Review Article

Dietary Strategies and Novel Pharmaceutical Approaches Targeting Serum ApoA-I Metabolism: A Systematic Overview

Table 1

Effect of alcohol consumption on apoA-I concentrations, HDL functionality, and apoA-I kinetics.

First author, yearFood component/productStudy design and durationParticipantsIntakeEffects

Brien et al. (2011) [33]AlcoholMeta-analysis of
16 studies till 2009
(i) RCT with 2 arms
(ii) before versus after
>1 week
374 subjectsWomen > 15 g/day
Men > 30 g/day
(i) 10.1 mg/dL (95% CI 7.3–12.9) in fasting plasma apoA-I concentrations

Lavy et al. (1994) [37]Red versus white wineRCT parallel
2 weeks
20 healthy men44 g alcohol/day(i) 12.0% in fasting plasma apoA-I concentrations comparing red wine with white wine

van der Gaag et al. (1999) [35]Red wine versus beer versus Dutch gin versus waterRCT crossover
3 weeks
11 healthy men40 g alcohol/day from red wine, beer, or Dutch gin(i) 8.2% in fasting serum apoA-I concentrations comparing alcohol with
(ii) 9.2% in postprandial serum apoA-I concentrations comparing alcohol with
(iii) No differences between the different beverages

van der Gaag et al. (2001) [36]Red wine versus beer versus Dutch gin versus waterRCT crossover
3 weeks
11 healthy men40 g alcohol/day from red wine, beer, or Dutch gin(i) 10% in fasting plasma apoA-I concentrations comparing alcohol with
(ii) 6.2% in cholesterol efflux comparing alcohol with
(iii) No differences between the different beverages

Beulens et al. (2004) [39]Whisky versus waterRCT crossover
17 days
23 healthy men40 g alcohol/day(i) 6.2% in fasting plasma apoA-I concentrations
(ii) 17.5% in cholesterol efflux

Kralova Lesna et al. (2009) [40]Beer versus nonalcoholic beverageRCT crossover
4 weeks
13 healthy men36 g alcohol/day(i) 7.5% in fasting plasma apoA-I
(ii) 8.0% in fasting cholesterol

Gepner et al. (2015) [38]Red versus white wine versus waterRCT parallel
2 years
195 patients with diabetes mellitus type 217 g alcohol/day(i) 2.3% in fasting plasma apoA-I concentrations comparing red wine with
(ii) No difference between white wine and water or red wine

Chiva-Blanch et al. (2013) [34]Red wine versus dealcoholized red wine versus ginRCT crossover
4 weeks
67 men at high CVD risk30 g alcohol/day(i) 12.5% and 12.6% in fasting plasma apoA-I concentrations comparing dealcoholized red wine with red wine and gin,

Gottrand et al. (1999) [41]Red wine versus nonalcoholic beverageRCT
4 weeks
5 healthy men50 g alcohol/day(i) 20% in plasma apoA-I pool
(ii) 10% in PR
(iii) 6% in FCR

Percentages calculated from the mean values; PR: production rate; FCR: fractional catabolic rate.