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The authors studied on characteristics of heavy alcohol drinkers who were in and out-patients taking counsel twice with the nutritionist in the hospital of the faculty of Medicine, Tottori University during 12 years, from 1974 to 1986. Even though there were many patients visited with dietary counseling room, the subjects of this study were limited only 206 cases who had drunk alcohol more than 1000kg as the total consumption. In order to make clear basic situation of the heavy drinker, the relationship between medical examination data and dietary habits being got from questionnaire in the dietary counsel were investigated here. Total sum of alcohol in each cases in its life span was estimated approximately 1571 ± 155 kg in male and 1214 ± 523 kg in female. It was 2 .5 ± 0.9 g/day . kg body weight in average in male, and also 2.4 ±0.7 g/day . kg body weight in female . Drinking history has continued 31 ± 10 years in male and 29 ± 10 years in female . Their chief complains and clinical diagnoses were neuropathy, liver diseases, diabetes melitus and hypertension . In the inspection into relationship between clinical diagnosis and the amount of alcohol consumption, the alcohol intake was larger in order of neuropathy, liver diseases, D.M. and hypertension. Their nutritional situations were very miserable and exceedingly deficient in not only vitamin B1, but also vitamin B2, vitamin A, iron and calcium. As to complicated diseases, nutritional situation were worse in order of cases of neuropathy, hypertension, liver diseases and D.M.. It was very interesting that female heavy drinkers were worst in nutrients deficiency and larger than male in current alcohol drinking amount at the dietary counseling. The heavy alcohol drinkers preferred nice drinking than well nourished meals. It was very important that the amount of alcohol drinking in medical record is used to be only the half of that in dietary counseling record. Average intake of salt in their diet was 15.6 g/day. As above mentioned heavy alcohol drinkers have to suffer from double hazards of alcohol toxicity and malnutrition.

Clinical Nutritional Studies of the Heavy Alcohol Drinkers.