Nutritional implications of opioid use disorder: A guide for drug treatment providers
Abstract
The number of Americans seeking treatment for opioid use disorder (OUD) continues to increase. However, there are important nutritional implications of having OUD that often get overlooked by drug treatment providers. OUDs can cause metabolic changes, constipation, and weight loss, or lead to a lifestyle that results in inadequate food intake and unhealthy eating patterns. Nutritional factors associated with OUD can also hinder treatment outcomes and recovery. Addiction providers tend to give little attention to the nutritional implications of OUD, and this knowledge is rarely incorporated into treatment plans. The goal of this article, therefore, is to summarize the existing literature on the connection between OUD and nutrition to help guide treatment programs. This article (a) describes the nutritional consequences associated with misusing opioids, (b) discusses the role that nutrition can play in OUD treatment and recovery, (c) summarizes the nutritional implications of medication treatment for OUD, and (d) recommends nutritional interventions that might aid in the treatment of OUD. This article directly fills a gap in the OUD literature and has the potential to serve as a guide for drug treatment providers to make more informed nutritional recommendations to their clients. Treatment programs may wish to consider the issues raised in this paper before launching nutritional programs at their facility. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
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Poor nutritional habits, malnutrition, and social consequences of opioid use disorder such as homelessness and food insecurity are significant barriers to oral health and other positive behavioral routines.
“Poor nutritional habits, malnutrition, and OUD-associated social consequences such as homelessness and food insecurity pose significant barriers to oral health and other positive behavioral routines11 that may be mitigated by buprenorphine treatment.”
From Oral Health Risks of Transmucosal Buprenorphine: Commentary on Tuan et al. and Zheng et al. (2025) · cites this paper as [11]
Cites
Dissecting components of reward: ‘liking’, ‘wanting’, and learning
Berridge, K. C., Robinson, T. E., & Aldridge, J. W. (2009) · Current Opinion in Pharmacology · doi:10.1016/j.coph.2008.12.014 · Cited by 1,942 · see citing works
The role of leptin and ghrelin in the regulation of food intake and body weight in humans: a review
Klok, M. D., Jakobsdottir, S., & Drent, M. L. (2007) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00270.x · Cited by 1,442 · see citing works
Reward, dopamine and the control of food intake: implications for obesity
Volkow, N. D., Wang, G.-J., & Baler, R. D. (2011) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2010.11.001 · Cited by 1,400 · see citing works
Opioid crisis: no easy fix to its social and economic determinants
Dasgupta, N., Beletsky, L., & Ciccarone, D. (2018) · American Journal of Public Health · doi:10.2105/ajph.2017.304187 · Cited by 923 · see citing works
Weddington, W. W., & McLellan, A. T. (1994) · Psychiatric Services · doi:10.1176/ps.45.1.80 · Cited by 839 · see citing works
Opioids and the treatment of chronic pain: Controversies, current status, and future directions.
Rosenblum, A., Marsch, L. A., Joseph, H., & Portenoy, R. K. (2008) · Experimental and Clinical Psychopharmacology · doi:10.1037/a0013628 · Cited by 648 · see citing works
HIV Infection Linked to Injection Use of Oxymorphone in Indiana, 2014–2015
Peters, P. J., Pontones, P. R., Hoover, K. W., Patel, M. R., Galang, R. R., Shields, J., Blosser, S. J., Spiller, M. W., Combs, B., Switzer, W. M., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1515195 · Cited by 594 · see citing works
The neurobiology of opioid dependence: implications for treatment
Kosten, T., & George, T. (2002) · Science & Practice Perspectives · doi:10.1151/spp021113 · Cited by 505 · see citing works
Cellular neuroadaptations to chronic opioids: tolerance, withdrawal and addiction
Christie, M. J. (2008) · British Journal of Pharmacology · doi:10.1038/bjp.2008.100 · Cited by 481 · see citing works
Kochanek, K. D., Murphy, S. L., Xu, J., & Arias, E. (2019) · PubMed · Cited by 454 · see citing works
Morley, J. E., Levine, A. S., Yim, G. K. W., & Lowy, M. T. (1983) · Neuroscience & Biobehavioral Reviews · doi:10.1016/0149-7634(83)90020-9 · Cited by 453 · see citing works
Methadone maintenance treatment (MMT): a review of historical and clinical issues.
