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Dietary intake and nutritional status of US adult marijuana users: results from the Third National Health and Nutrition Examination Survey

Published online by Cambridge University Press:  02 January 2007

Ellen Smit*
Affiliation:
Department of Social and Preventive Medicine, School of Medicine, University at Buffalo, SUNY, Buffalo, NY 14214, USA
Carlos J Crespo
Affiliation:
Department of Social and Preventive Medicine, School of Medicine, University at Buffalo, SUNY, Buffalo, NY 14214, USA
*
*Corresponding author: Email [email protected]
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Abstract

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Objectives:

This study examined dietary intakes and nutritional status of marijuana users and non-current marijuana users in US adults aged 20 to 59 years.

Methods:

We used data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988–1994. Information on self-reported drug use, including marijuana, was obtained as part of the NHANES III physical examination component. Nutritional status was assessed using height and weight, and blood biochemistries. Dietary intake was assessed using a 24-hour recall and a food-frequency questionnaire.

Results:

Among adults 20–59 years of age, 45% reported ever having used marijuana in their lifetime. A total of 8.7% reported using marijuana in the past month. Current marijuana users had higher intakes of energy and nutrients than non-current marijuana users; however, body mass index (BMI) was slightly lower. We found higher cigarette-smoking rates and higher consumption of sodas and alcohol, specifically beer, among marijuana users than among non-current marijuana users. Marijuana users also consumed more sodium, fewer fruits, and more pork, cheese, and salty snacks. Nutritional status, using indicators of serum nutrients, serum albumin, haematocrit and haemoglobin, was similar between marijuana users and non-current marijuana users. Serum carotenoid levels were lower among marijuana users, independent of cigarette smoking.

Conclusion:

Dietary intake was different among marijuana users than among non-current marijuana users. Although overall nutritional status was similar, serum carotenoid levels were lower in marijuana users. The long-term health effects of these differences in marijuana users deserve careful consideration in future research.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Office of Applied Studies, Substance Abuse and Mental Health Services Administration. National Household Survey on Drug Abuse: Main Findings 1998. Rockville, MD: US Health and Human Services, March 2000.Google Scholar
2National College Health Risk Behavior Survey, Unites States 1995. In: CDC Surveillance Summaries, 11 14, 1997. MMWR 1997; 46(SS–6).Google Scholar
3Watson, SJ, Benson, JA, Joy, JE. Marijuana and medicine: assessing the science base: a summary of the 1999 Institute of Medicine report. Arch. Gen. Psychiat. 2000; 57(6): 547–52.CrossRefGoogle Scholar
4Mohs, ME, Watson, RR, Leonard, Green. Nutritional effects of marijuana, heroin, cocaine, and nicotine. J. Am. Diet. Assoc. 1990; 90(9): 1261–7.CrossRefGoogle ScholarPubMed
5Mendelson, JH. Marijuana use: biologic and behavioral aspects. Postgrad. Med. 1976; 60(5): 111–7.CrossRefGoogle Scholar
6Hollister, LE. Hunger and appetite after single doses of marijuana, alcohol, and dextroamphetamine. Clin. Pharmacol. Ther. 1971; 12(1): 44–7.CrossRefGoogle ScholarPubMed
7Foltin, RW, Fischman, MW, Byrne, MF. Effects of smoked marijuana on food intake and body weight of humans living in a residential laboratory. Appetite. 1988; 11(1): 17.CrossRefGoogle Scholar
8Zwillich, CW, Doekel, R, Hammill, S, Weil, JV. The effects of smoked marijuana on metabolism and respiratory control. Am. Rev. Respir. Dis. 1978; 118(5): 885–7.Google ScholarPubMed
9National Center for Health Statistics. Plan and Operation of the Third National Health and Examination Survey, 1988–1994. Vital Health Statistics 1 [32]. Hyattsville, MD: US Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics, 1994.Google Scholar
10National Center for Health Statistics. The Third National Health and Nutrition Examination Survey Reference Manuals and Reports. CD-ROM. Hyattsville, MD: US Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Center for Health Statistics, 1996.Google Scholar
11Allain, CC, Poon, LS, Chan, CSG, Richmond, W, Fu, PC. Enzymatic determinations of total serum cholesterol. Clin. Chem. 1974; 20: 470–5.CrossRefGoogle ScholarPubMed
12Morabia, A, Fabre, J, Chee, E, Zeger, S, Orsat, E, Robert, A. Diet and opiate addiction: a quantitative assessment of the diet of non-institutionalized opiate addicts. Br. J. Addict. 1989; 84(2): 173–7.CrossRefGoogle ScholarPubMed
13Sarafian, TA, Magallanes, JAM, Shau, H, Tashkin, D, Roth, MD. Oxidative stress produced by marijuana smoke: an adverse effect enhanced by cannabinoids. 1999; Am. J. Respir. Cell Mol. Biol. 20: 1286–93.CrossRefGoogle ScholarPubMed
14Karvetti, RL, Knuts, LR. Validity of the 24-hour dietary recall. J. Am. Diet. Assoc. 1987; 85: 1437–42.CrossRefGoogle Scholar