{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:29:14Z","timestamp":1787063354943,"version":"build-2736575974"},"reference-count":61,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000057","name":"National Institute of General Medical Sciences","doi-asserted-by":"publisher","award":["1FI2GM154714\u201001"],"award-info":[{"award-number":["1FI2GM154714\u201001"]}],"id":[{"id":"10.13039\/100000057","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Alcohol, Clinical and Experimental Research"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ultraprocessed foods (UPFs) are often high in salt, fat, and sugar and low in fiber and nutrients. Research has suggested that UPFs are associated with all\u2010cause mortality and have recently been proposed to align with properties of addictive substances. While research suggests that people with alcohol use disorder (AUD) have poor dietary habits in general, little is known about whether these people consume more UPFs than those without AUD. In an exploratory analysis, we examined how UPFs, diet quality, and added sugars consumption would be associated with other health outcomes in newly abstinent and currently drinking people with AUD and compared those to healthy individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were individuals with AUD who were newly abstinent or currently drinking, and healthy controls. Two weeks of food intake records in an outpatient setting were assessed for UPF, diet quality, and added sugars, and were compared between the three groups. Correlations were assessed across diet and alcohol measures, body composition, resting energy expenditure, and atherosclerotic cardiovascular disease (ASCVD) risk scores within each group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All groups consumed similar poor quality diets with &gt;55% usual foods from UPFs and &gt;8% of energy intake from added sugars. Within groups, only the newly abstinent individuals showed associations between ASCVD risk and alcohol use history along with diet quality and body composition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite the lack of statistically significant differences in diet quality measures between groups, nutrition support for healthier food choices in people with AUD, especially during alcohol recovery, should be carefully investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acer.70140","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T12:13:09Z","timestamp":1755087189000},"page":"2184-2198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["An exploratory analysis of the relationship between ultraprocessed food consumption, alcohol intake, body composition, and cardiometabolic markers in individuals with alcohol use disorder"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3022-0154","authenticated-orcid":false,"given":"Jennifer J.","family":"Barb","sequence":"first","affiliation":[{"name":"Translational Biobehavioral and Health Promotion Branch, Clinical Center National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lillian C.","family":"King","sequence":"additional","affiliation":[{"name":"Translational Biobehavioral and Health Promotion Branch, Clinical Center National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanna","family":"Yang","sequence":"additional","affiliation":[{"name":"Nutrition Department, Clinical Center National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Turner","sequence":"additional","affiliation":[{"name":"Nutrition Department, Clinical Center National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlotta","family":"Vizioli","sequence":"additional","affiliation":[{"name":"Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research National Institutes of Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan E.","family":"Tyler","sequence":"additional","affiliation":[{"name":"Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research National Institutes of Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kong Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Human Energy and Body Weight Regulation Core, National Institute of Diabetes and Digestive and Kidney Diseases National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0902-4212","authenticated-orcid":false,"given":"Mehdi","family":"Farokhnia","sequence":"additional","affiliation":[{"name":"Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research National Institutes of Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwenyth R.","family":"Wallen","sequence":"additional","affiliation":[{"name":"Translational Biobehavioral and Health Promotion Branch, Clinical Center National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7284-8754","authenticated-orcid":false,"given":"Lorenzo","family":"Leggio","sequence":"additional","affiliation":[{"name":"Clinical Psychoneuroendocrinology and Neuropsychopharmacology Section, Translational Addiction Medicine Branch, National Institute on Drug Abuse Intramural Research Program and National Institute on Alcohol Abuse and Alcoholism Division of Intramural Clinical and Biological Research National Institutes of Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108614"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1530\u20100277.1997.tb04238.x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3177\/jnsv.66.S18"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2021.03.029"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.15640\/ijhs.v3n3a2"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13126"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1601557"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.3849"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agy048"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/07347324.2020.1868958"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15071571"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(19)30222\u20106"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105315611955"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14703"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2014.12.028"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAN.0000000000000384"},{"key":"e_1_2_10_20_1","volume-title":"structured clinical interview for DSM\u20105 disorders. SCID\u20105\u2010RV","author":"First M.","year":"2015"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16065"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15030504"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.14428"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmet.2019.05.008"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOG.0000000000000999"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114518001046"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.01.047"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.154.2.269"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ALC.0000099265.60216.23"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2009.70.296"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.05.021"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0001340"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102023\u2010077310"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agq040"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2019.05.008"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/1355621031000117437"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.16406"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2017.06.014"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980009005291"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018003762"},{"key":"e_1_2_10_41_1","unstructured":"National Institute on Alcohol Abuse and Alcoholism (NIAAA). (2024)What is a standard drink?Available from:https:\/\/www.niaaa.nih.gov\/alcohols\u2010effects\u2010health\/what\u2010standard\u2010drink[Accessed 4th November 2025]."},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0302195"},{"key":"e_1_2_10_43_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280620"},{"key":"e_1_2_10_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2017.1312423"},{"key":"e_1_2_10_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.05.019"},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.3109\/08039488.2013.851736"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.13304"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2011.11.003"},{"key":"#cr-split#-e_1_2_10_49_1.1","unstructured":"SAMHSA. (2023)Table\u00a05.9A-Alcohol use disorder in past year: among people aged 12 or older"},{"key":"#cr-split#-e_1_2_10_49_1.2","unstructured":"by age group and demographic characteristics numbers in thousands 2022 and 2023. [cited 2024 Aug 2]. Available from:https:\/\/www.samhsa.gov\/data\/report\/2023\u2010nsduh\u2010detailed\u2010tables"},{"key":"e_1_2_10_50_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1993.tb02093.x"},{"key":"e_1_2_10_51_1","volume-title":"Alcohol dependence scale (ADS): user's guide","author":"Skinner H.A.","year":"1984"},{"key":"e_1_2_10_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005\u20107967(79)90025\u20101"},{"key":"e_1_2_10_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjnut.2022.09.001"},{"key":"e_1_2_10_54_1","volume-title":"Dietary guidelines for Americans, 2015\u20132020","author":"U.S. Department of Health and Human Services, U.S. Department of Agriculture","year":"2015"},{"key":"e_1_2_10_55_1","volume-title":"Dietary guidelines for Americans, 2020\u20132025","author":"U.S. Department of Health and Human Services, U.S. Department of Agriculture","year":"2020"},{"key":"e_1_2_10_56_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9123809"},{"key":"e_1_2_10_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agm161"},{"key":"e_1_2_10_58_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12330"},{"key":"e_1_2_10_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00394\u2010014\u20100651\u2010x"},{"key":"e_1_2_10_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2014.05.009"},{"key":"e_1_2_10_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2022.05.022"}],"container-title":["Alcohol, Clinical and Experimental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/acer.70140","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T06:58:36Z","timestamp":1760425116000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/acer.70140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,13]]},"references-count":61,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/acer.70140"],"URL":"https:\/\/doi.org\/10.1111\/acer.70140","archive":["Portico"],"relation":{},"ISSN":["2993-7175","2993-7175"],"issn-type":[{"value":"2993-7175","type":"print"},{"value":"2993-7175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,13]]},"assertion":[{"value":"2025-03-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}