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June 22, 2021Journal of Universal College of Medical SciencesOpen Access

Serum Vitamin D and B12 Levels in Alcoholic Male Patients: A Cross-sectional Study

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Key result

Excessive alcohol consumption in men is linked to ~258% higher vitamin B12 levels versus moderate drinking.

  • P<0.001
  • n=80

Why the study?

Alcohol dependence is rapidly increasing globally and in developing countries, but the serum levels of vitamin B12 and vitamin D in chronic alcoholic patients and their link to liver function parameters required analysis.

Does excessive alcohol consumption affect serum vitamin B12 and vitamin D levels compared to moderate consumption in male patients with alcohol dependence?

Population

Male patients visiting a psychiatric OPD for alcohol dependence treatment in Nepal

Comparison

Excessive drinkers vs moderate drinkers

Design

Cross-sectional study

Authors

AJArchana JayanBPBuddhi Raj PokhrelNGNarayan Gautam

Discussion

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Member takes

Overview

Caution interpreting B12 elevations as repletion in heavy drinkers; leaves open mechanisms and vitamin D implications in alcohol dependence.

Study Design

Type

Cross-Sectional (n=80)

Multicenter

No

Structured PICO

Does excessive alcohol consumption affect serum vitamin B12 and vitamin D levels compared to moderate consumption in male patients with alcohol dependence?

P
Population
80 male patients aged 21 to 67 years with alcohol dependence, free of clinical alcoholic liver disease, evaluated for serum vitamin levels.
E
Exposure
Excessive alcohol consumption
C
Comparator
Moderate alcohol consumption
O
Outcome
Serum levels of vitamin B12 and vitamin Dsurrogate

Main Result

Absolute Event Rate: 925.9% vs 258.4%

p-value: p=<0.001

In male patients with alcohol dependence, excessive drinking is associated with higher vitamin B12 levels (correlated with liver function parameters) and high rates of vitamin D insufficiency.

Limitations

  • Small sample size
  • Cross-sectional design limits causal inference
  • Did not account for geographical variation, nutritional status, and sunlight exposure
  • Measured total vitamin B12 rather than the biologically active fraction (holotranscobalamin)

Cite This Study

Jayan et al. (2021) conducted a cross-sectional in Alcohol dependence (n=80). Excessive alcohol consumption vs. Moderate alcohol consumption was evaluated on Median serum vitamin B12 levels (pg/ml) (p=<0.001). Excessive alcohol consumption in male patients was associated with significantly higher median serum vitamin B12 levels (925.9 pg/ml) compared to moderate drinking (258.4 pg/ml, p<0.001).

synapsesocial.com/papers/6aa9375003d7e8cf26cdc35bhttps://doi.org/10.3126/jucms.v9i01.37976
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 20162018 · 3,637 citations
  2. 2The Burden and Determinants of Non Communicable Diseases Risk Factors in Nepal: Findings from a Nationwide STEPS Survey2015 · 285 citations
  3. 3B-Vitamin dependent methionine metabolism and alcoholic liver disease2012 · 63 citations
  4. 4Alcoholic Cirrhosis and Cobalamin Metabolism2009 · 63 citations
  5. 5Sex-specific relationships between alcohol consumption and vitamin D levels: The Korea National Health and Nutrition Examination Survey 20092012 · 40 citations