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基本人体尺寸与酒精依赖相关并可预测再次入院情况。

Basic Human Body Dimensions Relate to Alcohol Dependence and Predict Hospital Readmission.

作者信息

Lenz Bernd, Köllner Martin G, Mühle Christiane, Weinland Christian, Kornhuber Johannes

机构信息

Department of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Schwabachanlage 6, D-91054 Erlangen, Germany.

Human Motivation and Affective Neuroscience Lab, Department of Psychology, Institute of Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Nägelsbachstraße 49 b, D-91052 Erlangen, Germany.

出版信息

J Clin Med. 2019 Nov 27;8(12):2076. doi: 10.3390/jcm8122076.

Abstract

Alcohol dependence is a severe mental illness and there is a need for more effective preventive and therapeutic strategies. Translational research suggests that intrauterine sex hormone exposure modulates the risk and course of alcohol dependence during adulthood. During development, sex hormones permanently shape sexually dimorphic body dimensions. Thus, these dimensions may provide insight into sex hormone organization. Here, we compared body measurements (absolute, relative to, and residualized on height) between 200 alcohol-dependent in-patients and 240 age-matched healthy control subjects and investigated how these measurements associate with the patients' prospective 12- and 24-month outcome. The results show that alcohol dependence is related to lower absolute, relative, and residualized body measurements for height and weight, head circumference, bitragion head arc, lip-chin distance, hip, thigh, and calf circumference, and foot length and breadth. In male alcohol-dependent in-patients, higher risk, shorter latency, and more alcohol-related readmissions were predicted by higher absolute, relative, and residualized thigh and calf circumferences. The second-to-fourth finger length ratio, a putative proxy for prenatal sex hormone organization, was not convincingly correlated with the body dimensions, suggesting that the results represent pubertal (or later) effects. The study's findings have implications for further research. The body measurements' high accessibility may facilitate the future transition into clinical settings.

摘要

酒精依赖是一种严重的精神疾病,需要更有效的预防和治疗策略。转化研究表明,子宫内性激素暴露会调节成年期酒精依赖的风险和病程。在发育过程中,性激素永久性地塑造了两性异形的身体尺寸。因此,这些尺寸可能有助于深入了解性激素的组织作用。在此,我们比较了200名酒精依赖住院患者与240名年龄匹配的健康对照者的身体测量数据(绝对测量值、相对于身高的测量值以及根据身高进行残差分析后的测量值),并研究了这些测量数据与患者未来12个月和24个月预后的关联。结果显示,酒精依赖与身高、体重、头围、双侧颞点间头弧、唇颏距离、臀围、大腿围、小腿围以及足长和足宽的绝对测量值、相对测量值和残差分析后的测量值较低有关。在男性酒精依赖住院患者中,较高的大腿围和小腿围绝对测量值、相对测量值和残差分析后的测量值预示着更高的风险、更短的潜伏期以及更多与酒精相关的再入院情况。食指与无名指长度比作为产前性激素组织作用的一种推测指标,与身体尺寸之间并无令人信服的相关性,这表明研究结果代表的是青春期(或更晚)的影响。该研究结果对进一步的研究具有启示意义。身体测量数据具有较高的可及性,这可能有助于未来向临床应用的转化。

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