TY - JOUR
T1 - The importance of nutrition in aiding recovery from substance use disorders: a review
AU - Jeynes, Kendall
AU - Gibson, Edward Leigh
PY - 2017/10/1
Y1 - 2017/10/1
N2 - Background: Nutrition is a prerequisite for health; yet, thereis no special nutritional assessment or guidance for drug and alcoholdependent individuals, despite the fact that their food consumption isoften very limited, risking malnutrition. Further, the premise isexamined that malnutrition may promote drug seeking and impede recoveryfrom substance use disorders (SUD).Method: A narrative review addressed the relationship between substanceuse disorders and nutrition, including evidence for malnutrition, as wellas their impact on metabolism and appetite regulation. The implicationsof the biopsychology of addiction and appetite for understanding the roleof nutrition in SUD were also considered.Results: The literature overwhelmingly finds that subjects with alcoholuse disorder (AUD) and drug use disorder (DUD) typically suffer fromnutrient deficiencies. These nutrient deficiencies may be complicit inthe alcoholic myopathy, osteopenia and osteoporosis, and mood disordersincluding anxiety and depression, observed in AUD and DUD. These sameindividuals have also been found to have altered body composition andaltered hormonal metabolic regulators. Additionally, brain processesfundamental for survival are stimulated both by food, particularly sweetfoods, and by substances of abuse, with evidence supporting confusion(addiction transfer) when recovering from SUD between cravings for asubstance and craving for food.Conclusion: Poor nutritional status in AUD and DUD severely impacts theirphysical and psychological health, which may impede their ability toresist substances of abuse and recover their health. This reviewcontributes to a better understanding of interventions that could bestsupport individuals with substance use disorders.© 2017, Elsevier B.V. The attached document (embargoed until 04/08/2018) is an author produced version of a paper published in Drug and Alcohol Dependence, uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link below. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.
AB - Background: Nutrition is a prerequisite for health; yet, thereis no special nutritional assessment or guidance for drug and alcoholdependent individuals, despite the fact that their food consumption isoften very limited, risking malnutrition. Further, the premise isexamined that malnutrition may promote drug seeking and impede recoveryfrom substance use disorders (SUD).Method: A narrative review addressed the relationship between substanceuse disorders and nutrition, including evidence for malnutrition, as wellas their impact on metabolism and appetite regulation. The implicationsof the biopsychology of addiction and appetite for understanding the roleof nutrition in SUD were also considered.Results: The literature overwhelmingly finds that subjects with alcoholuse disorder (AUD) and drug use disorder (DUD) typically suffer fromnutrient deficiencies. These nutrient deficiencies may be complicit inthe alcoholic myopathy, osteopenia and osteoporosis, and mood disordersincluding anxiety and depression, observed in AUD and DUD. These sameindividuals have also been found to have altered body composition andaltered hormonal metabolic regulators. Additionally, brain processesfundamental for survival are stimulated both by food, particularly sweetfoods, and by substances of abuse, with evidence supporting confusion(addiction transfer) when recovering from SUD between cravings for asubstance and craving for food.Conclusion: Poor nutritional status in AUD and DUD severely impacts theirphysical and psychological health, which may impede their ability toresist substances of abuse and recover their health. This reviewcontributes to a better understanding of interventions that could bestsupport individuals with substance use disorders.© 2017, Elsevier B.V. The attached document (embargoed until 04/08/2018) is an author produced version of a paper published in Drug and Alcohol Dependence, uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link below. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it.
KW - addiction
KW - substance use disorders
KW - malnutrition
KW - nutrition
KW - Appetite
KW - alcohol
U2 - 10.1016/j.drugalcdep.2017.07.006
DO - 10.1016/j.drugalcdep.2017.07.006
M3 - Article
SN - 0376-8716
VL - 179
SP - 229
EP - 239
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
ER -