UVM Theses and Dissertations
Format:
Print
Author:
Fenn, Jennifer M.
Dept./Program:
Nursing
Year:
2014
Degree:
MS
Abstract:
The aim ofthis study'was to detennine ifthere is a relationship between initiating methadone maintenance treatment and body mass index (BMI) and whether there are predictors that contribute to changes in BMI. A retrospective chart review was conducted at a methadone clinic in New England. Data collected included height, weight, gender, methadone dose, age, intravenous use, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Michigan Alcohol Screening Test (MAST) and Addiction Severity Index (ASI) scores.
The results demonstrated a statistically significant correlation (p <0.001) between initiating methadone maintenance treatment and an increase in body mass index (BMI). The average BMI on intake for both genders was 27.2. The average BMI for the second measurements was 30.1 and mean interval between weights was 1.8 years. The mean change in BMI was 2.9 (CI 2.2 to 3.7, 95% confidence). Female gender was a statistically significant predictor of increase in BMI (p <0.001) with greater increase and spread in measurements. The mean change in BMI for female patients was +5.2 versus +1.7 in males. The findings demonstrate that methadone maintenance treatment is associated with an increase in body mass index. Although recovery from substance use disorders is a dynamic process and BMI change is likely multifactorial, this study highlights the need for interventions early in MMT to help patients mitigate weight gan while in treatment.
The results demonstrated a statistically significant correlation (p <0.001) between initiating methadone maintenance treatment and an increase in body mass index (BMI). The average BMI on intake for both genders was 27.2. The average BMI for the second measurements was 30.1 and mean interval between weights was 1.8 years. The mean change in BMI was 2.9 (CI 2.2 to 3.7, 95% confidence). Female gender was a statistically significant predictor of increase in BMI (p <0.001) with greater increase and spread in measurements. The mean change in BMI for female patients was +5.2 versus +1.7 in males. The findings demonstrate that methadone maintenance treatment is associated with an increase in body mass index. Although recovery from substance use disorders is a dynamic process and BMI change is likely multifactorial, this study highlights the need for interventions early in MMT to help patients mitigate weight gan while in treatment.