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阿片类使用障碍的营养问题:药物治疗提供者指南。

Nutritional implications of opioid use disorder: A guide for drug treatment providers.

机构信息

College of Public Health.

Department of Mental Health Law and Policy.

出版信息

Psychol Addict Behav. 2020 Sep;34(6):699-707. doi: 10.1037/adb0000575. Epub 2020 Mar 23.

Abstract

The number of Americans seeking treatment for opioid use disorder (OUD) continues to increase. However, there are important nutritional implications of having OUD that often get overlooked by drug treatment providers. OUDs can cause metabolic changes, constipation, and weight loss, or lead to a lifestyle that results in inadequate food intake and unhealthy eating patterns. Nutritional factors associated with OUD can also hinder treatment outcomes and recovery. Addiction providers tend to give little attention to the nutritional implications of OUD, and this knowledge is rarely incorporated into treatment plans. The goal of this article, therefore, is to summarize the existing literature on the connection between OUD and nutrition to help guide treatment programs. This article (a) describes the nutritional consequences associated with misusing opioids, (b) discusses the role that nutrition can play in OUD treatment and recovery, (c) summarizes the nutritional implications of medication treatment for OUD, and (d) recommends nutritional interventions that might aid in the treatment of OUD. This article directly fills a gap in the OUD literature and has the potential to serve as a guide for drug treatment providers to make more informed nutritional recommendations to their clients. Treatment programs may wish to consider the issues raised in this paper before launching nutritional programs at their facility. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

摘要

寻求阿片类药物使用障碍(OUD)治疗的美国人数量持续增加。然而,OUD 存在一些重要的营养问题,这些问题往往被药物治疗提供者忽视。OUD 可导致代谢变化、便秘和体重减轻,或导致生活方式导致摄入不足和不健康的饮食习惯。与 OUD 相关的营养因素也可能阻碍治疗效果和康复。成瘾治疗提供者往往很少关注 OUD 的营养问题,而且这些知识很少纳入治疗计划。因此,本文的目的是总结 OUD 与营养之间关系的现有文献,以帮助指导治疗计划。本文(a)描述了与滥用阿片类药物相关的营养后果,(b)讨论了营养在 OUD 治疗和康复中的作用,(c)总结了 OUD 药物治疗的营养问题,以及(d)建议可能有助于 OUD 治疗的营养干预措施。本文直接填补了 OUD 文献中的空白,并有可能成为药物治疗提供者为其客户提供更明智的营养建议的指南。治疗方案可能希望在其机构推出营养计划之前,考虑本文中提出的问题。(PsycInfo 数据库记录(c)2020 APA,保留所有权利)。

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