身:运动对住院治疗中物质使用障碍患者的影响
背景:阿片类药物使用障碍是所有物质使用障碍(SUD)中生活质量(QOL)最低和疾病负担最高的。虽然阿片类药物治疗确实导致了生活质量的初步改善,但仍低于一般人群。将运动项目作为SUD的辅助疗法正越来越受欢迎。先前的综述表明,运动对生活质量有显著的好处,但在阿片类药物治疗人群中缺乏证据。本研究将探讨为期12周的运动干预对阿片类药物治疗康复计划中生活质量和情绪的影响。方法:这是一个为期12周的单臂干预,自然病史对照。参与者将完成基线筛选,评估生活质量、情绪和运动习惯,符合运动参与标准的参与者将完成运动评估。锻炼计划将作为团体治疗计划的一部分,每周进行两次。锻炼时间约为40分钟,强度由每个参与者选择。结论:最近的一项综述表明,至少12周的两次运动可以改善一般SUD患者的生活质量,然而,迄今为止,在接受阿片类激动剂治疗的人群中完成的研究很少。因此,据我们所知,这将是第一项研究,评估运动作为这一人群生活质量的辅助治疗的作用。试验注册:该试验已在澳大利亚新西兰临床试验注册中心ACTRN12622000213741注册。
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