ÖZGE KÜÇÜKERDÖNMEZ, MURAT URHAN, EDA KÖKSAL

Alkol ve Madde Bağımlılığı Olan Bireylerde İştah, Beslenme Durumu ve Yaşam Kalitesi İlişkisi

Amaç: Bu çalışma alkol ve madde bağımlılığı olan bireylerin iştah ve beslenme durumlarının saptanması ve karşılaştırılması, beslenme alışkanlıklarının ve beslenme durumu ile yaşam kaliteleri arasındaki ilişkinin belirlenmesi amacıyla yapılmıştır. Bireyler ve Yöntem: Çalışma Manisa Ruh Sağlığı ve Hastalıkları Hastanesi AMATEM Servisi’nde yatan, yaşları 20-60 yıl arasında değişen, 167 madde ve 46 alkol bağımlısı olmak üzere toplam 213 erkek birey üzerinde yürütülmüştür. Bağımlılara yüz yüze görüşme yöntemi ile anket uygulanmış, genel bilgiler, beslenme alışkanlıkları, 24 saatlik besin tüketim durumu saptanmış, Basitleştirilmiş Beslenme İştah Anketi, Kısa Beslenme Değerlendirme Anketi (SNAQ), Besin Çeşitliliği Skoru (DDS), Kısa Form Yaşam Kalitesi Ölçeği (SF-36) uygulanmış ve antropometrik ölçümleri alınmıştır. Bulgular: Bu çalışmada SNAQ’ya göre madde kullanan bireylerin %71.3’ünde, alkol kullanan bireylerin %69.6’sında ağır malnütrisyon bulunduğu, ayrıca madde kullananların %87.4’ünde, alkol kullananların %93.5’inde iştahın bozulmasına bağlı olarak gelecek 6 ayda önemli düzeyde ağırlık kaybı riski bulunduğu belirlenmiştir. Alkol bağımlılarının %78.3’ünün, madde bağımlılarının %69.5’inin DDS’nin yetersiz olduğu, tüm grup değerlendirildiğinde ise bireylerin genellikle tek öğün tükettikleri (%57.7) ve bu durumun alkol bağımlılarında (%76.1) madde kullanan bireylere (%52.7) göre daha yaygın olduğu bulunmuştur (χ2:8.880, p

Association of Appetite, Nutritional Status and Quality of Life in Alcohol and Substance Abusers

Aim: This study was conducted to detect the appetite and nutritional status of alcohol and substance abusers and to determine the relationship between their dietary habits, nutrition, and quality of life. Subjects and Method: The study consisted of 167 substance- and 46 alcohol- abusers, in total, 213 male participants who are hospitalized in the AMATEM Service of the Manisa Hospital of Mental Health and Disease. The ages of the participants ranged from 20 to 60 years. The researcher conducted a survey through face-to-face interviews, obtained general information, and determined their dietary habits and food consumption over 24 hours. The Simplified Nutritional Appetite Questionnaire, Short Nutritional Assessment Questionnaire (SNAQ), Dietary Diversity Score (DDS) and Short Form Quality of Life Questionnaire (SF-36) were used to collect data, including the subjects’ anthropometric measurements. Results: Based on the SNAQ 71.3% of the individuals who abuse substances and 69.6% of alcohol users have severe malnutrition; 87.4% of substance abusers and 93.5% of alcohol abusers are at risk of significant weight loss during the following 6 month-period caused by loss of appetite. The DDS of 78.3% of the alcohol abusers and 69.5% of the substance abusers was determined to be insufficient; when evaluated as a group, these individuals usually have a single meal per day (57.7%). This is more common among alcohol abusers (76.1%) than substance abusers (52.7%) (χ2= 8.880, p