Joseph, H., Stancliff, S., & Langrod, J. (2000) · PubMed · Cited by 415 · see citing works
Understanding nutrition, depression and mental illnesses
Rao, T. S., Asha, M., Ramesh, B. N., & Rao, K. S. J. (2008) · Indian Journal of Psychiatry · doi:10.4103/0019-5545.42391 · Cited by 409 · see citing works
OPTN/SRTR 2016 Annual Data Report: Liver
Kim, W. R., Lake, J. R., Smith, J. M., Schladt, D. P., Skeans, M. A., Harper, A. M., Wainright, J. L., Snyder, J. J., Israni, A. K., & Kasiske, B. L. (2018) · American Journal of Transplantation · doi:10.1111/ajt.14559 · Cited by 400 · see citing works
Opioid receptors in the gastrointestinal tract
Holzer, P. D. (2009) · Regulatory Peptides · doi:10.1016/j.regpep.2009.03.012 · Cited by 378 · see citing works
Rational Design of a Combination Medication for the Treatment of Obesity
Greenway, F. L., Whitehouse, M. J., Guttadauria, M., Anderson, J. W., Atkinson, R. L., Fujioka, K., Gadde, K. M., Gupta, A., O'Neil, P. M., Schumacher, D., et al. (2008) · Obesity · doi:10.1038/oby.2008.461 · Cited by 347 · see citing works
Winkelman, T. N. A., Chang, V. W., & Binswanger, I. A. (2018) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.0558 · Cited by 303 · see citing works
Opioid-related mortality in rural America: Geographic heterogeneity and intervention strategies
Rigg, K. K., Monnat, S. M., & Chavez, M. (2018) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2018.04.011 · Cited by 296 · see citing works
Self-citationFamily and social aspects of substance use disorders and treatment
Daley, D. C. (2013) · Journal of Food and Drug Analysis · doi:10.1016/j.jfda.2013.09.038 · Cited by 241 · see citing works
Sobczak, M., Sałaga, M., Storr, M., & Fichna, J. (2013) · Journal of Gastroenterology · doi:10.1007/s00535-013-0753-x · Cited by 203 · see citing works
Increasing access to healthful foods: a qualitative study with residents of low-income communities
Evans, A., Banks, K., Jennings, R., Nehme, E. K., Nemec, C., Sharma, S. V., Hussaini, A., & Yaroch, A. L. (2015) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-12-s1-s5 · Cited by 172 · see citing works
The Case for Chronic Disease Management for Addiction
Saitz, R., Larson, M. J., LaBelle, C. T., Richardson, J. M., & Samet, J. H. (2008) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e318166af74 · Cited by 165 · see citing works
Impact of dietary fats on brain functions
Chianese, R., Coccurello, R., Viggiano, A., Scafuro, M., Fiore, M., Coppola, G., Operto, F. F., Fasano, S., Laye, S., Pierantoni, R., et al. (2018) · Current Neuropharmacology · doi:10.2174/1570159x15666171017102547 · Cited by 159 · see citing works
Pierce, M., Bird, S. M., Hickman, M., Marsden, J., Dunn, G., Jones, A., & Millar, T. (2015) · Addiction · doi:10.1111/add.13193 · Cited by 155 · see citing works
The importance of nutrition in aiding recovery from substance use disorders: a review
Jeynes, K. D., & Gibson, E. L. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.07.006 · Cited by 142 · see citing works
Motivations for non-medical prescription drug use: A mixed methods analysis
Rigg, K. K., & Ibañez, G. E. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.06.004 · Cited by 139 · see citing works
Self-citationROSS, L. J., Wilson, M., Banks, M., Rezannah, F., & Daglish, M. R. C. (2012) · Nutrition · doi:10.1016/j.nut.2011.11.003 · Cited by 130 · see citing works
Counteracting muscle wasting in HIV‐infected individuals
Dudgeon, W., Phillips, K. D., Carson, J. A., Brewer, R., Durstine, J. L., & Hand, G. (2006) · HIV Medicine · doi:10.1111/j.1468-1293.2006.00380.x · Cited by 127 · see citing works
Opioid Detoxification and Naltrexone Induction Strategies: Recommendations for Clinical Practice
Sigmon, S. C., Bisaga, A. M., Nunes, E. V., O’Connor, P. G., Kosten, T. R., & WOODY, G. E. (2012) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2011.653426 · Cited by 126 · see citing works
