SynthesisMedicine2025
Supervised exercise as adjunctive treatment for substance use disorder: Systematic review and meta-analysis.
Synthesis in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSubstance use disorder (SUD) comprises a spectrum of cognitive, behavioral, and physiological symptoms, indicating that individuals continue to use substances despite significant substance-related problems. Recent evidence suggests multiple types of exercise as adjunctive or main intervention options for SUD. The study aimed to evaluate the effectiveness of supervised exercise in improving quality of life, mental health outcomes, and substance use in individuals with SUD.
methodsMedline, Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials. gov were systematically searched for relevant randomized controlled trials. We assessed depression, anxiety, urine drug screen (UDS) and quality of life (QoL) of participants in the included studies. The revised Cochrane risk-of-bias tool assessed the quality of the studies. Regarding meta-analysis, effect sizes reported using standardized mean difference (SMD) and risk ratio (RR), the random-effects model, and the inverse variance (IV) technique. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria were used to evaluate the certainty of the evidence.
resultsEight studies were included in the qualitative review, whereas 4 were included in the quantitative synthesis. Exercise interventions demonstrated superior effects compared with standard treatment in improving outcomes for individuals with SUD in terms of QoL in the subdomains of physiology (SMD = 0.94, 95% confidence interval [CI]: 0.67-1.22, P < .00001, I2 = 0%), psychology (SMD = 0.89, 95% CI: 0.62-1.16, P < .00001, I2 = 0%), and social (SMD = 0.73, 95% CI: 0.31-1.14, P < .0006, I2 = 58%). However, exercise showed a similar effect to the control in the number of patients with positive urine drug screen (risk ratio = 0.79, 95% CI: 0.56-1.12, P = .18, I2 = 0%).
conclusionAdjunctive exercise effectively improved the QoL of patients with SUD. However, it showed no effect on decreasing use. More evidence is needed to establish this as an adjunct to the initial lines of SUD interventions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.