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Explaining Excessive Weight Gain during Early Recovery from Addiction
Nisha C Gottfredson1, Rebeccah L Sokol1
1a Department of Health Behavior , UNC Gillings School of Global Public Health , Chapel Hill , NC , USA.
Substance Use & Misuse
|December 22, 2018
Summary
Excessive weight gain during addiction recovery may be linked to a higher propensity for behavioral addiction. This study found modest support for this, suggesting nutrition education can help manage weight during recovery.
Area of Science:
- Addiction research
- Behavioral science
- Clinical psychology
Background:
- Weight gain is common during early addiction recovery.
- Two hypotheses explain this: Addiction Transfer and Propensity for Behavioral Addiction.
Purpose of the Study:
- To evaluate the Addiction Transfer Hypothesis and Propensity for Behavioral Addiction Hypothesis.
- To understand the mechanisms behind weight gain in individuals recovering from substance use disorder.
Main Methods:
- Ecological momentary assessment and 24-hour dietary recall used for real-time data collection.
- 111 individuals in substance use disorder treatment participated.
- Linear mixed models and generalized linear models were employed.
Main Results:
- No evidence supported the Addiction Transfer Hypothesis.
- Modest support was found for the Propensity for Behavioral Addiction Hypothesis.
- Appetitive effects of psychotropic medications were not accounted for.
Conclusions:
- The Propensity for Behavioral Addiction Hypothesis offers a potential explanation for weight gain.
- Nutrition education and healthy eating promotion may aid in managing weight gain during recovery.
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