Can exercise help prevent addiction to drugs or alcohol?

AfterGlow

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By LAURAN NEERGAARD, AP Medical Writer
Mon Jun 9, 1:54 PM ET

WASHINGTON - Sure, exercise is good for your waistline, your heart, your bones — but might it also help prevent addiction to drugs or alcohol?

There are some tantalizing clues that physical activity might spur changes in the brain to do just that. Now the government is beginning a push for hard research to prove it.

This is not about getting average people to achieve the so-called runner's high, a feat of pretty intense athletics.

Instead, the question is just how regular physical activity of varying intensity — dancing, bicycling, swimming, tae kwan do — might affect mood, academic performance, even the very reward systems in the brain that can get hijacked by substance abuse.

What first caught the attention of National Institute on Drug Abuse chief Dr. Nora Volkow: A study found tweens and teens who reported exercising daily were half as likely to smoke as their sedentary counterparts, and 40 percent less likely to experiment with marijuana.

Volkow knows — from her own 6-mile daily runs and from her scientific experiments — that the brain literally likes physical activity. Exercise seems to invigorate neurochemicals that sense and reinforce pleasure.

"In children, it's innate," she notes. "Children want to move."

But the nation's children are becoming more sedentary, as illustrated by the obesity epidemic, "screen time" replacing outdoor play and a drop in school P.E. And as youngsters approach adolescence, the run around the yard that used to be fun too often becomes a chore — the dreaded jog around the school track or the nagging to get off the couch. The sedentary teen turns into the sedentary adult.

"Why do we lose the ability to experience pleasure from physical activity?" asks Volkow.

Last week she brought more than 100 specialists in exercise and neurobiology to a two-day conference to explore physical activity's potential in fighting substance abuse, and announced $4 million in new research grants to help.

Drug treatment programs often include exercise, partly to keep people distracted from their cravings, but there's been little formal research on the effects.

The best evidence: Brown University took smokers to the gym three times a week and found adding the exercise to a smoking-cessation program doubled women's chances of successfully kicking the habit. The quitters who worked out got an extra benefit: They gained half as much weight as women who managed to quit without exercising, says lead researcher Dr. Bess Marcus.

She now is working with the YMCA on a larger, NIDA-funded study to prove the benefit.

Marcus cautions that people trying to kick an addiction have a powerful incentive to exercise. Could that possibly translate into prevention? Among the clues:

_Rats were less likely to ingest amphetamines if their cages had running wheels, suggesting exercise stimulated a reward pathway in the brain to leave them less vulnerable to the drug's rush.

_In people, exercise acts as a mild antidepressant and relieves stress. Depression, anxiety and stress increase risk of alcoholism, smoking or drug abuse.

_Volkow is intrigued that attention deficit disorder and obesity both involve problems with the brain chemical dopamine, one system that drugs hijack to create addiction.

_Baby monkeys who don't play enough in childhood have problems controlling aggression when they're older. The most aggressive tend to have defects involving the feel-good brain chemical serotonin — and binge-drink when researchers offer them alcohol.

_Back to rats, physical activity increases production of growth factors and stem cells in key brain regions important for learning and mood; increases formation of blood vessels; and strengthens communication networks between brain cells.

Together, that's far too little research to know if exercise really matters for substance abuse, scientists at the National Institutes of Health meeting cautioned.

But, a few studies of school-age children suggest physical activity predicts better performance on math, verbal and other tests — and better school performance in turn is linked to lower risk for substance abuse.

And getting sedentary seniors moving improves brain function — research aimed at preventing dementia, not drug abuse, although the improvement is in an area that in younger people is linked to risky decision-making.

A caveat: If your own youth includes memories of parties with beer-guzzling athletes, well, the research concurs. A major study that tracks adolescent risk behaviors found that by 12th grade, exercise offers no protection against binge-drinking.

"Now the kids who exercise the most actually drink the most," says Dr. Lloyd Johnston of the University of Michigan. It may have to do with the celebratory nature of team sports, or getting revved for college — or, other researchers suggested, even that competition is to blame.

Can exercise help prevent addiction to drugs or alcohol?
 
Maybe? Those steroid jocks scare me though. LOL

There was a thread on some forum (don't remember which one) about why one does drugs. Lots of people said boredom. I guess if they had something to do like working out they would do less drugs?
 
^^^ Not always true we used to smoke weed, drink booze, pop valium and whatever while we where playing hockey growing up. I also used to work out a fair bit after taking opiates and benzos.
 
yeah, lots of times i would blow down some oxy and go to the gym later :D
people are going to do drugs if they want, that's the plain truth, regardless of how much they exercise or whatever else......
 
Interesting thread. I guess it depends on how serious you are about your workouts. When I'm very serious about working out, I completely eliminate any(except the occasional prescribed valium) drug use, and 95% of drinking. Along with working out comes a hardcore diet program as well. Drinking, among other things, really screws with my appetite/diet for a few days.

I consider working out as a way to deal with my depression. If I'm not working out on a regular basis, I'd be drinking to deal with my problems. As it has been proven, I do feel sort of a "high" after a good workout...feel the endorphins flowin.

EDIT: I am just now 2 months clean from a nasty, 2 year hydrocodone addiction, and I feel regular exercise has helped tremendously. I started seriously working out again right after I got over the physical withdrawls from the hydros.
 
IME, many great athletes are drug addicts. I used to have to exercise for hours everyday or go crazy. Most of my friends did an enormous amount of physical activity as kids, teens, and beyond.
 
^
Amphetamine use was quite widespread in baseball up until recently. From what I've read, they were even provided by teams. Haven't heard anything about widespread coke use, not that I'm doubting it.
 
i actually consider exercising the same thing as getting high...ive been clean for 3-4 years but i get high every day thru an intense workout....its all due to endorphins, im spiking my own body to produce the chemicals, whereas if i take drugs, im ingesting artifical endorphins..this is simple and makes sense...so, that person you se at the gym busting his ass and feeling great after a workout is basically the same thing as a guy that takes a drug to feel better, one is just socially acceptable and the other, not so much but they both hit the same soft spot in our brain...i as a former opiod addict can admit to this...

working out will not keep someone from doing drugs...the human mind is so complex and there are so many different reasons why we take drugs...when there is instant pleasure to be had(taking drugs) why would someone try to achieve that same goal thru other methods??
 
hot dog is sadly correct..i remember the dahys of popping a few ephedrine, then going to to workout hard for an hour, then after getting done i would snort some oxy or shoot heroin...that feeling is unbelievable...
 
Sorry, but the "runner's high" doesn't even come close to certain highs. Plus, I haven't had an intense workout give me a rush, yet. ;)
 
^^yeah, the runners or lifters high wont give you a rush, but it does produce a noticeable 'high' if you could call it that...
 
You're arguing over words now.

I just got back from the gym and I feel pretty damn good. Admittedly, it's not as intense as a strong dose of MDMA. But that's like comparing apples to oranges or benzos to opiates.

If I feel good like this more often, I'm less likely to end up craving drugs due to boredom or relief from stress. It doesn't mean I won't go out and let loose once in a while. It just means I'm less likely to turn to drugs for the wrong reasons. At least that's how I feel.
 
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