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Nutritional Status During Inpatient Alcohol Detoxification.
Marie-Astrid Gautron1,2, Frank Questel1, Michel Lejoyeux3,2
1Département de Psychiatrie et de Médecine Addictologique, Hôpital Fernand Widal, AP-HP, 200 rue du Faubourg Saint Denis, 75475 Paris Cedex 10, France.
Alcohol and Alcoholism (Oxford, Oxfordshire)
|November 15, 2017
Summary
Nutritional status, assessed by Body Mass Index (BMI), is linked to cognitive impairment in alcohol use disorder (AUD) patients during detox. Clinical evaluation is more effective than vitamin levels for identifying at-risk individuals.
Area of Science:
- Neuroscience
- Addiction Medicine
- Nutritional Psychiatry
Background:
- Alcohol use disorder (AUD) is associated with cognitive deficits.
- Thiamine deficiency is a suspected contributor to alcohol-related cognitive impairment.
- Assessing nutritional status and cognitive function during detoxification is crucial.
Purpose of the Study:
- To evaluate the nutritional status of patients with AUD during detoxification.
- To determine the association between vitamin blood levels and cognitive impairment.
- To identify factors associated with cognitive impairment in this population.
Main Methods:
- Retrospective chart review of 94 patients undergoing alcohol detoxification.
- Nutritional status assessed by Body Mass Index (BMI).
- Cognitive function screened using the Montreal Cognitive Assessment (MoCA) test.
Main Results:
- 8.79% of patients were malnourished based on BMI.
- 66% of patients screened positive for cognitive impairment (MoCA score < 26).
- Body Mass Index (BMI), not vitamin levels, was significantly associated with cognitive impairment.
Conclusions:
- Clinical assessment of nutritional status (BMI) is more sensitive than vitamin biomarkers for identifying AUD patients at risk of cognitive impairment.
- Malnourished AUD patients require comprehensive neuropsychological evaluation.
- Further research into the interplay between nutrition and cognition in AUD is warranted.
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