有氧运动对男性酒精依赖者渴求度的影响

Effect of aerobic exercise on the craving of male alcohol addicts

目的探讨有氧运动对男性酒精依赖者渴求度的影响。方法选取男性酒精依赖者50人,均分为2组,采用交叉设计分2个阶段开展实验,第1阶段系第1组予运动干预、第2组予阅读干预,7 d后第2阶段2组男性酒精依赖者的干预方式进行交换;收集并比较2组男性酒精依赖者的人口学资料和饮酒信息,采用密西根酒精依赖量表(MAST)和临床酒精戒断症状评定量表(CIWA-AR)分别测评2组男性酒精依赖者实验前(第1阶段干预前)的酒精依赖状态和戒断情况,采用视觉模拟量表(VAS)和饮酒迫促性量表(AUQ)评定2组男性酒精依赖者第1、2阶段干预前后的渴求度,采用交叉设计的方差分析对不同干预、阶段及个体间VAS和AUQ评分进行差异分析。结果 2组酒精依赖者的人口学资料和饮酒信息差异均无统计学意义(P>0.05),提示组间有可比性;交叉设计的方差分析结果表明,还不能认为运动和阅读干预后男性酒精依赖者VAS评分(F处理=3.432,P=0.070)有差别、但可以认为AUQ评分(F处理=7.614,P=0.008)有差别,尚不能认为不同测定阶段对VAS评分(F阶段=0.858,P=0.359)和AUQ评分有影响(F阶段=0.261,P=0.612)、但可以认为不同酒精依赖者的VAS评分(F受试者=5.226,P<0.001)和AUQ评分不同(F受试者=4.829,P<0.001)。结论有氧运动对男性酒精依赖者酒精的渴求度有影响。

Objective To explore the effect of aerobic exercise on the craving of male alcohol addicts. Methods Fifty male alcohol addicts were selected and averagely divided into two groups.The crossover design was used to carry out the experiment in two stages. In the first stage,the first group was given exercise intervention,and the second group was given reading intervention,and 7 days later the experiment came to the second stage,in which the two intervention methods were exchanged between the two groups. The state of alcohol dependence and abstinence of the addicts were evaluated by the Michigan alcohol dependence scale( MAST) and clinical alcohol withdrawal symptom rating scale( CIWA-AR),and the demographic data and drinking information of the two groups were collected and compared. Before the intervention,the patients were given alcohol-related cues to induce their craving,and the craving of all the subjects before and after the first and second intervention were assessed by visual analogue scale( VAS) and alcohol consumption compulsive scale( AUQ). The differences of VAS and AUQ scores between the two groups and among individual alcohol addicts in different intervention stages were evaluated by variance analysis of cross design. Results There was no significant difference in demographic data and drinking information between the two groups( P >0. 05),suggesting that there was comparability between the two groups;The variance analysis of cross design showed that there was no difference in VAS scores( Ftreatment= 3. 432,P = 0. 070) of male alcohol addicts after exercise and reading intervention,but there was difference in AUQ scores( Ftreatment= 7. 614,P = 0. 008) between the two groups,but it was not proved that VAS scores( Fstage= 0. 858,P = 0. 359) and AUQ scores( Fstage= 0. 261,P = 0. 612) were affected by different stages of measurement. VAS scores( Fsubject= 5. 226,P < 0. 001) and AUQ scores of different alcohol addicts were different( Fsubject= 4. 829,P < 0. 001). Conclusion Aerobic exercise can affect the alcohol craving of male alcohol addicts.