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Q J Med 2000; 93: 35-40
© 2000 Association of Physicians

Low-dose ethanol consumption allows strength recovery in chronic alcoholic myopathy

J. Fernández-Solà, J.M. Nicolás, E. Sacanella, J. Robert, M. Cofan, R. Estruch and A. Urbano-Márquez

From the Department of Internal Medicine, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Hospital Clínic, University of Barcelona, Spain

Received 16 July 1999 and in revised form 21 September 1999

Dr J. Fernández-Solà, Department of Internal Medicine, Hospital Clínic, Villarroel 170, 08036 Barcelona, Spain. e-mail: nicolas{at}medicina.ub.es

Chronic skeletal myopathy may affect one third of chronic alcohol misusers. It is generally accepted that abstinence allows partial recovery, and that continued high-dose ethanol consumption progressively deteriorates muscle function. However, the effect of low-dose ethanol consumption in alcoholic myopathy has not been studied. We studied 58 chronic alcoholic male patients with biopsy-proven chronic alcoholic myopathy over 5 years. We evaluated ethanol intake, biochemical and nutritional parameters, and assessed muscle strength. Eighteen patients who remained abstinent showed marked improvement in muscle strength. As expected, the 19 patients who persisted in high-dose ethanol consumption further diminished in their muscle strength. In the 11 patients who maintained low-dose (<=60 g ethanol/day) `controlled' drinking, muscle strength improved (p=0.003), despite no change in nutritional and exercise status. There is a dose-dependent recovery in muscle strength according to the degree of ethanol consumption, and moderate controlled drinking of up to 60 g ethanol/day still allows improvement in muscle strength.


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