The relationship between opioid and sugar intake: Review of evidence and clinical applications
Mysels, D. J., & Sullivan, M. A. (2011) · Journal of Opioid Management · doi:10.5055/jom.2010.0043 · Cited by 122 · see citing works
The role of the opioid system in decision making and cognitive control: a review
van Steenbergen, H., Eikemo, M., & Leknes, S. (2019) · Cognitive, Affective, & Behavioral Neuroscience · doi:10.3758/s13415-019-00710-6 · Cited by 118 · see citing works
Baker, J. H., Mitchell, K. S., Neale, M. C., & Kendler, K. S. (2010) · International Journal of Eating Disorders · doi:10.1002/eat.20856 · Cited by 114 · see citing works
Neale, J., Nettleton, S., Pickering, L., & Fischer, J. (2012) · Addiction · doi:10.1111/j.1360-0443.2011.03660.x · Cited by 110 · see citing works
Pain Management for Patients With Advanced Cancer in the Opioid Epidemic Era
Dalal, S., & Bruera, E. D. (2019) · American Society of Clinical Oncology Educational Book · doi:10.1200/edbk_100020 · Cited by 101 · see citing works
Pharmacological and Behavioral Treatment of Opioid Use Disorder
Sofuoglu, M., DeVito, E. E., & Carroll, K. M. (2018) · Psychiatric Research and Clinical Practice · doi:10.1176/appi.prcp.20180006 · Cited by 96 · see citing works
High sugar intake in a group of women on methadone maintenance in South Western Sydney, Australia
ZADOR, D. A., WALL, P. M. L., & WEBSTER, I. (1996) · Addiction · doi:10.1046/j.1360-0443.1996.917105311.x · Cited by 85 · see citing works
The opioid epidemic: a central role for the blood brain barrier in opioid analgesia and abuse
Schaefer, C. P., Tome, M. E., & Davis, T. P. (2017) · Fluids and Barriers of the CNS · doi:10.1186/s12987-017-0080-3 · Cited by 83 · see citing works
Frequent food insecurity among injection drug users: correlates and concerns
Strıke, C., Rudzinski, K., Patterson, J., & Millson, M. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-1058 · Cited by 79 · see citing works
The lipid habitats of neurotransmitter receptors in brain
Borroni, M. V., Vallés, A. S., & Barrantes, F. J. (2016) · Biochimica et Biophysica Acta (BBA) - Biomembranes · doi:10.1016/j.bbamem.2016.07.005 · Cited by 76 · see citing works
The oral health of street‐recruited injecting drug users: prevalence and correlates of problems
Laslett, A., Dietze, P., & Dwyer, R. (2008) · Addiction · doi:10.1111/j.1360-0443.2008.02339.x · Cited by 75 · see citing works
Emerging therapies for patients with symptoms of opioid-induced bowel dysfunction
Leppert, W. (2015) · Drug Design Development and Therapy · doi:10.2147/dddt.s32684 · Cited by 72 · see citing works
High sugar consumption and poor nutrient intake among drug addicts in Oslo, Norway
Sæland, M., Haugen, M. A., Eriksen, F.-L., Wandel, M., Smehaugen, A., Bøhmer, T., & Oshaug, A. (2010) · British Journal Of Nutrition · doi:10.1017/s0007114510003971 · Cited by 72 · see citing works
Current Opinion on Drug-induced Oral Reactions: A Comprehensive Review
Abdollahi, M. R., Radfar, M., & Rahimi, R. (2008) · The Journal of Contemporary Dental Practice · doi:10.5005/jcdp-9-3-1 · Cited by 72 · see citing works
O’Sullivan, S. J., Malahias, E., Park, J., Srivastava, A., Reyes, B. A. S., Gorky, J., Vadigepalli, R., Bockstaele, E. J. V., & Schwaber, J. S. (2019) · Frontiers in Neuroscience · doi:10.3389/fnins.2019.00665 · Cited by 71 · see citing works
Dikman, A. E., Schonfeld, E. A., Srisarajivakul, N., & Poles, M. A. (2015) · Digestive Diseases and Sciences · doi:10.1007/s10620-015-3615-y · Cited by 68 · see citing works
Opioid use affects antioxidant activity and purine metabolism: preliminary results
Mannelli, P., Patkar, A. A., Rozen, S., Matson, W. R., Krishnan, R. R., & Kaddurah-Daouk, R. F. (2009) · Human Psychopharmacology Clinical and Experimental · doi:10.1002/hup.1068 · Cited by 66 · see citing works
Johnson, K., Rigg, K. K., & Hopkins Eyles, C. (2020) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2019.10.009 · Cited by 65 · see citing works
