Alcohol Drinking Impacts on Adiposity and Steatotic Liver Disease: Concurrent Effects on Metabolic Pathways and Cardiovascular Risks.

IF 9.5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Current Obesity Reports Pub Date : 2024-09-01 Epub Date: 2024-03-23 DOI:10.1007/s13679-024-00560-5
Diego Martínez-Urbistondo, Nuria Perez-Diaz-Del-Campo, Manuel F Landecho, J Alfredo Martínez
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Abstract

Purpose of review: This integrative search aimed to provide a scoping overview of the relationships between the benefits and harms of alcohol drinking with cardiovascular events as associated to body fat mass and fatty liver diseases, as well as offering critical insights for precision nutrition research and personalized medicine implementation concerning cardiovascular risk management associated to ethanol consumption.

Recent findings: Frequent alcohol intake could contribute to a sustained rise in adiposity over time. Body fat distribution patterns (abdominal/gluteus-femoral) and intrahepatic accumulation of lipids have been linked to adverse cardiovascular clinical outcomes depending on ethanol intake. Therefore, there is a need to understand the complex interplay between alcohol consumption, adipose store distribution, metabolic dysfunction-associated steatotic liver disease (MASLD), and cardiovascular events in adult individuals. The current narrative review deals with underconsidered and apparently conflicting benefits concerning the amount of alcohol intake, ranging from abstention to moderation, and highlights the requirements for additional robust methodological studies and trials to interpret undertrained and existing controversies. The conclusion of this review emphasizes the need of newer multifaceted clinical approaches for precision medicine implementation, considering epidemiological strategies and pathophysiological mechanistic. Newer investigations and trials should be derived and performed particularly focusing both on alcohol's objective consequences as putatively mediated by fat deposition, including associated roles in fatty liver disease as well as to differentiate the impact of different levels of alcohol consumption (absence or moderation) concerning cardiovascular risks and accompanying clinical manifestations. Indeed, the threshold for the safe consumption of alcoholic drinks remains to be fully elucidated.

Abstract Image

饮酒对肥胖和脂肪肝的影响:对代谢途径和心血管风险的并发影响。
综述目的:本综述旨在概述饮酒与心血管事件之间的利弊关系,以及与体脂量和脂肪肝疾病之间的关系,并为与乙醇消费相关的心血管风险管理方面的精准营养研究和个性化医疗实施提供重要见解:最近的研究结果:经常饮酒可能会导致脂肪含量长期持续上升。身体脂肪分布模式(腹部/臀部-股部)和肝内脂类堆积与不良心血管临床结果有关,这取决于乙醇摄入量。因此,有必要了解成年个体的酒精摄入量、脂肪储存分布、代谢功能障碍相关性脂肪性肝病(MASLD)和心血管事件之间复杂的相互作用。本综述涉及酒精摄入量(从戒酒到适量饮酒)方面未得到充分考虑且明显相互矛盾的益处,并强调需要进行更多强有力的方法学研究和试验,以解释未得到充分训练和存在争议的问题。本综述的结论强调,考虑到流行病学策略和病理生理学机制,需要更新的多方面临床方法来实施精准医学。新的调查和试验应特别关注酒精的客观后果,因为它可能是由脂肪沉积介导的,包括在脂肪肝中的相关作用,以及区分不同程度的饮酒(不饮酒或适量饮酒)对心血管风险和伴随临床表现的影响。事实上,安全饮用酒精饮料的阈值仍有待充分阐明。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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