Skip to main content

Advertisement

Log in

A Preliminary Study Examining Nutritional Risk Factors, Body Mass Index, and Treatment Retention in Opioid-Dependent Patients

  • Published:
The Journal of Behavioral Health Services & Research Aims and scope Submit manuscript

Abstract

Poor nutritional health among opioid-dependent individuals is well established, yet no nutritional screening tool exists for this specific population. The utility of “Determine Your Nutritional Health” developed by the Nutrition Screening Initiative is considered. The study examines the questionnaire's relevance in patients beginning opioid dependence treatment at a methadone-assisted treatment program (N = 140) by examining nutritional risk factor prevalence, body mass index, and association between nutritional risk level and treatment retention. The majority of patients reported at least one nutritional risk factor (89 %) and 59 % were at high nutritional risk. Body mass index was not related to nutritional risk; however, a trend was identified between increasing nutritional risk and decreased retention in treatment. These preliminary findings suggest the need for incorporation of nutritional screening at intake in opioid treatment programs, consideration of the effect of dietary risk on treatment retention, and the potential utility of this screening tool.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Morabia A, Fabre J, Ghee E, et al. Diet and opiate addiction: a quantitative assessment of the diet of non-institutionalized opiate addicts. British Journal of Addiction. 1989;84(2):173–80.

    Article  CAS  PubMed  Google Scholar 

  2. Zador D, Lyons Wall PM, Webster I. High sugar intake in a group of women on methadone maintenance in south western Sydney, Australia. Addiction. 1996;91(7):1053–61.

    Article  CAS  PubMed  Google Scholar 

  3. Himmelgreen DA, Pérez-Escamilla R, Segura-Millán S, et al. A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, Connecticut. American Journal of Physical Anthropology. 1998;107(3):351–61.

    Article  CAS  PubMed  Google Scholar 

  4. Nolan LJ, Scagnelli LM. Preference for Sweet Foods and Higher Body Mass Index in Patients Being Treated in Long-Term Methadone Maintenance. Substance Use & Misuse. 2007;42(10):1555–66.

    Article  Google Scholar 

  5. Saeland M, Haugen M, Eriksen FL, et al. Living as a drug addict in Oslo, Norway--a study focusing on nutrition and health. Public Health Nutrition. 2009;12(5):630–6.

    Article  CAS  PubMed  Google Scholar 

  6. Saeland M, Haugen M, Eriksen FL, et al. High sugar consumption and poor nutrient intake among drug addicts in Oslo, Norway. The British Journal of Nutrition. 2011;105(4):618–24.

    Article  CAS  PubMed  Google Scholar 

  7. Wood JD, Galligan JJ. Function of opioids in the enteric nervous system. Neurogastroenterology and Motility. 2004;16 Suppl 2:17–28.

    Article  PubMed  Google Scholar 

  8. Nazrul Islam SK, Jahangir Hossain K, Ahsan M. Serum vitamin E, C and A status of the drug addicts undergoing detoxification: influence of drug habit, sexual practice and lifestyle factors. European Journal of Clinical Nutrition. 2001;55(11):1022–7.

    Article  CAS  PubMed  Google Scholar 

  9. el-Nakah A, Frank O, Louria DB, et al. A vitamin profile of heroin addiction. American Journal of Public Health. 1979;69(10):1058–60.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Posner BM, Jette AM, Smith KW, et al. Nutrition and health risks in the elderly: the nutrition screening initiative. American Journal of Public Health. 1993;83(7):972–8.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Coulston AM, Craig L, Voss AC. Meals-on-wheels applicants are a population at risk for poor nutritional status. Journal of the American Dietetic Association. 1996;96(6):570–3.

    Article  CAS  PubMed  Google Scholar 

  12. Jensen GL, Kita K, Fish J, et al. Nutrition risk screening characteristics of rural older persons: relation to functional limitations and health care charges. The American Journal of Clinical Nutrition. 1997;66(4):819–28.

    CAS  PubMed  Google Scholar 

  13. Sahyoun NR, Jacques PF, Dallal GE, et al. Nutrition Screening Initiative Checklist may be a better awareness/educational tool than a screening one. Journal of the American Dietetic Association. 1997;97(7):760–4.

    Article  CAS  PubMed  Google Scholar 

  14. Laslett A-M, Dietze P, Dwyer R. The oral health of street-recruited injecting drug users: prevalence and correlates of problems. Addiction. 2008;103(11):1821–5.

    Article  PubMed  Google Scholar 

  15. Smit E, Graham NM, Tang A, et al. Dietary intake of community-based HIV-1 seropositive and seronegative injecting drug users. Nutrition. 1996;12(7–8):496–501.

    Article  CAS  PubMed  Google Scholar 

  16. Anema A, Wood E, Weiser SD, et al. Hunger and associated harms among injection drug users in an urban Canadian setting. Substance Abuse Treatment, Prevention, and Policy. 2010;5:20.

    Article  PubMed Central  PubMed  Google Scholar 

  17. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR (Text Revision). 4th ed. Washington, DC. 2000.

  18. Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series 45. DHHS Publication No. SMA 06–4131. Rockville, MD: Substance Abuse and Mental Health Services Administration (SAMHSA); 2006.

    Google Scholar 

  19. NHLBI Obesity Education Initiative Expert Panel (US). Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. NIH publication No. 98–4083. Bethesda, MD: National Heart, Lung, and Blood Institute; 1998.

    Google Scholar 

  20. Schechter MD, Cook PG. Nicotine-induced weight loss in rats without an effect on appetite. European Journal of Pharmacology. 1976;38(1):63–9.

    Article  CAS  PubMed  Google Scholar 

  21. Gold MS, Miller NS. Cocaine (and crack) neurobiology. In: Lowinson JH, Ruiz P, Millman RB, et al., editors. Substance Abuse: A Comprehensive Textbook. 3rd ed. Baltimore, MD: William & Wilkins; 1997. p. 166–88.

    Google Scholar 

  22. Forrester JE, Tucker KL, Gorbach SL. The effect of drug abuse on body mass index in Hispanics with and without HIV infection. Public Health Nutrition. 2005;8(1):61–8.

    Article  PubMed  Google Scholar 

  23. Flegal KM, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999–2010. Journal of the American Medical Association. 2012;307(5):491–7.

    Article  PubMed  Google Scholar 

  24. Institute for Digital Research and Education. Test for trend across a categorical variable: UCLA; 2013. Available from: http://www.ats.ucla.edu/stat/stata/faq/test_trend.htm.

  25. Lundgren LM, Sullivan LM, Maina AW, et al. Client factors associated with length of stay in methadone treatment among heroin users who inject drugs: quantitative analysis of state-level substance abuse treatment utilization data. Journal of Addiction Medicine. 2007;1(1):26–32.

    Article  PubMed  Google Scholar 

  26. StataCorp. Stata Statistical Software: Release 12. College Station, TX: StataCorp LP; 2011.

    Google Scholar 

Download references

Acknowledgments

The authors thank Victoria Asphaug, MScPH and Kathryn Carr, MPH for statistical analyses assistance, Rongwei Fu, PhD for statistical guidance, Dennis McCarty, PhD for manuscript edits, and Christi Hildebran, MSW for support and encouragement.

Conflict of interest

Both authors declare they have no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katharina Wiest PhD, MSPH.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Richardson, R.A., Wiest, K. A Preliminary Study Examining Nutritional Risk Factors, Body Mass Index, and Treatment Retention in Opioid-Dependent Patients. J Behav Health Serv Res 42, 401–408 (2015). https://doi.org/10.1007/s11414-013-9371-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11414-013-9371-x

Keywords

Navigation