Exercise and physical activity in the therapy of substance use disorders.
Exercise and physical activity are constantly gaining attention as adjuvant treatment for substance use disorders, supplementing classical pharmacological and psychotherapeutic approaches. The present work reviews studies addressing the therapeutic effects of exercise in alcohol abuse/dependence, nicotine abuse/dependence, and illicit drug abuse/dependence. In the field of smoking cessation, evidence is strong for exercise as an effective adjuvant treatment, whereas no generalizable and methodologically strong studies have been published for alcohol and drug treatment so far, allowing only preliminary conclusions about the effectiveness of exercise in these disorders. A couple of potential mechanisms are discussed, by which exercise may act as an effective treatment, as well as future directions for studies investigating exercise as a treatment strategy for substance use disorders.
Klinik für Psychiatrie und Psychotherapie, Charité-Universitätsmedizin Berlin, Charité Campus Mitte, Charitéplatz 1, 101117 Berlin, Germany. elisabeth.zschucke@charite.de
Elisabeth
E
Zschucke
Andreas
A
Heinz
Andreas
A
Ströhle
D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D009043:Motor Activity; D040242:Risk Reduction Behavior; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000534:rehabilitation*; D016896:Treatment Outcome