Assessment of nutritional state of alcohol abusers and drug poisoned patients

Beside the primary illness and environmental factors also alcohol addiction, similarly to another kind of dependency, is being considered as the causative factor of nutritional disorders. Alcohol and drug dependent people due to distorted eating behaviour are predisposed not only to eating disorders (anorexia, bulimia) but also to eating abuse (obesity, overweight, habitual eating). The aim of the study was to assess the nutritional state of alcohol abusers and drug poisoned patients. 113 patients treated at the Department of Clinical Toxicology in Kraków including 65 chronic alcoholics (85% men) and 48 drug poisoned patients (75% young women) were examined anthropometricaly. The measures were performed twice: on admission and on discharge from the Clinic. Nutritional state was unsatisfactory in 76.1% of examined patients and malnutrition or risk of malnutrition was more prevalent than overnutrition. Proportions of subjects qualified to specific groups of nutriture were different in alcohol abusers compared to drug poisoned patients. Also etiology of malnutrition was different. Irregular lifestyle and improper nutrition mode in the group of alcohol abusers (mainly men) and a phenomenon of "slimness terror" in the group of young woman with incidence of suicide attempt should be understood as significant factors of malnutrition. There was no detectable change in nutriture within the nine days long hospitalisation. Only slight, not significant, increase in values of anthropometric parameters was observed in the group of alcohol dependent patients.