Title Evidence level of physical exercise in the treatment of substance abuse/dependence: An overview of systematic reviews including 53 meta-analyses that comprised 103 distinct clinical trials
Authors Martinez-Calderon, Javier , Villar-Alises, Olga , GARCÍA MUÑOZ, CRISTINA, Matias-Soto, Javier
External publication No
Means Mental Health and Physical Activity
Scope Article
Nature Científica
JCR Quartile 2
SJR Quartile 1
SJR Impact 1.158
Publication date 01/05/2023
ISI 001008854100001
DOI 10.1016/j.mhpa.2023.100519
Abstract Objective: To summarize evidence on the effectiveness that exercise-based interventions may have to alter psy-chological symptoms, substance use outcomes, and quality of life in adults with substance abuse/dependence.Methods: An overview of systematic reviews with meta-analysis was conducted. CINAHL, Embase, PubMed, SPORTDiscus, and the Cochrane Library were searched from inception up to December 1st, 2022. Manual searches were developed. AMSTAR 2 was used to evaluate the methodological quality of systematic reviews. Primary study overlap among systematic reviews was calculated using matrices of evidence and the corrected covered area (CCA). Upset and Origami plots were built.Results: 18 systematic reviews including 53 meta-analyses that comprised 103 distinct clinical trials were included. Most of systematic reviews were judged to have critically low quality (89%). Methodological concerns were associated with the reasons to choose a specific research design, the provision of the sources of funding of the included clinical trials, the explanation of the reasons for excluding some potential articles, and the lack of information to discuss the possible role of risk of bias. There was a very high overlap for those systematic reviews that evaluated alcohol (CCA = 20%), tobacco (CCA = 16%), or other drugs (CCA = 27%) populations. Certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was barely judged.Conclusions: The wide number of methodological concerns that were observed precluded us to make any clinical recommendation. A call-for action is needed to improve the quality of systematic reviews covering this topic. Open science framework registration: https://doi.org/10.17605/OSF.IO/9BK2D.
Keywords Addiction; Alcohol; Exercise; Physical activity; Smoking; Yoga
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