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Moderate alcohol consumption and postprandial plasma lipids in men with different risks for coronary heart disease
H F Hendriks1, M R van Haaren, R Leenen
1Department of Physiology, TNO Nutrition and Food Research, Zeist, The Netherlands. hendriks@voeding.tno.nl
Insights
Moderate alcohol intake affects postprandial lipoprotein metabolism similarly in men with varying coronary heart disease (CHD) risk factors. This suggests alcohol
Area of Science:
- Cardiovascular Science
- Nutritional Science
- Metabolic Science
Background:
- Moderate alcohol consumption is linked to reduced coronary heart disease (CHD) risk.
- Conflicting data exists on whether CHD protection is influenced by individual CHD risk profiles.
- Understanding alcohol's metabolic effects is crucial for cardiovascular health.
Purpose of the Study:
- To investigate the impact of moderate alcohol consumption on postprandial lipoprotein metabolism.
- To compare these effects in healthy middle-aged men with differing coronary heart disease (CHD) risk factors (plasma lipids and BMI).
Main Methods:
- A crossover study design was employed in two groups of healthy middle-aged men (lower and higher CHD risk factors).
- Participants consumed moderate alcohol (35 g/day) or alcohol-free beer in a crossover manner.
- Postprandial lipoprotein metabolism was assessed after acute alcohol intake following periods of abstinence and moderate consumption.
Main Results:
- Moderate alcohol consumption altered postprandial plasma total cholesterol, total triglycerides, and HDL composition.
- Alcohol-induced metabolic changes were consistent between men with lower and higher CHD risk profiles.
- The postprandial response to alcohol did not significantly differ after abstinence compared to after a 4-week moderate consumption period.
Conclusions:
- Men with varying coronary heart disease (CHD) risk profiles, but without pre-existing disease, exhibit similar postprandial lipid responses to moderate alcohol intake.
- These findings suggest that the immediate metabolic effects of moderate alcohol on lipids are not significantly modulated by baseline CHD risk factors in healthy individuals.
Background:
Moderate alcohol consumption is associated with a reduced coronary heart disease (CHD) risk. Epidemiologic studies have provided conflicting data which suggests that CHD protection may be modulated or may not be modulated by a person's CHD risk profile.
Methods:
We examined the effects of moderate alcohol consumption (35 g/day) on postprandial lipoprotein metabolism in two groups of healthy middle-aged men who had different plasma total cholesterol, triglyceride concentrations, and body mass index (BMI), which are three major risk factors for CHD; 11 men had lower plasma lipids and BMI (L-men) and 11 men had higher plasma lipids and BMI (H-men). The effects of alcohol on postprandial lipoprotein metabolism were studied in a crossover design after an acute moderate alcohol intake both after a period of abstinence (alcohol-free beer) and after a period of moderate alcohol consumption (alcohol containing beer).
Results:
Moderate alcohol consumption changed plasma total cholesterol, total triglycerides, and HDL composition in the postprandial period. Alcohol-induced changes were essentially the same over time in both L-men and H-men. However, changes occurred at a different overall plasma concentration for total cholesterol and total triglycerides. Also, the postprandial response to an acute moderate alcohol dose after a period of abstinence seemed not to essentially differ from the response to an acute moderate alcohol dose after a 4-week period of moderate alcohol consumption.
Conclusions:
These results suggest that men who differ in risk for CHD, based on plasma lipids and BMI, but without previous or underlying disease, have a similar postprandial lipid response to a moderate dose of alcohol.
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