Activiteit

To examine trends in polysubstance use among adults in treatment for opioid use disorder (OUD) and estimate associations between polysubstance use patterns and receipt of medications for OUD (MOUD).

We conducted a cross-sectional longitudinal analysis of treatment admissions for opioid use from 1992 to 2017 using the Treatment Episodes Data Set-Admissions (N = 9,440,157). We used multiple logistic regression to examine co-use patterns and estimate associations between receipt of MOUD and polysubstance use categories (opioid only, any methamphetamine, any cocaine, any alcohol, any benzodiazepine).

Between 1992 and 2017, treatment admissions involving opioid/cocaine (-17.2 percentage points [PP]) and opioid/alcohol co-use (-12.5 PP) decreased while opioid/methamphetamine (10.1 PP) and opioid/benzodiazepine co-use (5.6 PP) increased. In 2016 to 2017, receipt of medications for OUD was significantly higher for those who used opioids only (38.5%; 95% confidence interval [CI] 38.4-38.6) compared with individuviduals who co-use opioids with other substances. This change would extend evidence-based treatment to thousands of individuals and save lives.

To describe how the novel coronavirus (COVID-19) pandemic has affected opioid agonist treatment (OAT) programs in jails and prisons.

In May 2020, we conducted an online survey of 19 carceral systems that provided methadone and/or buprenorphine treatment for incarcerated populations before COVID-19. Eleven survey items examined challenges and changes to these programs as a result of the pandemic. Sixteen of 19 programs (84%) responded to the survey.

Ten out of 16 systems reported downsizing their OAT programs. Seven of 16 systems made changes to medication dispensation processes. Half of systems report challenges implementing physical distancing (n = 8), and/or obtaining personal protective equipment (n = 8). In 13 out of 16 systems some OAT program participants were released early due to COVID-19 infection risk.

Jails and prisons with existing OAT programs have curtailed their operations in the context of the COVID-19 pandemic. Given the robust evidence base around OAT for treating opioid use disorder and averting overdose deaths, guidance is needed on maintaining and ramping up medication access as carceral facilities grapple with implementing COVID-19 mitigation.

Jails and prisons with existing OAT programs have curtailed their operations in the context of the COVID-19 pandemic. Given the robust evidence base around OAT for treating opioid use disorder and averting overdose deaths, guidance is needed on maintaining and ramping up medication access as carceral facilities grapple with implementing COVID-19 mitigation.Amarante do Nascimento, M, Nunes, JPA, Pina, FLC, Ribeiro, AS, Carneiro, NH, Venturini, D, Barbosa, DS, Mayhew, JL, and Cyrino, ES. Comparison of 2 weekly frequencies of resistance training on muscular strength, body composition, and metabolic biomarkers in resistance-trained older women Effects of detraining and retraining. J Strength Cond Res XX(X) 000-000, 2020-This study aimed to compare the effects of 2 weekly frequencies of resistance training (RT) on muscular strength, body composition, and metabolic biomarkers in previously resistance-trained older women after detraining and retraining. Forty subjects (>60 years) performed RT (8 exercises, 1 set of 10-15 repetitions maximum) 2 (G2x) or 3 (G3x) times per week over 12 weeks of training and retraining. After training, subjects were detrained for 12 weeks. After detraining, there were significant decreases (p 0.05). Our results suggest that older women can regain previous RT program benefits following detraining, regardless of the weekly training frequency. However, some fitness components may take longer to reestablish than the initial training level.Bisch, KL, Bosch, TA, Carbuhn, A, Stanforth, PR, Oliver, JM, Bach, CW, and Dengel, DR. Positional body composition of female division I collegiate volleyball players. J Strength Cond Res XX(X) 000-000, 2020-The primary study objective was to measure positional differences in total and regional body composition among female NCAA Division I collegiate volleyball players using dual X-ray absorptiometry (DXA). The secondary objective was to examine normative age curves for fat and lean mass (LM) variables. Ninety female volleyball players from 5 universities received a DXA scan. https://www.selleckchem.com/products/elenestinib-phosphate.html Athletes were categorized by position middle blocker (MB = 31), outside hitter (OH = 32), setter (ST = 9), and Libero (LB = 18). Height, body mass, total and regional fat mass (FM), LM, bone mineral density (BMD), and abdominal visceral adipose tissue were measured by DXA. Body mass distribution ratios were calculated. The secondary age analysis included a subset of 153 DXA scans (n = 83, ages 18-21 years). Front row players (i.e., MB and OH) had significantly greater total and regional LM and BMD measures (p less then 0.05, all), compared with non-front row players (i.e., LB and ST). Differences in total LM (p less then 0.001) were significantly influenced by height. Front row players had consistently lower mass distribution ratios compared with non-front row players (p less then 0.05, all). Lean mass index (LMI, p = 0.752) and FM index (FMI, p = 0.392) were not significantly different across ages. Back row players have greater relative upper body mass, whereas mass in front row players is more evenly distributed between the upper and lower body. Bone mineral density differences may be influenced by repeated impact of jumping during the attacking and blocking actions of front row players. Minimal changes in LMI and fluctuations in FMI can be expected across an athlete’s career.Keiner, M, Kadlubowski, B, Sander, A, Hartmann, H, and Wirth, K. Effects of 10 months of speed, functional, and traditional strength training on strength, linear sprint, change of direction, and jump performance in trained adolescent soccer players. J Strength Cond Res XX(X) 000-000, 2020-The current study aimed to compare the effects of plyometric and sprint vs. functional vs. strength training on linear sprint (LS 20 m), change of direction (COD; i.e., turning right and left), jump (squat jump [SJ]), and maximum strength (1 repetition maximum [1RM] for a squat) performance in elite adolescent soccer players. A longitudinal design was chosen, and 48 elite male youth were recruited. The athletes were divided into 4 groups (a traditional strength training group [STG], a plyometric and sprint training group [PSTG], a functional training group [FTG], and a control group [CG]). The intervention groups trained for 10 months with additional sessions added to their regular soccer training (4-5 sessions per week); the additional training (2 sessions a week [each about 60 minutes]) consisted of plyometric and sprint training, functional training, and traditional strength training for the PSTG, FTG, and STG, respectively.