A Study on the Alcohol Consumption and Nutrient Intake in Patients with Alcoholic Liver Disease

알코올성 간질환자의 음주실태 및 영양섭취실태

  • 구보경 (경북대학교 생활과학대학 식품영양학과)
  • Published : 1997.02.01

Abstract

The purpose of this study was to evaluate alcohol consumption and nutritional status in patients with alcoholic liver disease. The subjects were 80 patients with alcoholic liver cirrhosis and 12 patients with alcoholic fatty liver. Also 57 alcoholics without liver disease, 32 patients with viral liver cirrhosis and 194 normal men were included as control groups. Data on anthropometric index, socioeconomic status, alcohol consumption, dietary habits and dietary intakes were collected by individual interview. Alcoholic liver disease group had significantly lower triceps skinfold thickness and mid-uppr-arm circumferences than other groups. Socioeconomic status of alcholoci subjects was middle class or lower than that. The amount, duration and frequency of alcohol consumption were significantly higher and the quality of side dishes consumed with alcoholic beverage was significantly poorer in patients with alcoholic liver cirrhosis than others. Patients with alchololic liver disease ingested approximately 40% of daily caloric intake as alcohol and all alcoholic subjects had lower average intakes of protein, carbohydrates, fat, vitamins and minerals as compared with Korean adult average intakes. The results suggest that alcohol and poor dietary intake could cause malnutrition and might be two of the important risk factors to develop alcoholic liver disease in alcoholics. But other factors like genetic and immunological factors should be also considered in elucidating the causes of alcoholic liver disease. An extensive nutritional education should be emphasized for alcohol consuming population to prevent development of alcoholic liver disease.

