Effects of exercise in non-treatment seeking adults with alcohol use disorder: A three-armed randomized controlled trial (FitForChange)
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,...
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| Veröffentlicht in: | Drug and alcohol dependence 2022-03, Vol.232, p.109266-109266, Article 109266 |
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| creator | Gunillasdotter, Victoria Andréasson, Sven Jirwe, Maria Ekblom, Örjan Hallgren, Mats |
| description | 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.
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).
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].
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.
•We evaluated the effects of aerobic exercise and yoga as stand-alone treatment for adults with alcohol use disorder.•Many adults with alcohol use disorder are interested in exercise to help reduce their alcohol consumption.•Exercise alone, in particular yoga-based exercise, had effects on consumption comparable to phone counselling by a clinician. |
| doi_str_mv | 10.1016/j.drugalcdep.2022.109266 |
| format | Article |
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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).
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].
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.
•We evaluated the effects of aerobic exercise and yoga as stand-alone treatment for adults with alcohol use disorder.•Many adults with alcohol use disorder are interested in exercise to help reduce their alcohol consumption.•Exercise alone, in particular yoga-based exercise, had effects on consumption comparable to phone counselling by a clinician.</description><identifier>ISSN: 0376-8716</identifier><identifier>ISSN: 1879-0046</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2022.109266</identifier><identifier>PMID: 35033949</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Adults ; Aerobic exercise ; Aerobics ; Aged ; Alcohol Drinking - psychology ; Alcohol Drinking - therapy ; Alcohol related disorders ; Alcohol use ; Alcohol use disorder ; Alcoholic beverages ; Alcoholism ; Alcoholism - psychology ; Alcohols ; Clinical trials ; Drinks ; Exercise ; Health services utilization ; Help seeking behavior ; Humans ; Inactive ; Medicin och hälsovetenskap ; Medicin/Teknik ; Medicine/Technology ; Middle Aged ; Physical fitness ; Randomized controlled trial ; Single-Blind Method ; Statistical analysis ; Stigma ; Substance abuse treatment ; Treatment ; Treatment Outcome ; Yoga ; Young Adult</subject><ispartof>Drug and alcohol dependence, 2022-03, Vol.232, p.109266-109266, Article 109266</ispartof><rights>2022 The Authors</rights><rights>Copyright © 2022 The Authors. Published by Elsevier B.V. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Mar 1, 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c612t-4b1746221a14c410b086f87ecb7febb9614daa7b7243e2914fb74493016073aa3</citedby><cites>FETCH-LOGICAL-c612t-4b1746221a14c410b086f87ecb7febb9614daa7b7243e2914fb74493016073aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.drugalcdep.2022.109266$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,552,780,784,885,3550,27924,27925,30999,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35033949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-6915$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-4182$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:150150053$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Gunillasdotter, Victoria</creatorcontrib><creatorcontrib>Andréasson, Sven</creatorcontrib><creatorcontrib>Jirwe, Maria</creatorcontrib><creatorcontrib>Ekblom, Örjan</creatorcontrib><creatorcontrib>Hallgren, Mats</creatorcontrib><title>Effects of exercise in non-treatment seeking adults with alcohol use disorder: A three-armed randomized controlled trial (FitForChange)</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>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.
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).
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].
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.
•We evaluated the effects of aerobic exercise and yoga as stand-alone treatment for adults with alcohol use disorder.•Many adults with alcohol use disorder are interested in exercise to help reduce their alcohol consumption.•Exercise alone, in particular yoga-based exercise, had effects on consumption comparable to phone counselling by a clinician.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adults</subject><subject>Aerobic exercise</subject><subject>Aerobics</subject><subject>Aged</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol Drinking - therapy</subject><subject>Alcohol related disorders</subject><subject>Alcohol use</subject><subject>Alcohol use disorder</subject><subject>Alcoholic beverages</subject><subject>Alcoholism</subject><subject>Alcoholism - psychology</subject><subject>Alcohols</subject><subject>Clinical trials</subject><subject>Drinks</subject><subject>Exercise</subject><subject>Health services utilization</subject><subject>Help seeking behavior</subject><subject>Humans</subject><subject>Inactive</subject><subject>Medicin och hälsovetenskap</subject><subject>Medicin/Teknik</subject><subject>Medicine/Technology</subject><subject>Middle Aged</subject><subject>Physical fitness</subject><subject>Randomized controlled trial</subject><subject>Single-Blind