Dietary Intakes of Patients with Alcohol Use Disorder During a 4-Week Protocol on an Inpatient Treatment Unit Found to Meet Dietary Reference Intakes for Macronutrients, but Have Variability in Energy Balance and Adequacy of Micronutrient Intake.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: United States NLM ID: 101573920 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-2672 (Print) Linking ISSN: 22122672 NLM ISO Abbreviation: J Acad Nutr Diet Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York : Elsevier
    • Subject Terms:
      Alcoholism* ; Pancreatitis*; Adult ; Humans ; Male ; Female ; Middle Aged ; Recommended Dietary Allowances ; Energy Intake ; Acute Disease ; Inpatients ; Micronutrients ; Eating ; Observational Studies as Topic
    • Abstract:
      Background: Despite literature supporting the importance of diet during rehabilitation, minimal research quantifies dietary intake during treatment for alcohol use disorder (AUD).
      Objective: The aim was to quantify dietary intake and energy balance of patients with AUD during inpatient treatment.
      Design: This was a secondary analysis of data from a 4-week observational protocol. Participants self-selected food from a room service menu. Dietary intake was recorded by patients and reviewed by nutrition staff. To quantify nutrient and food group intake, data were coded into Nutrition Data Systems for Research software, versions 2016 and 2017. Daily average intake was calculated for all dietary variables.
      Participants/setting: Participants (n = 22) were adults seeking treatment for AUD at the National Institutes of Health Clinical Center (Bethesda, MD) between September 2016 and September 2017 and who were enrolled in a study examining the microbiome during AUD rehabilitation. Four participants discontinued protocol participation before study week 4 and were not included in analyses examining change over time.
      Main Outcome Measures: Weight change, daily energy, and macronutrient and select micronutrient intakes were the main outcome measures included.
      Statistical Analyses Performed: Mean differences in intake and weight were assessed using nonparametric tests.
      Results: Sixty-four percent of participants were male; mean ± SD age was 46.3 ± 13.0 years, mean ± SD body mass index (calculated as kg/m 2 ) was 23.9 ± 2.5, and mean intake was 2,665 kcal/d (consisting of 45.9% carbohydrate, 34.9% fat, and 19.1% protein). Eighty percent or more of this sample met the Estimated Average Requirement for 10 of 16 micronutrients assessed. Male participants consumed more energy than estimated needs (P = .003) and gained a mean ± SD of 2.67 ± 1.84 kg (P = .006) when an outlier with weight loss and acute pancreatitis was removed from analysis. Female participants did not gain weight or consume more than estimated energy needs.
      Conclusions: Overall macronutrient intake was within recommended ranges, but intake of other dietary components and weight gain were variable, supporting the need for individualized nutrition care during AUD treatment.
      (Copyright © 2022 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.)
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    • Grant Information:
      Z99 CL999999 United States ImNIH Intramural NIH HHS
    • Contributed Indexing:
      Keywords: Alcohol use disorder; Energy intake; Macronutrients; Micronutrients; Nutrition assessment
    • Accession Number:
      0 (Micronutrients)
    • Publication Date:
      Date Created: 20220606 Date Completed: 20221122 Latest Revision: 20231202
    • Publication Date:
      20240105
    • Accession Number:
      PMC9691517
    • Accession Number:
      10.1016/j.jand.2022.05.022
    • Accession Number:
      35659642