Self-citationBisaga, A. M., Mannelli, P., Sullivan, M. A., Vosburg, S. K., Compton, P. A., WOODY, G. E., & Kosten, T. R. (2018) · American Journal on Addictions · doi:10.1111/ajad.12711 · Cited by 62 · see citing works
n-3 Polyunsaturated Fatty Acids Decrease Anxiety Feelings in a Population of Substance Abusers
Buydens‐Branchey, L., & Branchey, M. H. (2006) · Journal of Clinical Psychopharmacology · doi:10.1097/01.jcp.0000246214.49271.f1 · Cited by 58 · see citing works
Drug addiction and periodontal diseases
Saini, G., Gupta, N., & Prabhat, K. (2013) · Journal of Indian Society of Periodontology · doi:10.4103/0972-124x.119277 · Cited by 53 · see citing works
Adipocyte-derived hormones in heroin addicts: the influence of methadone maintenance treatment
Housová, J., Wilczek, H., Haluzík, M., Křížová, J., & Haluzík, M. (2005) · Physiological Research · doi:10.33549/physiolres.930568 · Cited by 52 · see citing works
Role of Nutrition and Muscle in Cirrhosis
Thandassery, R. B., & Montaño‐Loza, A. J. (2016) · Current Treatment Options in Gastroenterology · doi:10.1007/s11938-016-0093-z · Cited by 51 · see citing works
Eating disorders and food addiction in men with heroin use disorder: a controlled study
Canan, F., Karaca, S., Sogucak, S., Gecici, O., & Kuloglu, M. (2017) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-017-0378-9 · Cited by 51 · see citing works
Hakimian, J. K., Dong, T. S., Barahona, J. A., Lagishetty, V., Tiwari, S., Azani, D., Barrera, M., Lee, S., Severino, A. L., Mittal, N., et al. (2019) · Nutrients · doi:10.3390/nu11081900 · Cited by 51 · see citing works
The Treatment of Obesity and Its Co-Occurrence With Substance Use Disorders
VanBuskirk, K. A., & Potenza, M. N. (2010) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e3181ce38e7 · Cited by 48 · see citing works
Burden and nutritional deficiencies in opiate addiction- systematic review article.
Nabipour, S., Said, M. A., & Habil, M. H. (2014) · Europe PMC (PubMed Central) · Cited by 46 · see citing works
Vallecillo, G., Robles, M. J., Torrens, M., Samos, P., Roquer, A., Martires, P. K., Sanvisens, A., Muga, R., & Pedro‐Botet, J. (2017) · Substance Abuse · doi:10.1080/08897077.2017.1363122 · Cited by 43 · see citing works
Davison, K., & Kaplan, B. J. (2015) · Annals of General Psychiatry · doi:10.1186/s12991-015-0059-x · Cited by 41 · see citing works
A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health
Wiss, D. A. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00193 · Cited by 41 · see citing works
Drugs That Affect Body Weight, Body Fat Distribution, and Metabolism
Verhaegen, A. A., & Gaal, L. F. V. (2019) · Europe PMC (PubMed Central) · Cited by 38 · see citing works
Tang, A., Forrester, J. E., Spiegelman, D. L., Flanigan, T., Dobs, A. S., Skinner, S. C., & WANKE, C. A. (2010) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990903544851 · Cited by 35 · see citing works
Varela, P., Marcos, A., Santacruz, I., Ripoll, S., & Requejo, A. M. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.2.504s · Cited by 33 · see citing works
Course of weight change during naltrexone versus methadone maintenance for opioid-dependent patients
Mysels, D. J., Vosburg, S. K., Benga, I., LEVIN, F. R., & Sullivan, M. A. (2011) · Journal of Opioid Management · doi:10.5055/jom.2011.0048 · Cited by 29 · see citing works
Rajs, J., Petersson, A. M., Thiblin, I., Olsson-Mortlock, C., Fredriksson, Å., & Eksborg, S. (2004) · Journal of Forensic Sciences · doi:10.1520/jfs2003289 · Cited by 28 · see citing works
Food habits of drug‐using Puerto Rican women in inner‐city Hartford
Romero‐Daza, N., Himmelgreen, D., Pérez‐Escamilla, R., Segura‐Millán, S., & Singer, M. C. (1999) · Medical Anthropology · doi:10.1080/01459740.1999.9966158 · Cited by 28 · see citing works
Taste- and odor-reactivity in heroin addicts.
