Effects of exercise in non-treatment seeking adults with alcohol use disorder : A three-armed randomized controlled trial (FitForChange)
| Autor: | Victoria, Gunillasdotter, Sven, Andréasson, Maria, Jirwe, Örjan, Ekblom, Mats, Hallgren |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
Adult
Adolescent Alcohol Drinking Nursing Toxicology Alcohol use disorder Young Adult Humans Single-Blind Method Pharmacology (medical) Sjukgymnastik Exercise Physiotherapy Aerobic exercise Aged Pharmacology Yoga Omvårdnad Public Health Global Health Social Medicine and Epidemiology Middle Aged Treatment Alcoholism Psychiatry and Mental health Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Treatment Outcome Randomized controlled trial |
| Popis: | BACKGROUND: Most individuals with alcohol use disorder (AUD) do not seek treatment. Stigma and the desire to self-manage the problem are likely explanations. Exercise is an emerging treatment option but studies in non-treatment seeking individuals are lacking. We compared the effects of aerobic exercise, yoga, and treatment as usual (phone-based support) on alcohol consumption in non-treatment seeking adults with AUD. METHODS: Three-group parallel, single blind, randomized controlled trial. 140 physically inactive adults aged 18-75 diagnosed with AUD were included in this community-based trial. Participants were randomized to either aerobic exercise (n = 49), yoga (n = 46) or treatment as usual (n = 45) for 12-weeks. The primary study outcome was weekly alcohol consumption at week 13 (Timeline Follow-back). RESULTS: A significant decrease in weekly alcohol consumption was seen in all three groups: aerobic exercise (mean ∆ = - 5.0, 95% C = - 10.3, - 3.5), yoga group (mean ∆ = - 6.9, 95% CI = - 10.3, - 3.5) and TAU (mean ∆ = - 6.6, 95% CI = - 8.8, - 4.4). The between group changes were not statistically significant at follow-up. Per-protocol analyzes showed that the mean number of drinks per week reduced more in both TAU (mean ∆ = - 7.1, 95% CI = - 10.6, - 3.7) and yoga (mean ∆ = - 8.7, 95% CI = - 13.2, - 4.1) compared to aerobic exercise (mean ∆ = - 1.7, 95% CI = - 4.4, 1. 0), [F(2, 55) = 4.9, p = 0.011]. CONCLUSIONS: Participation in a 12-week stand-alone exercise program was associated with clinically meaningful reductions in alcohol consumption comparable to usual care (phone counseling) by an alcohol treatment specialist. |
| Databáze: | OpenAIRE |
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