Exercise and Substance Abuse Prevention

Don't know how I missed this in my previous post about exercise and recovery, but there have been some articles published about the effectiveness of exercise and sports as actual deterrents to substance abuse. About a year ago, the Associated Press posted an article about exercise as a prevention tool. The National Institute on Drug Abuse received a $4 million grant to explore this further. "Exercise has been shown to be beneficial in so many areas of physical and mental health," said Dr. Nora Volkow, NIDA Director. "This cross-disciplinary meeting is designed to get scientists thinking creatively about its potential role in substance abuse prevention."

There has been other research: 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.

''Exercise improves blood flow to the brain, it helps the body detoxify, it puts you on a better cycle of physical behavior, and it leads to decreased stress. It also improves thinking and mental function and decreases your tendency toward addiction,'' said Dr. Marc Siegel, an internist at New York University Medical Center and an associate professor of medicine at the NYU School of Medicine in New York City.

For example, ''there's evidence that exercise is maybe the best non-pharmacological antidepressant we have - studies have shown that it works better than some drugs. It's also a great anti-anxiety intervention,'' said James Maddux, a professor of psychology at George Mason University in Fairfax, Va., and an expert on the mind-body health connection.

I know when I was in treatment, I used exercise as a type of coping tool- gaining a "runner's high" and creating a challenge to complete. I still work out today as a way of keeping my cravings (especially around nicotine!) at bay. Not to mention the fact that working out creates chemical changes in our mind and body to make us feel better and happier. I know my mood has improved since I started working out more often. For now, let's list exercise as a tool in a toolkit for fighting addiction- it's not the end-all/be-all, but it's another way to encourage this next generation to avoid the pitfalls of addiction.

If you're looking for a great blog about exercise, staying in shape and diet advice, check out Move Ur Body- great content and advice here. Be sure to check out Phoenix Multisport, a group in Boulder, CO who uses exercise as a recovery tool. And Sober Living By The Sea, where I work, provides physical activity to their patients as an ongoing part of treatment.

Here's a great video about Todd Crandell of Racing For Recovery, an individual who used triathlons to help defeat his own addiction:



And Jaywalker Lodge, an extended care program for men who have been through multiple addiction treatments, does expeditions every year. Here's a video of their winter expedition:



As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you later.

Drugs and the Tour de France

I've written about athletes and performance-enhancing drugs before, but I for some reason forgot to touch on cycling. With the Tour de France starting this 4th of July weekend, the question of doping in the peloton has started to run rampant again. The Tour has a long and illustrious history of performance-enhancing drug use (you can see the full history on Wikipedia here) and it's finally starting to get better- we think. More stringent testing for EPO (or Erthropoietin) and steroids have at least created a shield for the Tour to protect them from the scandals of the past. Floyd Landis, the last American to win the Tour in 2006, was tested and reported positive the day after his win- and was stripped of the title. He just made his comeback this past year after a two-year suspension.

The 2007 Tour was especially marked by rampant doping violations. The Tour winner, Alberto Contador, was not allowed to participate in the 2006 Tour de France due to his possible involvement with Operacion Puerto, a doping sting against doctor Eufemiano Fuentes and a number of accomplices, started in May 2006. He is accused of administering prohibited doping products to 200 professional athletes, to enhance their performance.

American cyclist Tyler Hamilton announced his retirement from cycling this past April, after multiple positive doping results. He had been battling depression for years and years, and stated that his doping and taking of supplements were taken in an unstable state of mind. An article in VeloNews, a cycling news organization, touched on depression in cyclists after the death of Marco Pantani.

It's well known that exercise can help combat depression and anxiety; that a healthful lifestyle will contribute to a better state of mind. Newsweek wrote about Phoenix Multisport, a group in Boulder, CO that I've written about before who use outdoor activities as part of a therapeutic lifestyle change.

However, when it comes to high-end, competitive athletics, doping has become a huge problem. We've seen it in major league baseball, as up to 103 athletes were named in the Mitchell Report of 2007. And now, with the Tour in the spotlight, we can look back in 2004 where 8 young cyclists died of doping-related heart attacks. In order to help these athletes, we need to provide a comprehensive education and accountability program. There will always be people who cheat, who seek the best edge, and who want every advantage available to them no matter the consequences; the best we can hope for is a level of accountability that provides stringent guidelines and punishments to those who violate the sanctity of sport.

Here's Greg LeMond, a very famous cyclist, talking about steroids and how they've changed sports:



And here's Lance Armstrong, talking about how to prevent doping:



Here's something funny.

As always, follow me on Twitter and connect with me on LinkedIn. Become a fan of the blog on Facebook. And see you later this week.