Perl, E., Shufman, E., Vas, A., Luger, S., & Steiner, J. E. (1997) · PubMed · Cited by 25 · see citing works
Rapid assessment of nutrition services in Los Angeles substance use disorder treatment centers
Wiss, D. A., Schellenberger, M., & Prelip, M. L. (2019) · Journal of Community Health · doi:10.1007/s10900-018-0557-2 · Cited by 25 · see citing works
Girard, T. A., Russell, K. L., & Wallace, R. L. (2018) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2018.07.013 · Cited by 24 · see citing works
Smart Shoppers Tours: Outcome Evaluation
Carson, J. A. S., & Hedl, J. J. (1998) · Journal of Nutrition Education · doi:10.1016/s0022-3182(98)70341-3 · Cited by 23 · see citing works
Heron, D. S., Shinitzky, M., Zamir, N., & Samuel, D. (1982) · Biochemical Pharmacology · doi:10.1016/0006-2952(82)90543-3 · Cited by 23 · see citing works
Symptom complaints of patients prescribed either oral methadone or injectable heroin
Dürsteler‐MacFarland, K. M., Fischer, D. A., Mueller, S. E., Schmid, O., Moldovanyi, A., & Wiesbeck, G. A. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.01.008 · Cited by 23 · see citing works
Davison, K., Holloway, C., Gondara, L., & Hatcher, A. S. (2018) · PLoS ONE · doi:10.1371/journal.pone.0191072 · Cited by 23 · see citing works
Why do liver transplant patients so often become obese? The addiction transfer hypothesis
Brunault, P., Salamé, E., Jaafari, N., Courtois, R., Réveillère, C., Silvain, C., Benyamina, A., Blecha, L., Belin, D., & Ballon, N. (2015) · Medical Hypotheses · doi:10.1016/j.mehy.2015.03.026 · Cited by 22 · see citing works
Clark, A. M., Bezyak, J., & Testerman, N. (2015) · Psychiatric Rehabilitation Journal · doi:10.1037/prj0000112 · Cited by 22 · see citing works
Effect of Methadone Maintenance Therapyon Anthropometric Indices in Opioid Dependent Patients
Montazerifar, F., Karajibani, M., & Lashkaripour, K. (2012) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.4968 · Cited by 21 · see citing works
Nagarajan, M. K., & Goodman, D. (2019) · Public Health · doi:10.1016/j.puhe.2019.10.025 · Cited by 18 · see citing works
Food Insecurity, Morbidities, and Substance Use in Adults on Probation in Rhode Island
Dong, K. R., Must, A., Tang, A., Stopka, T. J., & Beckwith, C. G. (2018) · Journal of Urban Health · doi:10.1007/s11524-018-0290-2 · Cited by 17 · see citing works
Nutrition and addiction — can dietary changes assist with recovery?
Grotzkyj‐Giorgi, M. (2009) · Drugs and Alcohol Today · doi:10.1108/17459265200900016 · Cited by 15 · see citing works
Mahadevan, M., & Fisher, C. B. (2010) · Applied Developmental Science · doi:10.1080/10888691003697945 · Cited by 13 · see citing works
An evaluation of Supermarket Safari nutrition education tours
Silzer, J. S., Sheeshka, J. D., Tomasik, H. H., & Woolcott, D. M. (1994) · Journal of the Canadian Dietetic Association · Cited by 12 · see citing works
Tilbrook, D., Jacob, J., Parsons, P., Edwards, C., Loewen, K., & Kelly, L. (2017) · Europe PMC (PubMed Central) · Cited by 10 · see citing works
Grocery store tour education programme promotes fruit and vegetable consumption
Jung, S. E., Shin, Y. H., Niuh, A., Hermann, J., & Dougherty, R. (2019) · Public Health Nutrition · doi:10.1017/s1368980019001630 · Cited by 8 · see citing works
Baic, S., & Thompson, J. L. (2007) · ACSMʼs Health & Fitness Journal · doi:10.1249/01.fit.0000257707.07363.a0 · Cited by 7 · see citing works
Karajibani, M., Montazerifar, F., Dashipour, A., Lashkaripour, K., Abery, M., & Salari, S. (2014) · international journal high risk behaviors & addiction · doi:10.5812/ijhrba.18932 · Cited by 6 · see citing works
Herb-drug interactions: Caution patients when changing supplements
McQueen, C. E., & Ellingrod, V. L. (2017) · Current psychiatry · Cited by 1 · see citing works
Flagged first, then by citations
1 of the 86 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Butelman, E. R., Goldstein, R. Z., Nwaneshiudu, C. A., Girdhar, K., Roussos, P., Russo, S. J., & Alia‐Klein, N. (2023) · Neuroscience · doi:10.1016/j.neuroscience.2023.07.031 · Cited by 34 · see citing works
Byanyima, J. I., Li, X., Vesslee, S. A., Kranzler, H. R., Shi, Z., & Wiers, C. E. (2023) · Current Addiction Reports · doi:10.1007/s40429-023-00493-4 · Cited by 23 · see citing works
O’Sullivan, S. J., & Schwaber, J. S. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.02.033 · Cited by 21 · see citing works
Kelly, E. L., Reed, M. K., Schoenauer, K. M., Smith, K. R., Scalia-Jackson, K., Hill, S. K., Li, E., & Weinstein, L. C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159751 · Cited by 17 · see citing works
“For example, PWUD may have suppressed immune systems due to HIV infection [39] and inadequate nutrition and hydration, especially during periods of heavier drug use [40].”
