Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 15: Nutrition And Alcoholism (continued)

Charles S. Lieber, MD, MACP, FACG

Alcoholics hospitalized for medical complications of alcoholism were found to have inadequate dietary protein intake1 with signs of protein malnutrition2,3 and anthropomorphic measurements indicative of impaired nutrition: reduced muscle mass estimated by the creatinine-height index3,4 and thin tricep skin folds.3-5 Continued drinking resulted in weight loss, whereas abstinence resulted in weight gain. Many patients who drink to excess are either not malnourished or are less malnourished than the group hospitalized for medical problems. Alcohol consumption, especially when accompanied by…