Active Brazilian crack cocaine users: nutritional, anthropometric, and drug use profiles

• Main Authors: Mariana Escobar, Juliana N. Scherer, Cassia M. Soares, Luciano S.P. Guimarães, Martine E. Hagen, Lisia von Diemen, Flavio Pechansky
• Format: Article
• Language: English
• Published: Associação Brasileira de Psiquiatria (ABP) 2018-02-01
• Series: Brazilian Journal of Psychiatry
• Subjects: Crack cocaine; nutritional assessment; nutritional status; biochemical parameters
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462018005002106&lng=en&tlng=en

Objective: To evaluate the nutritional status of crack users and to analyze its correlation with drug use profiles. Methods: Cross-sectional study with 108 crack users. Anthropometric data were assessed through body mass index (BMI) and bioimpedance (BIA) measurements. A blood test to analyze hematocrit, hemoglobin, glucose, and lipid profiles was also performed. Crack use was determined through a standardized interview. Results: Based on BMI and BIA, most individuals were eutrophic (about 70%). Regarding hematological parameters, we found that hemoglobin and hematocrit levels were below normal for 32.4 and 30.6% of patients, respectively. Considering normal parameters, a large part of the sample (60.2%) had low levels of HDL cholesterol and high levels of triglycerides (38%). There were no significant correlations between drug profile and nutritional variables. Conclusion: This is a pioneering study that examines the nutritional status of crack users. Our results showed that most crack users present normal anthropometric findings and the prevalence of underweight is low. However, blood analysis showed changes and a specific type of malnutrition.