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Clinical Trials/NCT02664727
NCT02664727
Completed
Not Applicable

Effects of Acute Exercise on Psychological, Physiological, Biochemical and Alcohol-related Parameters in Individuals With Alcohol Use Disorders

University of Thessaly0 sites13 target enrollmentJanuary 2014

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Heavy Drinking
Sponsor
University of Thessaly
Enrollment
13
Primary Endpoint
Changes in Urge to drink score
Status
Completed
Last Updated
10 years ago

Overview

Brief Summary

The purpose of this research is to examine the effects of exercise of different intensities on psychological, physiological, biochemical, physiological and alcohol-related parameters in individuals with alcohol use disorders (heavy drinkers and alcoholic patients) in order to investigate possible biochemical mechanisms by which exercise may be a healthy alternative to alcohol abuse. For that purpose, a control group of individuals that do not exceed the limits for moderate alcohol use will be included.

Detailed Description

The mechanism of incentives that lead people to unhealthy habits such as excessive alcohol consumption is not only social, personal, and psychological, but also associated with neurochemical and neurobiological mechanisms. Several programs have been developed to stop excessive drinking, but the success rates are small, while the relapse rates are very high, reaching up to 90%. Although there is some evidence for the beneficial effects of exercise on alcohol use disorders (AUDs), research is limited. The present study investigates whether exercise could be a safe adjunct therapy for alcohol abuse cessation, and the possible mechanisms involved. One of the basic assumptions is that the appropriate form of exercise in individuals with AUDs will contribute to the secretion of beta-endorphin, which in combination with psychological pleasure, vitality, change of mood, reduced stress, increased confidence, and the shift of attention will help people to follow healthy lifestyles and abhor alcohol. The research project is divided in three phases. In the first phase, (current study) the effect of acute exercise in critical psychological, physiological, biochemical and alcohol-related parameters associated with excessive alcohol consumption will be examined. In the second phase, a long-term exercise program in conjunction with psychological support strategies aimed at alcohol abuse cessation will be developed, implemented and evaluated. Finally, in the third phase, based on the results of the previous phases, awareness programs in adolescent and adult populations will be designed and implemented as well as the dissemination of results and evaluation of the project will take place.

Registry
clinicaltrials.gov
Start Date
January 2014
End Date
June 2014
Last Updated
10 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Athanasios Z. Jamurtas

Dr

University of Thessaly

Eligibility Criteria

Inclusion Criteria

  • Confirmed alcohol addiction according to Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria in the past, after detoxification phase, lack of dependence on other substances
  • Alcohol Use Disorders Identification Test (AUDIT) score\>20

Exclusion Criteria

  • Medical conditions or medication use that would preclude participation in aerobic exercise
  • For heavy drinkers:
  • Inclusion Criteria:
  • Men drinking \>14 drinks/week or \>4 drinks/occasion; Women drinking \>7 drinks/week or \>4 drinks/occasion (1 drink = 14 grams of pure alcohol; definition of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) for drinking at low risk for developing an AUD; NIAAA, 2014)
  • Individuals drinking 5 or more drinks on the same occasion on each of 5 or more days in the past 30 days (1 drink = 14 grams of pure alcohol; definition of the Substance Abuse and Mental Health Services Administration for heavy drinking; NIAAA, 2014)
  • AUDIT score\>8
  • Exclusion Criteria:
  • Medical conditions or medication use that would preclude participation in aerobic exercise
  • For healthy controls:
  • Inclusion Criteria:

Outcomes

Primary Outcomes

Changes in Urge to drink score

Time Frame: Before (0 min) and after exercise trial (30 min)

According to questionnaire

Changes in Beta-endorphin levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured by radioimmunoassay (RIA)

Changes in Cortisol levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured by radioimmunoassay (RIA)

Changes in Adrenocorticotrophic hormone (ACTH) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured by radioimmunoassay (RIA)

Changes in Catecholamines (epinephrine, norepinephrine, dopamine) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured by radioimmunoassay (RIA)

Changes in C-reactive protein (CRP) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Semi-quantitative estimation with CRP Latex test kit

Changes in Complete blood count values

Time Frame: Before (0 min) and after exercise trial (30 min)

Autoanalyzer

Changes in Lactic acid levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured using photometry

Changes in Erythrocyte sedimentation rate (ESR) values

Time Frame: Before (0 min) and after exercise trial (30 min)

Wintrobe Method

Changes in γ-Glutamyltransferase (GGT) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured with commercial kit

Changes in Aspartate Aminotransferase (AST) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured with commercial kit

Changes in Alanine Aminotransferase (ALT) levels

Time Frame: Before (0 min) and after exercise trial (30 min)

Measured with commercial kit

Secondary Outcomes

  • Sit and reach flexibility test for the hamstrings muscles and lower back(Before trial (baseline))
  • Grip strength(Before trial (baseline))
  • Number of push-ups performed in one minute(Before trial (baseline))
  • Number of sit-ups performed until exhaustion(Before trial (baseline))

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