Body mass index and alcohol use

Katie D. Kleiner, Mark S. Gold, Kimberly Frost-Pineda, Barbra Lenz-Brunsman, Michael G. Perri, William S. Jacobs

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

Background. Obesity, inactivity, and being overweight are leading causes of morbidity and mortality in the United States. The relationship between eating, overeating, and addiction have been discussed, debated, and more recently investigated. We have hypothesized that drugs of abuse compete with food for brain reward sites. Overeating and obesity may act as protective factors reducing drug reward and addiction. Methods. In the first part of this study, 374 charts of all active weight management patients in a 12-month period were examined. Demographic information, laboratory testing, psychiatric diagnostic interview, alcohol and drug history were reviewed. A detailed alcohol use, abuse, dependence history was present in 298 charts as part of the pre-bariatric evaluation. The relationship between BMI and alcohol use among female patients (n = 298) was then analyzed. Results. We found a significant (p < .05) inverse relationship between BMI and alcohol consumption. The more obese the patient was, the less alcohol they consumed. The percentage of women who consumed alcohol in the past year decreased as BMI level increased. These results confirmed our surgeons' perception that it is rare to find a morbidly obese patient excluded for bariatric surgery because of excessive alcohol consumption. Conclusions. Obese patients have lower rates of alcohol use than found in the general population of women. As BMI increases, lower rates of alcohol consumption are found. Overeating may compete with alcohol for brain reward sites, making alcohol ingestion less reinforcing.

Original languageEnglish (US)
Pages (from-to)105-118
Number of pages14
JournalJournal of Addictive Diseases
Volume23
Issue number3
DOIs
StatePublished - Aug 19 2004

Fingerprint

Body Mass Index
Alcohols
Hyperphagia
Reward
Alcohol Drinking
Obesity
Eating
History
Bariatrics
Bariatric Surgery
Brain
Street Drugs
Alcoholism
Substance-Related Disorders
Psychiatry
Demography
Interviews
Morbidity
Weights and Measures
Food

Keywords

  • Addiction
  • Alcohol
  • BMI
  • Eating
  • Obesity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Kleiner, K. D., Gold, M. S., Frost-Pineda, K., Lenz-Brunsman, B., Perri, M. G., & Jacobs, W. S. (2004). Body mass index and alcohol use. Journal of Addictive Diseases, 23(3), 105-118. https://doi.org/10.1300/J069v23n03_08

Body mass index and alcohol use. / Kleiner, Katie D.; Gold, Mark S.; Frost-Pineda, Kimberly; Lenz-Brunsman, Barbra; Perri, Michael G.; Jacobs, William S.

In: Journal of Addictive Diseases, Vol. 23, No. 3, 19.08.2004, p. 105-118.

Research output: Contribution to journalArticle

Kleiner, KD, Gold, MS, Frost-Pineda, K, Lenz-Brunsman, B, Perri, MG & Jacobs, WS 2004, 'Body mass index and alcohol use', Journal of Addictive Diseases, vol. 23, no. 3, pp. 105-118. https://doi.org/10.1300/J069v23n03_08
Kleiner KD, Gold MS, Frost-Pineda K, Lenz-Brunsman B, Perri MG, Jacobs WS. Body mass index and alcohol use. Journal of Addictive Diseases. 2004 Aug 19;23(3):105-118. https://doi.org/10.1300/J069v23n03_08
Kleiner, Katie D. ; Gold, Mark S. ; Frost-Pineda, Kimberly ; Lenz-Brunsman, Barbra ; Perri, Michael G. ; Jacobs, William S. / Body mass index and alcohol use. In: Journal of Addictive Diseases. 2004 ; Vol. 23, No. 3. pp. 105-118.
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