Article

Body composition, gender, and illicit drug use in an urban cohort

Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland 21287, USA.
The American Journal of Drug and Alcohol Abuse (Impact Factor: 1.47). 02/2007; 33(3):467-74. DOI: 10.1080/00952990701301616
Source: PubMed

ABSTRACT This cross-sectional study of adult (137 male, 128 female), urban, community dwelling users and nonusers of illicit drugs evaluated associations of demographic, medical, and drug factors with body composition. The population was 49% HIV-positive and 94% African-American. In multivariate analysis, there were no body composition differences among males based on drug use. Among females, the highest tertile of drug use had less fat (12.3 vs.19.9 kg, p = .01) and lower body mass index (21.9 vs. 25.1, p = .01) versus less frequent or nonusers. These data suggest a sex difference in body composition associated with drug use.

1 Bookmark
 · 
161 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Body mass index (BMI) of a sample of people who regularly inject drugs (N = 781) was examined to gauge the impact of specific types of drug use. Cross-sectional interviews were undertaken in 2010 as part of a national monitoring program funded by the Australian Government. Latent class analysis identified three groups of drug users, with heroin users at 3.4 times the risk of being underweight compared with amphetamine users, and amphetamine users were at almost twice the odds of being obese compared with lower level morphine users. Nutrition should play a part in harm minimization.
    Substance Use &amp Misuse 10/2013; DOI:10.3109/10826084.2013.841246 · 1.23 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Alcohol, illicit drugs, and nicotine can affect appetite and body weight, but few epidemiologic studies have examined relationships between body mass index (BMI) and substance use disorders. This study used logistic regression to examine effects of BMI and gender on risk for DSM-IV substance use disorders in a sample of 40 364 adults. Overweight and obesity were associated with increased risk for lifetime alcohol abuse and dependence in men but not women. Overweight and obesity were associated with decreased risk for past-year alcohol abuse in women. BMI was not associated with illicit drug use disorders. Overweight and obese men were at decreased risk for both lifetime and past-year nicotine dependence. Overweight women were at increased risk for lifetime nicotine dependence, and obese women were at decreased risk for past-year nicotine dependence. Further research is needed to identify reasons for observed gender differences in relationships between BMI and substance use disorders.
    Addictive behaviors 01/2009; 34(1-34):51-60. DOI:10.1016/j.addbeh.2008.08.008 · 2.25 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The results of several behavioral and neurophysiological studies suggest that some obese people respond to foods in a manner that resembles the behavior of drug dependent persons toward drugs. Indeed, there are common mechanisms in the brain responsible for the reinforcement of eating and drug use by food and drugs respectively and for the cue incentives associated with them. There is some evidence that dependence in one modality may influence the other. Active drug use is associated with normal (or even low) body weight but recovery from drug dependence may lead to increased consumption of food and ultimately to weight gain. It is possible that drug abstinence leads to incentive seeking in the food domain, increased food consumption, and weight gain. Thus, those in treatment for substance use disorders may benefit from weight maintenance counseling. =Within this Article= *Introduction *Substance Use and Eating Disorders *Substance Use and Body Weight *SUD Recovery and Body Weight *SUD Recovery and Eating Behavior and Taste *Conclusion EMAIL me for a PDF
    06/2013; 2(2):150-156. DOI:10.1007/s13679-013-0048-9