Keywords

References

  1. 한국의 사회 지표 경제기획원 조사통계국
  2. 현대인의 식생활과 건강 송병춘;맹원재
  3. Nutritional Biochemistry and Metabolism with Clinical Applications (2nd ed.) Nutrition and metabolism of fats Linder,M.C.
  4. J. Roy. Soc. Med. v.77 What determines susceptibility to liver demage from alcohol? : discussion paper Sanders,J.B.;Wodak,A.D.;Williams,R.
  5. Liver v.9 Alcohol and liver injury : dose-related or permissive effect? SΘrensen,T.I.A.
  6. J.Nutr. v.12 no.2 Role of alcohol abuse in nutritional immunosuppression Watzel,B.;Watson,R.R.
  7. Gasteroenterology v.106 Alcohol and the Liver Lieber,C.S.
  8. Modern Nutrition in Health and Disease. (8th ed.) Nutrition and diet in alcoholism Feinman,L.;Lieber,C.S.;Shils,M.E.(ed.);Olson,J.A.(ed.);Shike,M.(ed.)
  9. 가톨릭대학의학부 논문집 v.31 no.1 한국인의 알코올성 간질환 차상복;정환국
  10. Clinical Chemistry Theory, Analysis and Correlation. (2nd ed.) Alcoholism Mendenhall,C.L.;Wesnen,R.E.;Lawrence,A.K.(ed.);Amedeo,J.P.(ed.)
  11. J. Hepatol v.21 Italian Multicentre Coperative Project on nutrition in liver cirrhosis Merli,M.;Riggo,O.;Capocaccia,L.
  12. Gasteroenterology v.63 no.6 National history of alcoholic hepatitis Ⅲ Historical changes Galambos,J.T.
  13. Gut v.15 Studies in alcoholic liver disease in Britain : Clinical and pathological patterns related to national history Brunt,P.W.;Kew,M.C.;Scheuer,P.J.;Sherlock,S.
  14. 93 국민영양조사결과보고서 보건복지부
  15. 사회과학정책연구 v.5 no.3 직업분석을 통한 계층 연구·한국표준 직업분류를 중심으로 홍두승
  16. 연세논총 간이식 영양조사법을 적용한 중년부인의 영양실태 A: 간이식 영양조사법 검토 문수재;이기열;김숙영
  17. 식품성분표(제 4 개정판) 농촌진흥청
  18. SPSS/PC+ 를 이용한 통계분석 (제 2 판) 채서일;김범종;이성근
  19. Am. J. Clin. Nutr. v.35 Nutritional status in alcoholics with and without liver disease Simko,V.;Connell,A.M.;Banks,B.
  20. Arch. Inter. Med. v.135 Alcohol and dietary factors in cirrhosis Patek,A.J.;Toth,I.G.;Saunders,M.G.;Castro,C.A.N.;Eagel,J.J.
  21. Acta Hepato-Splenologica v.14 Lebershaden bei chronischen Alkolismus : Biotsish-Histolofische Ergebiniss Lelbach.W.K.
  22. Ann. Clin. Res. v.7 Liverbiospy and liver function tests in 28 consecutive long-term alcoholics Kyosola,K.;Salorinne,Y.
  23. Aus. Ann. Med. v.18 Epidemiology of alcoholic cirrhosis Wilkinson,P.;Santamaria,J.N.;Rankin,J.G.
  24. Br. J. Nutr. v.69 Nutritional assessment and adequacy of dietary intake in hospitalized patients with alcoholic liver cirrhosis Nielsen,K.;Kondrup,S.;Martinsen,L.;Stilling,B.;Wikman,B.
  25. Principle s of Nutritional Assessment Anthropometric assessment of body composition Gibson,R.S.
  26. 적십자병원지 v.15 no.1 알코올 장애에 관한 임상적 고찰 백주희
  27. 국세 통계 연보 국세청
  28. 대한소화기병학회지 v.18 no.1 알코올성 간상해에 관한 연구 박병엽
  29. 대한내과학회잡지 v.29 no.2 한국인 만성 음주자 40예에 대한 간조직적 고찰 홍세용
  30. Am. J. Clin. Nutr. v.37 Visceral protein ststus of patients hospitalized for alcoholism Dickson,B.J.;Delaney,C.J.;Walker,R.D.;Huchinson,M.;Buergel,N.
  31. Am. J. Clin. Nutr. v.38 Nutritional status of alcoholic patients : it`s possible relationship to alcoholic liver damage Bunout,D.;Hernan,I.V.G.;Perez,C.;Pereda,T.;Ugarte,G.
  32. 한국영양학회지 v.24 no.1 음주습관이 중상류층 중년 남성의 영양 상태에 미치는 영향 이선희;김화영
  33. 한국영양학회지 v.26 no.6 한국인 지방간 환자의 영양상태에 관한 연구 김미경;김현진
  34. 대한내과학회잡지 v.43 no.2 알코올성 간질환의 임상적 고찰 김남동;권상옥;김현수;이동기;배선우;장우익;김호근;박찬일
  35. New Eng. J. Med. v.298 no.16 Pathogenesis and early diagnosis of alcoholic liver injury Lieber,C.S.
  36. Ann. NY Acad. Sci. v.252 Cirrhosis in the alcoholic and its relation to the volume of alcohol abuse Lelbach,W.K.
  37. Int. J. Epidemiol v.7 no.2 Ascitic cirrhosis in relation to alcohol consumption Pequignot,G.;Tuyns,A.J.;Berta,J.L.
  38. Scand J. Gastroenterol v.8 Factors determining liver damage in chronic alcoholics EghΘje,K.N.;Juhl,E.
  39. Lancet v.2 Prospective evaluation of alcohol abuse and alcoholic liver injury in men as predictors of development of cirrhosis SΘrensen,T.I.A.;Orholm,M.;Bentsen,K.C.;HΘybye,G.;EghΘje,K.;Christoffersen,P.
  40. J. Hepatol v.4 Longterm historical evaluation of the natural history and prognostic factors of alcoholic liver disease Marbet,U.A.;Bianchi,L.;Meury,U.;Stalder,G.A.
  41. New Eng. J. Med. v.290 no.3 Fatty liver, alcoholic hepatitis and cirrhosis produced by alcohol in primates Rubin,E.;Lieber,C.S.
  42. Br. Med. J. v.28 no.7 ABC of alcohol Paton,A.;Saunders,J.B.
  43. Hepatology v.12 Attenuations of alcohol-induced hepatic fibrosis by polyunsaturated lecithin Lieber,C.S.;DeCarli,L.M.;Mak,K.M.;Kim,C.I.;Leo,M.A.
  44. 한국영양학회지 v.22 no.1 식이섭취조사방법 연구 김혜경;윤진숙
  45. Am. J. Clin. Nutr. v.21 Nutritional status of alcoholics Neville,J.N.;Eagles,J.A.;Samson,G.;Olson,R.E.
  46. Alcohol Alcohol v.28 no.5 Nutritional status in chronically alcoholic men from the middle socioeconomic class and its relation to ethanol intake Nicolas,J.M.;Etruch,R.;Antunez,E.;Sacanella,E.;Urgano-Marquez,A.
  47. J. Am. Coll. Nutr. v.2 Nutritional status of alcoholics of different socioeconomic class Goldsmith,R.H.;Iber,F.L.;Miller,P.A.