Cohen A Sarah, Cardenas-Turanzas Marylou, Lopez Audrey, Champagne-Langabeer Tiffany
Center for Behavioral Emergency & Addiction Research, McWilliams School of Biomedical Informatics, the University of Texas Health Science Center at Houston, Houston, TX, USA (ASC, MCT, AL, TCL).
Am J Lifestyle Med. 2025 Sep 3:15598276251375455. doi: 10.1177/15598276251375455.
Substance use disorders (SUD) are associated with metabolic dysregulation and nutritional deficiencies. Studies show that incorporating nutrition interventions into treatment may improve physical and psychological health. This study sought to explore dietary and consumer behavior in individuals currently using substances.
Data from the 2013 - 2018 National Health and Nutrition Examination Survey were used for this cross-sectional study. Individuals 18 - 69 who were currently using marijuana, cocaine, heroin, methamphetamines, or injected unprescribed drugs were compared with individuals not using substances. Dietary and consumer behavior, including alcohol consumption was assessed. Analyses were performed using Stata I/C version 15.
An unweighted sample of 12 943 adults was analyzed. A weighted proportion of 14.2% reported using substances in the prior 30 days. Individuals currently using substances reported more commercially prepared meals compared to individuals not using substances (-value ≤.001), increased food insecurity ( ≤ .001), and increased alcohol intake ( ≤ .001). Multivariable logistic regression showed that both food insecurity and alcohol intake were independently and significantly linked to substance use.
Nutrition interventions for those using substances or in early recovery should incorporate education on practical food preparation within the social constraints of the individual, including higher rates of food insecurity.
物质使用障碍（SUD）与代谢失调和营养缺乏有关。研究表明，将营养干预纳入治疗可能会改善身心健康。本研究旨在探讨目前使用物质的个体的饮食和消费行为。
本横断面研究使用了2013 - 2018年国家健康与营养检查调查的数据。将18 - 69岁目前使用大麻、可卡因、海洛因、甲基苯丙胺或注射非处方药物的个体与未使用物质的个体进行比较。评估了饮食和消费行为，包括酒精消费。使用Stata I/C版本15进行分析。
分析了12943名成年人的未加权样本。在前30天内，加权比例为14.2%的人报告使用了物质。与未使用物质的个体相比，目前使用物质的个体报告食用更多商业制备的膳食（P值≤.001），粮食不安全程度增加（P≤.001），酒精摄入量增加（P≤.001）。多变量逻辑回归显示，粮食不安全和酒精摄入量均与物质使用独立且显著相关。
对于使用物质或处于早期康复阶段的人，营养干预应包括在个体的社会限制范围内，如较高的粮食不安全率，进行实用食品制备方面的教育。