PDF

___

Konkolÿ TB, Hodgins DC, Wild TC. Co-occurring substance-related and behavioral addiction problems: a person centered,lay epidemiology approach. J Behav Addict2016;5(4):614-2062.
Schulte TM, HserY.Substance use and associatedhealth conditionsthroughoutlifespan.PublicHealthRev2014; 35(2).
WorldHealth Organization, Funding mechanisms for the prevention and treatment of alcohol and substance use disordershttp://www.who.int/substance_abuse/activities/fadab/msb_adab_funding.pdf?ua=. Accessed August 6,2018.
United Nations Office on Drugs and Crime. 2018.WorldDrug Report 2018.Availableat:https://www.unodc.org/wdr2018/prelaunch/WDR18_Booklet_1_EXSUM.pdf.Accessed August 6,2018.
Barry D, Petry NM. Associations between body mass index and substance use disorders differ by gender: results from the national epidemiologic survey on alcohol and related conditions. Addict Behav 2009;34(1):51-60.
Lieber SC. Relationship between nutrition, alcohol use and liver disease. Alcohol Res Health2003;27(3):220-231
Thorley H, Porter K, Fleming C, JonesT,Kesten J, MarquesE,etal.Interventionsforpreventingortreating malnutrition in problem drinkers who are homeless or vulnerably housed:protocol for a systematicreview.Syst Rev2015;4:31.
Pekcan G. Beslenme durumunun saptanması. Baysal A, Aksoy M, BeslerT,Bozkurt N, Keçecioğlu S, Kutluay MerdolTvearkadaşları(editörler).DiyetElKitabı. 11. baskı. Hatiboğlu Basın ve Yayım San. Tic. Ltd. Şti, Ankara. 2011. s. 67-142.
WHO. Obesity: Preventing and managing the global epidemic.Availableat:http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/. AccessedAugust 6,2018.
Ashwell M, Hsieh SD. Six reasons why the waist-to – height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message onobesity.Int JFoodSci Nutr 2005;56(5):303-307.
Wilson M, Thomas D, Rubenstien, Chibnall J, Anderson S, Baxi A, et al. Appetite assessment: simple appetite questionnaire predicts weight loss in community- dwelling adults and nursing home residents. Am J Clin Nutr2005;82(5):1074-1081. Nakatsu N, Sawa R, Misu S, UedaY,Ono. Reliability and validity of the Japanese version of the simplified nutritional appetite questionnaire in community- dwelling older adults. Geriatr Gerontol Int 2015;15(12):1264-1269.
Kruizenga HM,VanTulderMW,Seidell JC, Thijs A, Ader HJ,VanBokhorst-de van der Schueren MA. Effectiveness and cost-effectiveness of early screening and treatment of malnourished patients. Am J ClinNutr 2005;82(5):1082-1089.
Drimie S, Faber M,VeareyJ, Nunez, L. Dietary diversity of formal and informal residents in Johannesburg, South Africa. BMC Public Health2013;13:911.
WareJE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care1992;30:473-483.
Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. Validity and reliability of Turkish version of Short form 36:A study of a patients with romatoid disorder. İlaç ve Tedavi Derg1999;12:102-106.
Santoloria-Fernandez FJ, Sirvent JL, Reimers C, Lopez J, Hernandez JA, Rodríguez-Moreno F, et al. Nutritional assessment and drug addicts. Drug Alcohol Depend 1995;38(1):11-18.
ManariP,Preedy VR, Peters TJ. Nutritional intake of hazardousdrinkersanddependentalcoholicsintheUK. Addict Biol2003;8(2):201-210.
Gautron MA, Questel F, Lejoyeux M, Belliver F,VorspanF. Nutritional status during inpatient alcohol detoxification. Alcohol Alcohol2018;53(1):64-70. Bode C, Bode JC. Alcohol’s role in gastrointestinal track disorders. Alcohol Health Res W1997;21(1):76-83.
Jequiér E. Alcohol intake and body weight: a paradox. Am J Clin Nutr1999;69(3):173-174.
Gonzales-ReimersE,CampeloE,Santolaria-FernandezF, Sanchez-Perez M, Gomez Rodriguez M,Vina-Rodriguez J. Prognostic value of nuritional status in alcoholics, asssessed by double-energy x-ray absorptiometry. Alcohol Alcohol 2008;43(3):314-319.
Neale J, Nettleton S, Pickering L, Fischer J. Eating patterns among heroin users: a qualitative study with implications for nutritional interventions. Addiction 2012;107(3):635-641. Azadbakht L, Esmaillzadeh A. Dietary diversity score is relatedtoobesityandabdominalobesityamongIranian female youth. Public Health Nutr2011;14(1):62-69.
PoorrezaeianM,SiassiF,QorbaniM,KarimiJ,Koohdani F,AseyeshH.Associationofdietarydiversityscorewith anxiety in women. Psychiatry Res2015;230(2):622-627.
SælandM,HaugenM,EriksenFL,SmehaugenA,Wandel M, BöhmerT.Living as a drug addict in Oslo, Norway- a study focusing in nutrition and health. Public Health Nutr2008;12(5):630-636.
SatreDD,LeibowitzAS,MertensJR,WeisnerC.Advising depression patients to reduce alcohol and drug use: factors associated with provider ıntervention in outpatient psychiatry. Am J Addict2014;23(6):570-575.
Suzuki K, Takeda A,YoshinoA. Mortality 6 years after inpatient treatment of female Japanese patients with eating disorders associated with alcoholism. Psychiatry Clin Neurosci2011;65(4):326-332.
McIlwraight F, Betts KS, Jenkinson R, Hickey S, Burns L, Alati R. Is low BMI associated with specific drug use among injecting drug users? Subst Use Misuse 2014;49:374-382.
LucasiewiczE,MennenLI,BertraisS,ArnaultN,PreziosiP,GalanP,et al. Alcohol intake in relation to body mass index and waist-to-hip ratio: the importance of type of alcoholic beverage. Public Health Nutr 2005;8(3):315- 320.
BlümlV,KapustaN,VyssokiB,KogojD,WalterH,Lesch, OM.Relationshipbetweensubstanceuseandbodymass index in young males. Am J Addict2011;21(1):72-77.
LahmekP,Berlin I, Michel L, Berghout C, Meunier N, Aubin HJ. Determinants of improvement in quality of life of alcohol-dependent patients during an inpatient withdrawal. Int J Med Sci2009;6(4):160-167.
Dawson DA, Li TK, ChouSP,Grant BF. Transitions in and out of alcohol use disorders: Their associations with conditional changes in quality of life over a 3-year follow-up interval. Alcohol Alcohol2009;44(1):84-92.
Levola J, Aaolta M, Holopainen A, Cieza A, PitkänenT.Health-related quality life in alcohol dependence: A systematicliteraturereviewwithaspecificfocusonthe role of depression and other psychopathology. Nord J Psychiatry 2014;68(6):369-384. Gadit M. Nutritional factors in mental health: Does ‘Epigenetics’ provide a road map? J Pak Med Assoc 2011;61(8):823-824.
Sanchez-Pena JF, Alvarez-CotoliP,Rodriguez-Solano JJ.Psychiatricdisordersassociatedwithalcoholism: 2 year follow-up of treatment. Actas Esp Psiquiatr 2012;40(3):129-135.
Langas AM, Malt UF, Opjordsmoen S. Comorbid mental disorders in substance users from a single catchment area-a clinicalstudy.BMC Psychiatry2011;11:25.