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Nutritional deficiencies in alcohol use disorder/alcohol-associated liver disease.
Jophlin, Loretta; Liu, Tzu-Yu; McClain, Craig J.
Afiliação
  • Jophlin L; Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky.
  • Liu TY; Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky.
  • McClain CJ; Division of Gastroenterology, Hepatology and Nutrition, Department of Medicine, University of Louisville School of Medicine, Louisville, Kentucky.
Curr Opin Gastroenterol ; 40(2): 112-117, 2024 03 01.
Article em En | MEDLINE | ID: mdl-38193343
ABSTRACT
PURPOSE OF REVIEW To delineate common and uncommon dietary and nutritional deficiencies in individuals with chronic heavy alcohol use and alcohol use disorder and to highlight important advances in the nutrition field in patients ranging from those with alcohol use disorder (AUD) and no liver disease to those with decompensated alcohol-associated liver disease (ALD). RECENT

FINDINGS:

Patients with AUD may have nutritional deficiencies, especially isolated nutrient deficiencies, such as thiamine or zinc deficiencies. This should not be surprising, as alcohol is a major source of "empty calories." It is devoid of critical macronutrients, such as protein, and micronutrients including important vitamins and minerals. Patients with AUD frequently drink much more than often appreciated (10-20 drinks a day). Patients with AUD and early ALD often begin to develop more apparent nutritional deficiencies. Healthcare providers need to be aware of the presenting features of individual nutrient deficiencies, such as thiamine deficiency, and to provide prompt treatment. In patients with more advanced liver disease, malnutrition correlates with severity of liver disease. It is important to understand the value of nutritional support throughout the spectrum of AUD.

SUMMARY:

We review nutritional deficiencies in the spectrum of patients with AUD and ALD and highlight new information and recommendations.
Assuntos

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 / 8_ODS3_consumo_sustancias_psicoactivas Base de dados: MEDLINE Assunto principal: Desnutrição / Alcoolismo / Hepatopatias Alcoólicas Tipo de estudo: Guideline / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: Curr Opin Gastroenterol Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 / 8_ODS3_consumo_sustancias_psicoactivas Base de dados: MEDLINE Assunto principal: Desnutrição / Alcoolismo / Hepatopatias Alcoólicas Tipo de estudo: Guideline / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Humans Idioma: En Revista: Curr Opin Gastroenterol Ano de publicação: 2024 Tipo de documento: Article