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The Effect of Alcohol on Postprandial and Fasting Triglycerides
Author(s) -
A. van de Wiel
Publication year - 2011
Publication title -
international journal of vascular medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.411
H-Index - 27
eISSN - 2090-2832
pISSN - 2090-2824
DOI - 10.1155/2012/862504
Subject(s) - postprandial , chylomicron , hypertriglyceridemia , very low density lipoprotein , medicine , alcohol , endocrinology , lipoprotein lipase , obesity , triglyceride , alcohol consumption , pancreatitis , meal , diabetes mellitus , lipoprotein , adipose tissue , biochemistry , cholesterol , chemistry
Alcohol has a significant additive effect on the postprandial triglyceride peak when it accompanies a meal containing fat, especially saturated fat. This results from a decrease in the breakdown of chylomicrons and VLDL remnants due to an acute inhibitory effect of alcohol on lipoprotein lipase activity. Furthermore, alcohol increases the synthesis of large VLDL particles in the liver, which is the main source of triglycerides in the hypertriglyceridemia associated with chronic excessive alcohol intake. In case of chronic consumption, lipoprotein lipase activity seems to adapt itself. The effect of alcohol on adipose tissues is less clear. Sometimes, a severe hypertriglyceridemia induced by alcohol (SHIBA) can be observed, especially in patients with type 2 diabetes mellitus and/or obesity increasing the risk of pancreatitis.

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