Clin Psychopharmacol Neurosci 2018; 16(3): 282-289  
Increased Bone Mineral Density after Abstinence in Male Patients with Alcohol Dependence
Tae-Hong Song1, Joo-Cheol Shim2, Do-Un Jung1, Jung-Joon Moon1, Dong-Wook Jeon1, Sung-Jin Kim1, Min-Kyung Oh3
Departments of 1Psychiatry and 3Pharmacology, Inje University Busan Paik Hospital, 2Shim Joo Cheol Psychiatry Clinic, Busan, Korea
Correspondence to: Do-Un Jung, MD, PhD
Department of Psychiatry, Busan Paik Hospital, Inje University College of Medicine, 75 Bokji-ro, Busanjin-gu, Busan 47392, Korea
Tel: +82-51-890-6189, Fax: +82-51-894-2532
Received: May 2, 2017; Revised: June 14, 2017; Accepted: June 20, 2017; Published online: August 31, 2018.
© The Korean College of Neuropsychopharmacology. All rights reserved.

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Objective: This study aimed to compare the bone mineral density of male patients with alcohol dependence with that in healthy controls and to assess changes in bone density after abstinence.
Methods: Forty-four inpatients with confirmed the Diagnostic and Statistical Manual of Mental Disorders, fourth edition diagnosis of alcohol abuse and 42 controls were recruited. Bone density was determined with dual-energy X-ray absorptiometry in the lumbar spine as well as in the femoral neck, trochanter, and Ward’s triangle regions of the proximal right femur.
Results: There were no significant differences in age and body mass index between patients with alcohol dependence and healthy controls. In the alcohol dependence group, osteopenia and osteoporosis were found in 54.5% and 34.1% of the patients, respectively, whereas in the control group, the corresponding values were 45.2% and 11.9% (p=0.001). Although the actual bone density in the femur and the corresponding T-scores were significantly lower in the alcohol dependence group, no significant differences were found in the lumbar spine. In both groups, body mass index showed a significant correlation with bone mineral density in all areas. After 3 to 4 years of abstinence, bone density significantly increased in the lumbar and femur.
Conclusion: We conclude that bone mineral density in patients with alcohol dependence was significantly lower than that in healthy controls, and the rates of osteopenia and osteoporosis are higher. Importantly, abstinence from alcohol increases bone density.
Keywords: Alcohol abstinence; Alcoholism; Bone density; Osteoporosis.

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