Dietary intakes of patients with alcohol use disorder during a four-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
Abstract
Background Despite literature supporting the importance of diet during rehabilitation, minimal research quantifies dietary intake during treatment for Alcohol Use Disorder (AUD). Objective To quantify dietary intake and energy balance of patients with AUD during inpatient treatment. Design This is a secondary analysis of data from a four-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 2016–2017. 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 were enrolled in a study examining the microbiome during AUD rehabilitation. Four participants discontinued protocol participation prior to the 4th study week and were not included in analyses examining change over time. Main Outcome Measures Main outcome measures included weight change, daily energy, macronutrient and select micronutrient intake. Statistical analyses performed Mean differences in intake and weight were assessed using non-parametric tests. Results Participants (64% male) were 46.3 ± 13.0 (mean ± SD) years old with a BMI of 23.9 ± 2.5 kg/m2 and average intake of 2665 kcals per day, (45.9% carbohydrate,…
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