BackgroundKetogenic diet enhances the effects of oxycodone in mice
Trinko, R., Diaz, D., Foscue, E. P., Thompson, S. L., Taylor, J. R., & Dileone, R. (2023) · Scientific Reports · doi:10.1038/s41598-023-33458-8 · Cited by 13 · see citing works
Rigg, K. K., & Johnson, M. E. (2022) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2022.83.402 · Cited by 8 · see citing works
Self-citationTranscriptomics and metabolomics together reveal the underlying mechanism of heroin hepatotoxicity
Yue, Y., Zou, L., Tao, J., Yin, L., Xie, Z., Yu, X., Zhang, Z., Wang, K., & Zhu, M. J. (2022) · Toxicology · doi:10.1016/j.tox.2022.153393 · Cited by 8 · see citing works
Li, X., Langleben, D. D., Lynch, K. G., Wang, G., Elman, I., Wiers, C. E., & Shi, Z. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1247961 · Cited by 7 · see citing works
“In fact, some opioid-dependent individuals may even experience weight loss (84, 85) potentially attributable to stress, lifestyle disruptions, such as neglecting nutritional needs or engaging in risky behaviors, which can further contribute to emaciation.”
BackgroundMahboub, N., Rizk, R., & de Vries, N. K. (2021) · Journal of Nutritional Science · doi:10.1017/jns.2021.9 · Cited by 7 · see citing works
“This population group displays hidden deficiencies and disturbed metabolic parameters that need to be deeply investigated by biochemical data, nutrition focused-physical findings, in addition to food addiction((44,49)).”
BackgroundFurulund, E., Druckrey-Fiskaaen, K. T., Carlsen, S.-E. L., Madebo, T., Fadnes, L. T., & Lid, T. G. (2024) · BMC Nutrition · doi:10.1186/s40795-024-00880-8 · Cited by 6 · see citing works
“…conducting anthropometric measurements including regular weight monitoring, utilizing biochemical data to identify dietary limitations, evaluating potential health implications of individuals’ nutritional profiles, and tailoring approaches based on clients’ personal histories and perspectives [39].”
BackgroundMahboub, N., Rizk, R., Farsoun, C. G., & de Vries, N. K. (2023) · Nutrients · doi:10.3390/nu15040990 · Cited by 6 · see citing works
“This increase in weight may be related to engaging in atypical eating habits, where patients substitute their obsession with drugs with that of sweet taste, seeking common euphoric rewards [3,57], impulsive unhealthy eating patterns following drug cessation leading to increased energy intake [58], and the impact of th…”
BackgroundPatterns of polydrug use among Black Americans who misuse opioids
Rigg, K. K., Weiner, M. A., & Kusiak, E. S. (2024) · The Journal of Behavioral Health Services & Research · doi:10.1007/s11414-024-09878-3 · Cited by 6 · see citing works
Self-citationCAMPBELL, B. K., Le, T. L., Pagano, A., McCuistian, C. L., Woodward-Lopez, G. M., Bonniot, C., & Guydish, J. R. (2023) · Drug and Alcohol Dependence Reports · doi:10.1016/j.dadr.2023.100165 · Cited by 5 · see citing works
Dobischok, S., Carvajal, J., Turner, K. M., Jaffe, K., Lehal, E., Blawatt, S., Redquest, C., Turje, R. B., McDougall, P., Koch, B., et al. (2023) · Addiction Science & Clinical Practice · doi:10.1186/s13722-023-00428-4 · Cited by 5 · see citing works
Motivations for Misusing Opioids Among African Americans
Rigg, K. K., Kusiak, E. S., & Rigg, L. K. (2024) · Substance Use & Addiction Journal · doi:10.1177/29767342231214118 · Cited by 4 · see citing works
Self-citationAscandar, N. E., Vadlakonda, A., Verma, A., Chervu, N. L., Roberts, J. S., Sakowitz, S., Williamson, C. G., & Benharash, P. (2023) · Clinics · doi:10.1016/j.clinsp.2023.100251 · Cited by 3 · see citing works
“Specifically, the xerostomia and appetite suppression caused by opioids predisposes those with OUD to have diets high in fat and sugar.(25,26) Furthermore, Strike et.”
