The Effects of Educational Intervention on Nutritional Behaviour in Alcohol-Dependent Patients

Barbadoro, Pamela; Ponzio, Elisa; Pertosa, Maria Elisabetta; Aliotta, F; D'Errico, M M; Prospero, Emilia; Minelli, Andrea

doi:10.1093/alcalc/agq075

Cited by 23 publications

(12 citation statements)

References 6 publications

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“…These findings reinforce that smoking is a significant health risk for people with substance use problems that warrants continued attention within substance use treatment settings . The prevalence of insufficient fruit and vegetable (89%) consumption was also consistent with a previous study reporting such prevalence in Italian substance use treatment settings (85%) and similar to that of the Australian general population (87%) and clients from general health (81%) and mental health (87%) community services from the same study region . As with smoking, these findings indicate that insufficient fruit and vegetable consumption is a significant health risk for people with substance use problems.…”

Section: Discussionsupporting

confidence: 88%

“…One study reported higher levels of moderate to vigorous physical activity amongst 223 patients attending Australian residential substance use treatment services compared to the general community (45% vs. 28%) . An Italian study describing fruit and vegetable consumption of people with substance use problems reported only 15% of 58 patients attending an Italian residential alcohol treatment service consumed any fruit and vegetables daily, an intake far lower than is consumed in the general population .…”

Section: Introductionmentioning

confidence: 99%

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Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community‐based substance use treatment services

Tremain

Freund

Wolfenden

et al. 2016

Drug and Alcohol Review

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Introduction and AimsHealth risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use disorders. This study reports the prevalence of these behaviours amongst substance use treatment clients, their attitudes towards modifying such behaviours and the acceptability of receiving support to do so. Client characteristics associated with risk status and interest in modifying behaviours were examined.Design and MethodsA cross‐sectional survey was undertaken with clients of 15 community substance use treatment services within in New South Wales, Australia. Data for the study were collected via computer assisted telephone interviews.ResultsOf those contactable and eligible, 386 (71%) clients completed the survey. Clients reported a high prevalence of smoking (80%), insufficient fruit and/or vegetable consumption (89%) and insufficient physical activity (31%). Overall, 51–69% of clients reported considering modifying their health risk behaviours and 88–97% thought it was acceptable to be provided preventive care to address such behaviours. Younger clients were more likely to smoke (18–34 years (odds ratio [OR] = 4.6 [95% confidence interval [CI] = 1.9, 11.3]); 35–54 years (OR = 2.6 [95% CI = 1.2, 5.7])) and be interested in increasing vegetable consumption (18–34 years (OR = 4.4 [95% CI = 1.3, 14.8]); 35–54 years (OR = 8.0 [95% CI = 2.5, 25.4])) than older clients (≥55 years).Discussion and ConclusionsThere is a high prevalence of health risk behaviours amongst clients of community substance use treatment services. However, contrary to commonly cited barriers to care provision, clients are interested in modifying their risk behaviours and report that receiving preventive care to address these behaviours is acceptable. [Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Gow B, Wiggers J. Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community‐based substance use treatment services. Drug Alcohol Rev 2017;36:369–377.]

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community‐based substance use treatment services

Tremain

Freund

Wolfenden

et al. 2016

Drug and Alcohol Review

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“…There is a growing body of research that shows people with AUD in rehabilitation respond favorably to nutrition education (Barbadoro et al, 2011;Cowan & Devine, 2012;Grant, Haughton, & Sachan, 2004), but this does not extend to patients with co-occurring AUD and ED. Malnutrition symptoms of AUD and 518 D.A.…”

Section: Alcohol Use Disorders and Eating Disordersmentioning

confidence: 99%

Eating Disorders, Addictions and Substance Use Disorders

Brewerton¹,

Dennis²

2014

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“…Meanwhile, nutrition services provided within the Veterans Affairs health care system have been associated with significant improvements in treatment outcomes (205). A small study demonstrated improvements in self-reported abstinence following nutrition education during alcohol treatment (206). The concept of nutrition education has been successfully introduced into recovery programs within the prison system as means of improving overall wellness (207, 208).…”

Section: Discussionmentioning

confidence: 99%

A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health

Wiss

2019

Front. Public Health

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The opioid crisis has reached epidemic proportions in the United States with rising overdose death rates. Identifying the underlying factors that contribute to addiction vulnerability may lead to more effective prevention strategies. Supply side environmental factors are a major contributing component. Psychosocial factors such as stress, trauma, and adverse childhood experiences have been linked to emotional pain leading to self-medication. Genetic and epigenetic factors associated with brain reward pathways and impulsivity are known predictors of addiction vulnerability. This review attempts to present a biopsychosocial approach that connects various social and biological theories related to the addiction crisis. The emerging role of nutrition therapy with an emphasis on gastrointestinal health in the treatment of opioid use disorder is presented. The biopsychosocial model integrates concepts from several disciplines, emphasizing multicausality rather than a reductionist approach. Potential solutions at multiple levels are presented, considering individual as well as population health. This single cohesive framework is based on the interdependency of the entire system, identifying risk and protective factors that may influence substance-seeking behavior. Nutrition should be included as one facet of a multidisciplinary approach toward improved recovery outcomes. Cross-disciplinary collaborative efforts, new ideas, and fiscal resources will be critical to address the epidemic.

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The Effects of Educational Intervention on Nutritional Behaviour in Alcohol-Dependent Patients

Abstract: Nutritional behaviour of alcohol patients after residential treatments improved during follow-up, and it is possible that an educational intervention to increase knowledge on healthy nutrition style may have contributed.

Cited by 23 publications

References 6 publications

Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community‐based substance use treatment services

Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community‐based substance use treatment services

Eating Disorders, Addictions and Substance Use Disorders

A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health

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