Method</subject><subject>Statistical analysis</subject><subject>Stigma</subject><subject>Substance abuse treatment</subject><subject>Treatment</subject><subject>Treatment Outcome</subject><subject>Yoga</subject><subject>Young Adult</subject><issn>0376-8716</issn><issn>1879-0046</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>D8T</sourceid><recordid>eNqNklFv0zAQxyMEYmXwFZAlXoZQiu04dsJbKStMmsQL8Go59qVxm8bFThjwBfja3NRukyZNYFny6fT7-053_ywjjM4ZZfLtZu7itDa9dbCfc8o5pmsu5aNsxipV55QK-Tib0ULJvFJMnmTPUtpQPLKmT7OToqRFUYt6lv05b1uwYyKhJfATovUJiB_IEIZ8jGDGHQwjSQBbP6yJcVOP7JUfO4LVQxd6MqHA-RSig_iOLMjYRYDcxB04Es3gws7_xtCGYYyh7zEcozc9OVv5cRXisjPDGl4_z560pk_w4vieZl9X51-Wn_LLzx8vlovL3ErGx1w0TAnJOTNMWMFoQyvZVgpso1pomloy4YxRjeKiAF4z0TZKiLrAoVFVGFOcZvnh33QF-6nR--h3Jv7SwXh9TG0xAi1KyRlDvn6Q38fg7kQ3QlZSvLQsUPvmQe0H_22hQ1zruO20YBX_P3rtOy1rViJ9dqCxie8TpFHvfLLQ92aAMCXNJadKUZwWoq_uoZswxQGnjJSQqpQ4HKSqA2VjSClCe9sAo_radHqj70ynr02nD6ZD6ctjganBrd8Kb1yGwPsDALjZHx6iTtbDYMH5iObTLvh_V_kLyMLvsw</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Gunillasdotter, Victoria</creator><creator>Andréasson, Sven</creator><creator>Jirwe, Maria</creator><creator>Ekblom, Örjan</creator><creator>Hallgren, Mats</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ADFMZ</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>DF1</scope><scope>ZZAVC</scope></search><sort><creationdate>20220301</creationdate><title>Effects of exercise in non-treatment seeking adults with alcohol use disorder: A three-armed randomized controlled trial (FitForChange)</title><author>Gunillasdotter, Victoria ; Andréasson, Sven ; Jirwe, Maria ; Ekblom, Örjan ; Hallgren, Mats</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c612t-4b1746221a14c410b086f87ecb7febb9614daa7b7243e2914fb74493016073aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Adults</topic><topic>Aerobic exercise</topic><topic>Aerobics</topic><topic>Aged</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol Drinking - therapy</topic><topic>Alcohol related disorders</topic><topic>Alcohol use</topic><topic>Alcohol use disorder</topic><topic>Alcoholic beverages</topic><topic>Alcoholism</topic><topic>Alcoholism - psychology</topic><topic>Alcohols</topic><topic>Clinical trials</topic><topic>Drinks</topic><topic>Exercise</topic><topic>Health services utilization</topic><topic>Help seeking behavior</topic><topic>Humans</topic><topic>Inactive</topic><topic>Medicin och hälsovetenskap</topic><topic>Medicin/Teknik</topic><topic>Medicine/Technology</topic><topic>Middle Aged</topic><topic>Physical fitness</topic><topic>Randomized controlled trial</topic><topic>Single-Blind Method</topic><topic>Statistical analysis</topic><topic>Stigma</topic><topic>Substance abuse treatment</topic><topic>Treatment</topic><topic>Treatment Outcome</topic><topic>Yoga</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gunillasdotter, Victoria</creatorcontrib><creatorcontrib>Andréasson, Sven</creatorcontrib><creatorcontrib>Jirwe, Maria</creatorcontrib><creatorcontrib>Ekblom, Örjan</creatorcontrib><creatorcontrib>Hallgren, Mats</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>SWEPUB Gymnastik- och idrottshögskolan full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Gymnastik- och idrottshögskolan</collection><collection>SwePub Articles full text</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gunillasdotter, Victoria</au><au>Andréasson, Sven</au><au>Jirwe, Maria</au><au>Ekblom, Örjan</au><au>Hallgren, Mats</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of exercise in non-treatment seeking adults with alcohol use disorder: A three-armed randomized controlled trial (FitForChange)</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2022-03-01</date><risdate>2022</risdate><volume>232</volume><spage>109266</spage><epage>109266</epage><pages>109266-109266</pages><artnum>109266</artnum><issn>0376-8716</issn><issn>1879-0046</issn><eissn>1879-0046</eissn><abstract>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.
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).
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].
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.
•We evaluated the effects of aerobic exercise and yoga as stand-alone treatment for adults with alcohol use disorder.•Many adults with alcohol use disorder are interested in exercise to help reduce their alcohol consumption.•Exercise alone, in particular yoga-based exercise, had effects on consumption comparable to phone counselling by a clinician.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>35033949</pmid><doi>10.1016/j.drugalcdep.2022.109266</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; SWEPUB Freely available online; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Adolescent Adult Adults Aerobic exercise Aerobics Aged Alcohol Drinking - psychology Alcohol Drinking - therapy Alcohol related disorders Alcohol use Alcohol use disorder Alcoholic beverages Alcoholism Alcoholism - psychology Alcohols Clinical trials Drinks Exercise Health services utilization Help seeking behavior Humans Inactive Medicin och hälsovetenskap Medicin/Teknik Medicine/Technology Middle Aged Physical fitness Randomized controlled trial Single-Blind Method Statistical analysis Stigma Substance abuse treatment Treatment Treatment Outcome Yoga Young Adult |
| title | Effects of exercise in non-treatment seeking adults with alcohol use disorder: A three-armed randomized controlled trial (FitForChange) |
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