BackgroundImportance of Modifiable Factors to Infant Health in the Context of Prenatal Opioid Use Disorder
Ehrenthal, D. B., Wang, Y., & Kirby, R. S. (2024) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000001389 · Cited by 3 · see citing works
Prescription Opioid Use and Laboratory Value Derangements: A Cross-Sectional Analysis of NHANES Data
Hartwell, M. L., Greiner, B. H., Dunn, K. E., Croff, J. M., & Beaman, J. (2020) · Pain Physician · doi:10.36076/ppj.2021.24.e95-e100 · Cited by 2 · see citing works
“In addition, gold-standard medication-assisted treatment might perpetuate nutritional risks factors thus further emphasizing the need for nutritional consultation during treatment (34).”
BackgroundOral Health Risks of Transmucosal Buprenorphine: Commentary on Tuan et al. and Zheng et al.
Black, A. C., & Becker, W. C. (2025) · Journal of Addiction Medicine · doi:10.1097/adm.0000000000001452 · Cited by 1 · see citing works
Arjmand, E. J., Thomassen, L. M., Druckrey-Fiskaaen, K. T., Furulund, E., Vold, J. H., Madebo, T., Blomhoff, R., Daltveit, J. T., Henriksen, H. B., Chalabianloo, F., et al. (2025) · BMC Medicine · doi:10.1186/s12916-025-04347-w · Cited by 1 · see citing works
“In substance use treatment settings, nutritional implications are often neglected [19, 47].”
Adiposity and inflammation mediate altered metabolic profile in individuals with opioid use disorder
Li, X., Manza, P., Wang, G., Giddens, N. T., Belcher, A. M., Schwandt, M. L., Diazgranados, N., Lynch, K. G., Volkow, N. D., Shi, Z., et al. (2026) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2026.06.021 · Cited by 1 · see citing works
Smoking Behavior and Wellness among Individuals in Substance Use Disorder Treatment
Pagano, A., McCuistian, C. L., Le, T. L., CAMPBELL, B. K., Delucchi, K., Woodward-Lopez, G. M., & Guydish, J. R. (2022) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2022.2095942 · Cited by 1 · see citing works
“Programs also can provide nutritional counseling focused on identifying hidden sugars in foods and beverages and making healthier choices when possible (e.g., drinking water or sugar-free drinks; choosing fruit over candy to quell sugar cravings) (Chavez and Rigg 2020; Wiss and Waterhous 2014).”
BackgroundTeets, C., Plonski, P., Adedokun, O. A., & Norman‐Burgdolf, H. (2022) · Journal of Human Sciences and Extension · doi:10.54718/hfbs6650 · Cited by 1 · see citing works
“These skills are critical for clients in SUD recovery to be able to function independently after treatment, make healthy food choices to achieve greater health, and better support their family after achieving SUD recovery status (Chavez & Rigg, 2020; Cowan & Devine, 2008).”
