Nutritional concerns in the alcoholic.

In summary, nutritional concern of alcoholics as viewed by the patient differ from the concern of his/her nutrition and health advisers. Between alcoholics, nutritional concerns differ with age, sex, and life style. Caloric excess, obesity, nutrient overload, and a whole spectrum of nutritional deficiencies are found in alcoholics. Causes of malnutrition are complex. Malnutrition is commonly associated with prior alcoholic damage to tissues. Vulnerability for specific syndromes of nutritional deficiency is dependent on genetic predisposition. Optimal response to nutritional rehabilitation requires abstinence, as no nutrient or combination of nutrients will protect tissues from alcoholic damage. However, moderate intake of alcoholic beverages may offer some protection against coronary heart disease.