Nutrition and eating behavior in patients with chronic pain receiving long-term opioid therapy.

Auteur(s) :
Meleger ., Froude ., Walker .
Date :
Août, 2013
Source(s) :
PM R. #6:1 p7-12
Adresse :
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston; and Spaulding Rehabilitation Hospital, 101 Main St, Suite 101, Medford, MA 02155(∗). Electronic address: [email protected]

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OBJECTIVE:

To assess eating behavior and nutrient intake in a group of patients who were diagnosed with chronic pain and received long-term opioid analgesic therapy.

DESIGN:

A descriptive, exploratory study with a convenience sample.

SETTING:

An outpatient pain rehabilitation center.

PARTICIPANTS:

Patients diagnosed with chronic pain who received long-term opioid analgesic therapy (N = 50).

MAIN OUTCOME MEASUREMENTS:

Body mass index, the Food Frequency Questionnaire developed by the Nutrition Assessment Shared Resource of Fred Hutchinson Cancer Research Center, and the Eating Behavior Inventory.

RESULTS:

Of 50 participants, 14 (28%) and 22 (44%) were found to be overweight and obese, respectively. Mean (±SD) daily caloric intake (kcal) was 2008.5 ± 926.0 among men and 1694.8 ± 672.4 among women. Daily mean (±SD) consumption of fruit and vegetable servings, calculated with the summation method, was found to be 1.8 ± 1.1 and 1.9 ± 1.5, respectively. Our patient sample showed the following mean (±SD) daily intake of the following substances: added sugars (g), 74.4 ± 43.0; fiber (g), 17.3 ± 7.5; cholesterol (mg), 266.5 ± 234; saturated fat (g), 25.8 ± 16.8; omega-3 fatty acids (g), 1.6 ± 0.99; trans-fatty acids (g), 2.7 ± 1.7; sodium (mg), 2868.5 ± 1388.1; caffeine (mg), 199.9 ± 160.8; alcohol (g), 1.6 ± 0.5; vitamin D (IU), 244 ± 208; and calcium (mg), 1111.7 ± 672.1. The mean (±SD) score as calculated by the Eating Behavior Inventory was 74.9 ± 9.1.

CONCLUSIONS:

Obesity, deficient nutrient intake, and poor eating behavior were highly prevalent in our sample of patients with chronic pain who underwent long-term opioid therapy. Larger prospective studies are necessary to assess the eating behavior of patients with chronic pain who are treated with or without opioid analgesics.

Source : Pubmed
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