Singh Karam R, Muktesh Gaurav, Gunjan Deepak, Kochhar Rakesh, Singh Virendra, Das Ashim, Siddappa Pradeep, Singh Kartar
Unit of Gastroenterology Regional Institute of Medical Sciences Imphal India.
Department of Gastroenterology Postgraduate Institute of Medical Education and Research Chandigarh India.
JGH Open. 2019 Mar 12;3(4):316-321. doi: 10.1002/jgh3.12165. eCollection 2019 Aug.
Chronic alcoholism and nutrition play an important role in liver and pancreatic diseases. To compare drinking habits and nutritional data in patients with alcoholic liver disease (ALD) and alcoholic pancreatitis (ALP).
Clinical, anthropometric, dietary intake, laboratory, and imaging data were recorded in consecutive patients of ALD and ALP.
In 150 patients of ALP ( = 76) and ALD ( = 74), the age of starting alcohol consumption (19.03 ± 3.78 18.0 ± 2.59 years) and the mean amount of alcohol consumed per day (165.63 ± 87.99 185.50 ± 113.54 g; = 0.230) were similar. Patients with ALD consumed alcohol on a daily basis more frequently (90.5 72.3%; = 0.003) and had a longer duration of alcohol intake (21.6 + 0.2 14.5 + 6.9 years; < 0.0001) than patients in the ALP group. Binge drinking was more common in patients with ALP compared to patients with ALD (60.5 20.3%); < 0.0001). Patients with ALP had a lower body mass index (19.9 ± 3.49 22.64 ± 4.88 kg/m; = 0.001) and more frequent decrease in mid arm circumference (57.9 44.6%; = 0.042) and triceps skin fold thickness (67.1 52.7%; = 0.072) compared to patients with ALD.
There was no difference in the age of starting alcohol consumption and mean amount of alcohol consumption per day between the groups. Patients with ALD were more likely to be daily drinkers with a longer duration of alcohol intake. However, binge drinking and malnourishment was more common in the ALP group.
慢性酒精中毒和营养状况在肝脏及胰腺疾病中起着重要作用。比较酒精性肝病(ALD)和酒精性胰腺炎(ALP)患者的饮酒习惯及营养数据。
记录ALD和ALP连续患者的临床、人体测量、饮食摄入、实验室及影像学数据。
在150例ALP患者(n = 76)和ALD患者(n = 74)中,开始饮酒的年龄(19.03 ± 3.78 18.0 ± 2.59岁)及每日平均饮酒量(165.63 ± 87.99 185.50 ± 113.54克;P = 0.230)相似。与ALP组患者相比,ALD患者更频繁地每日饮酒(90.5% 72.3%;P = 0.003)且饮酒持续时间更长(21.6 + 0.2 14.5 + 6.9年;P < 0.0001)。与ALD患者相比,ALP患者中暴饮更为常见(60.5% 20.3%);P < 0.0001)。与ALD患者相比,ALP患者的体重指数更低(19.9 ± 3.49 22.64 ± 4.88千克/米²;P = 0.001),上臂中部周长减少更频繁(57.9% 44.6%;P = 0.042),肱三头肌皮褶厚度减少更频繁(67.1% 52.7%;P = 0.072)。
两组开始饮酒的年龄及每日平均饮酒量无差异。ALD患者更可能每日饮酒且饮酒持续时间更长。然而,暴饮和营养不良在ALP组更为常见。