Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment

Abstract Objective Chronic substance abuse is recognized to affect nutritional status and is associated with nutrient deficiencies and malnutrition. This study aimed to identify the prevalence of malnutrition and nutritional risk factors using a spread of measurements in patients undergoing alcohol...

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Veröffentlicht in:Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2012-07, Vol.28 (7-8), p.738-743
Hauptverfasser: Ross, Lynda J., Ph.D, Wilson, Michael, B.Sc, Banks, Merrilyn, Ph.D, Rezannah, Fiona, B.Nutr.Diet, Daglish, Mark, M.D
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container_issue 7-8
container_start_page 738
container_title Nutrition (Burbank, Los Angeles County, Calif.)
container_volume 28
creator Ross, Lynda J., Ph.D
Wilson, Michael, B.Sc
Banks, Merrilyn, Ph.D
Rezannah, Fiona, B.Nutr.Diet
Daglish, Mark, M.D
description Abstract Objective Chronic substance abuse is recognized to affect nutritional status and is associated with nutrient deficiencies and malnutrition. This study aimed to identify the prevalence of malnutrition and nutritional risk factors using a spread of measurements in patients undergoing alcohol and drug treatment. Methods Sixty-seven patients (48 male, 19 female) admitted to a public hospital detoxification unit participated: 49 were alcohol dependent (73%) and the remaining were opiate, benzodiazepine, and/or amphetamine dependent. Nutritional status was assessed by the Subjective Global Assessment. An appetite questionnaire (Simplified Nutritional Appetite Questionnaire), a diet-quality questionnaire (Australian Recommended Food Score), and blood biochemistry and hematologic tests were also applied. Results The prevalence of mild/moderate malnutrition was 24% according to the Subjective Global Assessment. Weight and body mass index were associated with nutritional status ( P < 0.05). Appetite and diet quality were poor overall, with 88% of all participants requiring advice and guidance. Blood markers showed that 50% of all subjects were deficient in iron or vitamins (low vitamin A levels in 21%, low iron levels in 18%, low-range potassium in 12%, and low vitamin C levels in 8%). Conclusion The prevalence of malnutrition in this patient population is likely to underestimate the prevalence of nutritional risk factors and micronutrient undernutrition. Multiple tools assessing nutritional status, appetite, diet quality, and blood test results have different advantages and can further identify the specific needs and appropriateness of nutritional education in patients during treatment for drug and alcohol use.
doi_str_mv 10.1016/j.nut.2011.11.003
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This study aimed to identify the prevalence of malnutrition and nutritional risk factors using a spread of measurements in patients undergoing alcohol and drug treatment. Methods Sixty-seven patients (48 male, 19 female) admitted to a public hospital detoxification unit participated: 49 were alcohol dependent (73%) and the remaining were opiate, benzodiazepine, and/or amphetamine dependent. Nutritional status was assessed by the Subjective Global Assessment. An appetite questionnaire (Simplified Nutritional Appetite Questionnaire), a diet-quality questionnaire (Australian Recommended Food Score), and blood biochemistry and hematologic tests were also applied. Results The prevalence of mild/moderate malnutrition was 24% according to the Subjective Global Assessment. Weight and body mass index were associated with nutritional status ( P &lt; 0.05). Appetite and diet quality were poor overall, with 88% of all participants requiring advice and guidance. Blood markers showed that 50% of all subjects were deficient in iron or vitamins (low vitamin A levels in 21%, low iron levels in 18%, low-range potassium in 12%, and low vitamin C levels in 8%). Conclusion The prevalence of malnutrition in this patient population is likely to underestimate the prevalence of nutritional risk factors and micronutrient undernutrition. Multiple tools assessing nutritional status, appetite, diet quality, and blood test results have different advantages and can further identify the specific needs and appropriateness of nutritional education in patients during treatment for drug and alcohol use.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2011.11.003</identifier><identifier>PMID: 22356728</identifier><identifier>CODEN: NUTRER</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Alcohol ; Alcoholism - epidemiology ; Alcoholism - therapy ; Alcohols ; amphetamine ; Amphetamine-Related Disorders - epidemiology ; Amphetamine-Related Disorders - therapy ; Anemia, Iron-Deficiency - epidemiology ; Anemia, Iron-Deficiency - physiopathology ; Appetite ; ascorbic acid ; Avitaminosis - epidemiology ; Avitaminosis - physiopathology ; Biological and medical sciences ; Blood ; Body mass index ; body weight ; Cohort Studies ; Comorbidity ; Detoxification ; Diet ; Diet - adverse effects ; Diet quality ; Drug abuse ; Drug and alcohol ; drug therapy ; Emotional disorders ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Group therapy ; hematologic tests ; Hospitals, Teaching ; Hospitals, Urban ; Humans ; iron ; Male ; Malnutrition ; Malnutrition - epidemiology ; Malnutrition - physiopathology ; Mental health ; nutrient deficiencies ; Nutrient status ; Nutrition ; nutrition education ; Nutrition research ; nutritional adequacy ; Nutritional risk ; Nutritional status ; Older people ; Opioid-Related Disorders - epidemiology ; Opioid-Related Disorders - therapy ; Patient education ; patients ; potassium ; Prevalence ; Queensland - epidemiology ; questionnaires ; Risk Factors ; Severity of Illness Index ; Studies ; substance abuse ; Substance use ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - therapy ; Teaching hospitals ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vitamins</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2012-07, Vol.28 (7-8), p.738-743</ispartof><rights>2012</rights><rights>2015 INIST-CNRS</rights><rights>Crown Copyright © 2012. 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All rights reserved.</rights><rights>Copyright Elsevier Limited Jul 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-9d61578d61e36b26f1eeb11ce3928452f47836db078ff7ceeb7de650015a46193</citedby><cites>FETCH-LOGICAL-c523t-9d61578d61e36b26f1eeb11ce3928452f47836db078ff7ceeb7de650015a46193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0899900711004102$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=26067564$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22356728$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ross, Lynda J., Ph.D</creatorcontrib><creatorcontrib>Wilson, Michael, B.Sc</creatorcontrib><creatorcontrib>Banks, Merrilyn, Ph.D</creatorcontrib><creatorcontrib>Rezannah, Fiona, B.Nutr.Diet</creatorcontrib><creatorcontrib>Daglish, Mark, M.D</creatorcontrib><title>Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>Abstract Objective Chronic substance abuse is recognized to affect nutritional status and is associated with nutrient deficiencies and malnutrition. This study aimed to identify the prevalence of malnutrition and nutritional risk factors using a spread of measurements in patients undergoing alcohol and drug treatment. Methods Sixty-seven patients (48 male, 19 female) admitted to a public hospital detoxification unit participated: 49 were alcohol dependent (73%) and the remaining were opiate, benzodiazepine, and/or amphetamine dependent. Nutritional status was assessed by the Subjective Global Assessment. An appetite questionnaire (Simplified Nutritional Appetite Questionnaire), a diet-quality questionnaire (Australian Recommended Food Score), and blood biochemistry and hematologic tests were also applied. Results The prevalence of mild/moderate malnutrition was 24% according to the Subjective Global Assessment. Weight and body mass index were associated with nutritional status ( P &lt; 0.05). Appetite and diet quality were poor overall, with 88% of all participants requiring advice and guidance. Blood markers showed that 50% of all subjects were deficient in iron or vitamins (low vitamin A levels in 21%, low iron levels in 18%, low-range potassium in 12%, and low vitamin C levels in 8%). Conclusion The prevalence of malnutrition in this patient population is likely to underestimate the prevalence of nutritional risk factors and micronutrient undernutrition. Multiple tools assessing nutritional status, appetite, diet quality, and blood test results have different advantages and can further identify the specific needs and appropriateness of nutritional education in patients during treatment for drug and alcohol use.</description><subject>Alcohol</subject><subject>Alcoholism - epidemiology</subject><subject>Alcoholism - therapy</subject><subject>Alcohols</subject><subject>amphetamine</subject><subject>Amphetamine-Related Disorders - epidemiology</subject><subject>Amphetamine-Related Disorders - therapy</subject><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Anemia, Iron-Deficiency - physiopathology</subject><subject>Appetite</subject><subject>ascorbic acid</subject><subject>Avitaminosis - epidemiology</subject><subject>Avitaminosis - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood</subject><subject>Body mass index</subject><subject>body weight</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Detoxification</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>Diet quality</subject><subject>Drug abuse</subject><subject>Drug and alcohol</subject><subject>drug therapy</subject><subject>Emotional disorders</subject><subject>Feeding. 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Wilson, Michael, B.Sc ; Banks, Merrilyn, Ph.D ; Rezannah, Fiona, B.Nutr.Diet ; Daglish, Mark, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-9d61578d61e36b26f1eeb11ce3928452f47836db078ff7ceeb7de650015a46193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Alcohol</topic><topic>Alcoholism - epidemiology</topic><topic>Alcoholism - therapy</topic><topic>Alcohols</topic><topic>amphetamine</topic><topic>Amphetamine-Related Disorders - epidemiology</topic><topic>Amphetamine-Related Disorders - therapy</topic><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Anemia, Iron-Deficiency - physiopathology</topic><topic>Appetite</topic><topic>ascorbic acid</topic><topic>Avitaminosis - epidemiology</topic><topic>Avitaminosis - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Blood</topic><topic>Body mass index</topic><topic>body weight</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Detoxification</topic><topic>Diet</topic><topic>Diet - adverse effects</topic><topic>Diet quality</topic><topic>Drug abuse</topic><topic>Drug and alcohol</topic><topic>drug therapy</topic><topic>Emotional disorders</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology and Hepatology</topic><topic>Group therapy</topic><topic>hematologic tests</topic><topic>Hospitals, Teaching</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>iron</topic><topic>Male</topic><topic>Malnutrition</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - physiopathology</topic><topic>Mental health</topic><topic>nutrient deficiencies</topic><topic>Nutrient status</topic><topic>Nutrition</topic><topic>nutrition education</topic><topic>Nutrition research</topic><topic>nutritional adequacy</topic><topic>Nutritional risk</topic><topic>Nutritional status</topic><topic>Older people</topic><topic>Opioid-Related Disorders - epidemiology</topic><topic>Opioid-Related Disorders - therapy</topic><topic>Patient education</topic><topic>patients</topic><topic>potassium</topic><topic>Prevalence</topic><topic>Queensland - epidemiology</topic><topic>questionnaires</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Studies</topic><topic>substance abuse</topic><topic>Substance use</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Substance-Related Disorders - therapy</topic><topic>Teaching hospitals</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Vitamins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ross, Lynda J., Ph.D</creatorcontrib><creatorcontrib>Wilson, Michael, B.Sc</creatorcontrib><creatorcontrib>Banks, Merrilyn, Ph.D</creatorcontrib><creatorcontrib>Rezannah, Fiona, B.Nutr.Diet</creatorcontrib><creatorcontrib>Daglish, Mark, M.D</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career &amp; 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This study aimed to identify the prevalence of malnutrition and nutritional risk factors using a spread of measurements in patients undergoing alcohol and drug treatment. Methods Sixty-seven patients (48 male, 19 female) admitted to a public hospital detoxification unit participated: 49 were alcohol dependent (73%) and the remaining were opiate, benzodiazepine, and/or amphetamine dependent. Nutritional status was assessed by the Subjective Global Assessment. An appetite questionnaire (Simplified Nutritional Appetite Questionnaire), a diet-quality questionnaire (Australian Recommended Food Score), and blood biochemistry and hematologic tests were also applied. Results The prevalence of mild/moderate malnutrition was 24% according to the Subjective Global Assessment. Weight and body mass index were associated with nutritional status ( P &lt; 0.05). Appetite and diet quality were poor overall, with 88% of all participants requiring advice and guidance. Blood markers showed that 50% of all subjects were deficient in iron or vitamins (low vitamin A levels in 21%, low iron levels in 18%, low-range potassium in 12%, and low vitamin C levels in 8%). Conclusion The prevalence of malnutrition in this patient population is likely to underestimate the prevalence of nutritional risk factors and micronutrient undernutrition. Multiple tools assessing nutritional status, appetite, diet quality, and blood test results have different advantages and can further identify the specific needs and appropriateness of nutritional education in patients during treatment for drug and alcohol use.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22356728</pmid><doi>10.1016/j.nut.2011.11.003</doi><tpages>6</tpages></addata></record>
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ispartof Nutrition (Burbank, Los Angeles County, Calif.), 2012-07, Vol.28 (7-8), p.738-743
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1873-1244
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Alcohol
Alcoholism - epidemiology
Alcoholism - therapy
Alcohols
amphetamine
Amphetamine-Related Disorders - epidemiology
Amphetamine-Related Disorders - therapy
Anemia, Iron-Deficiency - epidemiology
Anemia, Iron-Deficiency - physiopathology
Appetite
ascorbic acid
Avitaminosis - epidemiology
Avitaminosis - physiopathology
Biological and medical sciences
Blood
Body mass index
body weight
Cohort Studies
Comorbidity
Detoxification
Diet
Diet - adverse effects
Diet quality
Drug abuse
Drug and alcohol
drug therapy
Emotional disorders
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology and Hepatology
Group therapy
hematologic tests
Hospitals, Teaching
Hospitals, Urban
Humans
iron
Male
Malnutrition
Malnutrition - epidemiology
Malnutrition - physiopathology
Mental health
nutrient deficiencies
Nutrient status
Nutrition
nutrition education
Nutrition research
nutritional adequacy
Nutritional risk
Nutritional status
Older people
Opioid-Related Disorders - epidemiology
Opioid-Related Disorders - therapy
Patient education
patients
potassium
Prevalence
Queensland - epidemiology
questionnaires
Risk Factors
Severity of Illness Index
Studies
substance abuse
Substance use
Substance-Related Disorders - epidemiology
Substance-Related Disorders - therapy
Teaching hospitals
Vertebrates: anatomy and physiology, studies on body, several organs or systems
Vitamins
title Prevalence of malnutrition and nutritional risk factors in patients undergoing alcohol and drug treatment
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