BackgroundResultAl-Shibli, M. K., Fadnes, L. T., Henriksen, H. B., Arjmand, E. J., Thomassen, L. M., Lid, T. G., & Carlsen, S.-E. L. (2025) · BMC Nutrition · doi:10.1186/s40795-025-01106-1 · Cited by 1 · see citing works
Fatalities in Patients with Opioid Use Disorders
Kelty, E. A., Chrzanowska, A., & Preen, D. B. (2022) · Springer eBooks · doi:10.1007/978-3-030-92392-1_96 · Cited by 1 · see citing works
Fatalities in Patients with an Opioid Use Disorders
Kelty, E. A., Chrzanowska, A., & Preen, D. B. (2022) · Springer eBooks · doi:10.1007/978-3-030-67928-6_96-1
Dietary and Lifestyle Practices of People Who Use Drugs
Mahboub, N. (2022) · doi:10.26481/dis.20221221nm
Patterns of opioid misuse initiation among African-Americans
Rigg, K. K., & Strickland, S. L. (2023) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2023.2173050
“In addition, OM is a risk factor for numerous other problems including food insecurity, criminal justice involvement, hearing loss, and overdose death (Chavez & Rigg, 2020; Imtiaz et al., 2020; Rigg & Rigg, 2020; Szalavitz & Rigg, 2017).”
BackgroundSelf-citationThe Impact of Abstinence on Serum Leptin Levels and on the Nutritional Profile of Alcoholics
Balbinotti, L., Schuch, J. B., Ferreira, D. D. S., Escobar, M., Feldman, J. V., Forte, G. C., DIEMEN, L. V., Sordi, A. O., & Hagen, M. E. K. (2023) · Saúde e Desenvolvimento Humano · doi:10.18316/sdh.v11i2.9742
Health-Promoting Behaviors in Male Patients with Opioid Use Disorder: An Exploratory Study
Patel, V., Negi, P. S., Shah, R. P., Dhawan, A., & Sarkar, S. (2024) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2024.2446454
“The role of nutrition in the treatment and recovery process for people with substance use disorders is often ovyer-looked and undermined (Chavez and Rigg 2020).”
Nutritional Strategies for Specific Substance Use Disorders
Na’Allah, A., Yusuf, B. O., Moronfolu, I. A., & Sabiu, S. (2025) · Nutritional neurosciences · doi:10.1007/978-981-95-1414-4_17
Dietary Approaches to Support Mental Health in Chronic Pain and Opioid Use Disorders
Çakan, G. C. Y., & Küsbeci, Ö. Y. (2025) · Nutritional neurosciences · doi:10.1007/978-981-95-1414-4_19
Integrative Approaches to Treatment and Recovery of Substance Use Disorders (SUD)
Mostafa, S. A., Elemary, E. A., Allam, R. A., & El-Fattah, N. A. A. (2025) · Nutritional neurosciences · doi:10.1007/978-981-95-1414-4_22
Dobischok, S., Carvajal, J., Turner, K. M., Jaffe, K., Lehal, E., Blawatt, S., Redquest, C., Turje, R. B., McDougall, P., Koch, B., et al. (2024) · Figshare · doi:10.6084/m9.figshare.26648778
Furulund, E., Druckrey-Fiskaaen, K. T., Carlsen, S.-E. L., Madebo, T., Fadnes, L. T., & Lid, T. G. (2024) · Figshare · doi:10.6084/m9.figshare.25754940
Furulund, E., Druckrey-Fiskaaen, K. T., Carlsen, S.-E. L., Madebo, T., Fadnes, L. T., & Lid, T. G. (2024) · Figshare · doi:10.6084/m9.figshare.25754967
An emerging role for synaptic Zn2+ in substance use disorders
Solís, Ó., Curry, F. P., Frangos, Z. J., Dunne, W., Schoenborn, I., Lauer, A., Gomez, J. L., Ventriglia, E. N., Bonaventura, J., & Michaelides, M. (2026) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2026.108998
Li, X., Manza, P., Wang, G., Giddens, N. T., Belcher, A. M., Schwandt, M. L., Diazgranados, N., Lynch, K. G., Volkow, N. D., Shi, Z., et al. (2026) · medRxiv · doi:10.64898/2026.04.13.26350800
- Authors
- Chavez, M. N., & Rigg, K. K.
- Venue
- Psychology of Addictive Behaviors
- Published
- 2020-09
- Volume
- 34
- Issue
- 6
- Pages
- 699-707
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- OpenAlex
- W3012840863
- Cited by
- 38
- References
- 86
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 8 · 2023: 10 · 2022: 8 · 2021: 2 · 2020: 1
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- opioid use disorder, nutrition, dietary intervention, metabolic changes, constipation, weight loss, inadequate food intake, unhealthy eating patterns, medication-assisted treatment, addiction treatment, recovery, treatment planning
- MeSH terms
- Analgesics, Opioid, Humans, Opioid-Related Disorders, Nutrition Disorders, Nutritional Status, Malnutrition, Opiate Substitution Treatment
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