A Study to Assess the Bone Mass in Chronic Alcoholic Patient

摘要

Introduction: The excessive consumption of alcohol is an important risk factor for osteoporosis. The consumption of alcohol reduces bone mass by modifying bone formation and remodeling. Methodology: A cross-sectional study was conducted to assess the alteration in bone mineral density (BMD) in alcoholic patients, under the age of 60 year and free of non-modifiable risk factors for osteoporosis. Complete blood examination and laboratory profile was conducted in all the cases. Liver function and bone mass density were also analyzed. Results: Total 30 male patients were studied with an average age of 51 years. Pathological levels of bone mass (in the spinal column and hip) were detected in 57% of patients (41% with osteopenia and 16% with osteoporosis), a much higher percentage than that expected in a male population of such an age. Vertebral fractures were observed in six patients (16%) and hip fractures in four (11%). Conclusion: The active treatment of the alcoholic patient depends upon the levels of addictive behaviour. The risk of fractures and pathological levels of bone mass in alcoholic cases should be taken into consideration and accordingly comprehensive treatment should be planned.