Zinc and vitamin A status of alcoholics in a medical unit in Sri Lanka.

Zinc and vitamin A concentrations in the serum were measured in 40 alcoholics (33 males and 7 females) and 35 healthy, age-matched subjects (31 males, 4 females). Liver zinc concentrations were measured in 15 alcoholics from specimens collected by liver biopsy and compared with the zinc concentrations in liver specimens taken at autopsy from victims of road-traffic accidents. Alcoholics had significantly lower serum concentrations of both zinc and vitamin A compared to the control group of healthy subjects. The depression of zinc and vitamin A levels was related to the severity of the hepatic lesions, the lowest levels being observed among cirrhotics. Liver zinc concentrations were similar in alcoholics and healthy subjects and were not related to plasma zinc concentrations. Serum zinc and vitamin A levels were positively correlated among cirrhotics, but not in other alcoholics or controls. Thus low levels of vitamin A in cirrhotics may have arisen as a result of impaired mobilisation from the liver due to zinc deficiency, or to non-availability of hepatic zinc. Female alcoholics were more severely affected than males with respect to their zinc and vitamin A levels, although they consumed lesser amounts of alcohol and had a shorter duration of alcohol intake. A strong positive relationship existed between zinc and albumin levels in all alcoholics but not in controls. It is possible that the decreased serum albumin levels may have limited the availability of albumin for the transport of zinc in the plasma and this in turn may have resulted in increased urinary excretion of zinc.(ABSTRACT TRUNCATED AT 250 WORDS)