AB0842 POTENTIAL RISKS FOR OSTEOPOROSIS AND SARCOPENIA IN ALCOHOLIC WOMEN

2019 
Background Recent statistics indicated an accumulating number of patients with alcohol dependency in Japan. In particular, there had been a considerable increase in the number of alcoholic women, reaching up to 130,000 patients. Because alcoholic women often have insufficient dietary intake and physical inactivity, they may be at risk for low bone mineral density and decreased muscle power. However, these points may not be widely recognized, and the current program for the rehabilitation of alcoholism may not be sufficient to address this issue. Objectives To assess the risk for osteoporosis and sarcopenia in alcoholic women from a nutritional viewpoint Methods Thirty-two women (mean age: 42.9 ± 7.49 years) who were admitted to the Alcoholics Rehabilitation Program (ARP) for alcoholism, which was diagnosed according to International Classification of Diseases (ICD)-10, were enrolled in the study. The patients were subjected to self-answered questionnaire, nutritional assessment by expert dietitians, and measurement of body composition and grip strength. Results Of the 32 patients, 14 (44.0%) had a history of eating disorder, mostly anorexia. All 32 patients had elevated levels of transaminases at the time of admission. History of bone fracture was present in eight of the 32 (25.0%) patients; among them, at least three (9.4%) cases were considered to be due to a fragility fracture. The mean body mass index (BMI) was 20.4 kg/m2; 10 (31.3%) patients had BMI Conclusion Young to middle-aged alcoholic women should be treated as having high risks for osteoporosis and sarcopenia. ARP should include multidisciplinary assessment and interventions to prevent future locomotive disabilities. Disclosure of Interests None declared
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