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. 2023 Feb 16;15(4):990.
doi: 10.3390/nu15040990.

Patterns and Determinants of Weight Gain among People Who Use Drugs Undergoing Treatment for Recovery in Lebanon

Nadine Mahboub  1   2 , Rana Rizk  3   4 , Cynthia George Farsoun  5 , Nanne de Vries  2
Affiliations

Patterns and Determinants of Weight Gain among People Who Use Drugs Undergoing Treatment for Recovery in Lebanon

Nadine Mahboub et al. Nutrients. .

Abstract

Substance use disorder compromises the nutritional status and the eating habits of drug users, often leading to malnutrition. Once referred for treatment, hyperphagia and poor lifestyle practices leading to weight gain are observed. This study aimed to examine the patterns and extent of weight change as well as the determinants of weight gain in a sample of drug users who were receiving treatment in Lebanon. A total of 172 male participants undergoing either rehabilitation or opioid substitution treatment (OST) were included. Multivariate regression analysis was applied to assess the effect of different variables on weight gain while adjusting for potentially confounding variables. Approximately two-thirds (65.1%) of the participants gained weight (OST: 54.3%, rehabilitation: 78.2%; p < 0.05). The mean weight gain was 5.9 kg and was mainly reported among participants in the underweight, normal, and overweight pre-treatment categories and accentuated in the rehabilitation group (OST: 2 kg, Rehabilitation: 10.6 kg). Around half of the participants moved from the normal weight category to the overweight and obese categories during treatment. Weight gain was negatively associated with the number of previous treatment attempts (Odds Ratio = 0.86; Confidence Interval: 0.74-0.99), duration of current treatment (Odds Ratio = 0.98; Confidence Interval: 0.96-0.99), and pre-treatment body mass index (BMI) (Odds Ratio = 0.88; Confidence Interval: 0.80-0.96). Investigating other nutrition and lifestyle practices, neither nutrition knowledge, food addiction, physical activity level, nor sleep quality were associated with weight gain. Treatment through drug use was associated with meaningful weight gain that might lead to health risk factors. Developing health promotion programs is crucial to enhance treatment and decrease the risk of relapse.

Keywords: Lebanon; determinants of weight gain; drug abuse treatment centers; drug use disorder; healthy lifestyle; nutritional status.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
BMI changes pre- and during treatment (n = 172). Pre-treatment BMI (Horizontal), during treatment BMI (vertical). Values are presented as percentages.
Figure 2
Figure 2
BMI changes pre- and during rehabilitation (n = 78) and OST (n = 94). Pre-treatment BMI (vertical), during treatment BMI (horizontal). Values are presented as percentages.
See this image and copyright information in PMC

References

    1. Neale J., Nettleton S., Pickering L., Fischer J. Eating patterns among heroin users: A qualitative study with implications for nutritional interventions. Addiction. 2012;107:635–641. doi: 10.1111/j.1360-0443.2011.03660.x. - DOI - PubMed
    1. Tang A.M., Bhatnagar T., Ramachandran R., Dong K., Skinner S., Kumar M.S., Wanke C.A. Malnutrition in a population of HIV-positive and HIV-negative drug users living in Chennai, South India. Drug Alcohol Depend. 2011;118:73–77. doi: 10.1016/j.drugalcdep.2011.02.020. - DOI - PMC - PubMed
    1. Mahboub N., Rizk R., Karavetian M., de Vries N. Nutritional status and eating habits of people who use drugs and/or are undergoing treatment for recovery: A narrative review. Nutr. Rev. 2020;79:627–635. doi: 10.1093/nutrit/nuaa095. - DOI - PMC - PubMed
    1. White R. Drugs and nutrition: How side effects can influence nutritional intake. Proc. Nutr. Soc. 2010;69:558–564. doi: 10.1017/S0029665110001989. - DOI - PubMed
    1. Jeynes K.D., Gibson E.L. The importance of nutrition in aiding recovery from substance use disorders: A review. Drug Alcohol Depend. 2017;179:229–239. doi: 10.1016/j.drugalcdep.2017.07.006. - DOI - PubMed

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