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Moderate alcohol consumption reduces plasma C-reactive protein and fibrinogen levels; a randomized, diet-controlled intervention study
Abstract
Objective To evaluate the effect of moderate alcohol consumption on the acute phase proteins C-reactive protein and fibrinogen.Design Randomized, diet-controlled, cross-over study.Setting The study was performed at TNO Nutrition and Food Research, Zeist, The Netherlands.Subjects Ten middle-aged men and 10 postmenopausal women, all apparently healthy, non-smoking and moderate alcohol drinkers, were included. One women dropped out because of a treatment-unrelated cause. The remaining 19 subjects finished the experiment successfully.Interventions Men consumed four glasses and women consumed three glasses of beer or no-alcohol beer (control) with evening dinner during two successive periods of 3 weeks. The total diet was supplied to the subjects and had essentially the same composition during these 6 weeks. Before each treatment there was a 1 week washout period to compensate for possible carry-over effects.Results Plasma C-reactive protein and fibrinogen levels were decreased by 35% (P=0.02) and 12.4% (P< or =0.001), respectively, after 3 weeks' consumption of beer, as compared to no-alcohol beer consumption.Conclusions Moderate alcohol consumption significantly decreased plasma C-reactive protein and fibrinogen levels. An anti-inflammatory action of alcohol may help explain the link between moderate alcohol consumption and lower cardiovascular disease risk.Sponsorship Dutch Foundation for Alcohol Research (SAR).
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“The health benefits of long-term regular exercise are ascribed to the anti-inflammatory response elicited by an acute bout of exercise, which is partly mediated by muscle-derived IL-6.”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [207]
In the citing paper
“(1) Contracting skeletal muscle is a major source of circulating IL-6 in response to acute exercise.”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [207]
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Mocan, T., Agoşton-Coldea, L., Rusu, L., Pais, R., Gatfossé, M., Mocan, L. C., & Rusu, M. L. (2008) · PubMed · Cited by 5
Kwon, A. J., Morales, L., Chatagnier, L., Quigley, J. A., Pascua, J., Pinkowski, N. J., Brasser, S. M., & Hong, M. Y. (2024) · Alcohol · doi:10.1016/j.alcohol.2024.03.010 · Cited by 6
Effects of Ethanol Intake on High Density Lipoprotein Metabolism in Humans
Brinton, E. A., & Nanjee, M. N. (2010) · Springer eBooks · doi:10.1007/978-1-4419-1059-2_16 · Cited by 5
Gan, S., Zhou, X., Yan, J., Liu, X., Yi, J., Zhou, X., Liu, D., Xie, Q., Geng, J., & Lu, Y. (2018) · Ophthalmic Epidemiology · doi:10.1080/09286586.2018.1476557 · Cited by 5
Associations of alcohol drinking with incident dementia: a prospective study from the UK Biobank
Chen, Y., Yin, X., Wang, X., Zheng, X., Yang, X., Zhou, J., Shi, M., & Zhang, Y. (2025) · European Journal of Epidemiology · doi:10.1007/s10654-025-01304-y · Cited by 4
“…can reduce cardiovascular risk through multiple mechanisms, including the elevation of high-density lipoprotein cholesterol levels [43], the reduction of metabolic syndrome risk [44], the decrease in fibrinogen and other thrombogenic factors [45], and the lowering of inflammatory markers [46].”
Benefits and hazards of alcohol-the J-shaped curve and public health
Skovenborg, E., Grønbæk, M., & Ellison, R. C. (2020) · Drugs and Alcohol Today · doi:10.1108/dat-09-2020-0059 · Cited by 4
Effect of Pintes white wine on metabolic parameters in patients with metabolic syndrome
Ábel, T., Blázovics, A., Wimmer, A., Bekő, G., Gaál, B., Blazics, B., El‐Din, M. G., Fehér, J., & Lengyel, G. (2012) · Orvosi Hetilap · doi:10.1556/oh.2012.29389 · Cited by 4
Fibrinogen α-Chain as a Serum Marker of Liver Disease
Marfà, S., & Jiménez, W. (2017) · Biomarkers in disease · doi:10.1007/978-94-007-7675-3_7 · Cited by 4
“It is also well known that there is a lower concentration of serum fibrinogen levels in patients with moderate alcohol consumption (Sierksma et al. 2002).”
BackgroundAssociation between alcohol use and frailty among elder adults in three Chinese cities
Nie, X., Williams, G., Verma, A., Zhu, Y., Fu, H., Jia, Y., Dai, J., & Gao, J. (2023) · Journal of Public Health · doi:10.1093/pubmed/fdad200 · Cited by 3
Beer-gut microbiome alliance: a discussion of beer-mediated immunomodulation via the gut microbiome
Zhang, S., Jin, S., Zhang, C., Hu, S., & Li, H. (2023) · Frontiers in Nutrition · doi:10.3389/fnut.2023.1186927 · Cited by 4
Does habitual moderate alcohol consumption enhance working memory performance?
Cansino, S., Torres-Trejo, F., Estrada-Manilla, C., & Ruiz‐Velasco, S. (2023) · Current Psychology · doi:10.1007/s12144-023-05459-3 · Cited by 4
“In a randomized study (Sierksma et al., 2002 ) in which a diet regimen was assigned to the participants—men consumed four glasses of beer and women consumed three glasses of beer at dinner for three weeks—the results revealed that plasma C-reactive protein and fibrinogen levels reveals that for…”
Alcohol, Inflammation, and Coronary Heart Disease
Imhof, A., & Köenig, W. (2003) · CRC Press eBooks · doi:10.1201/9780203507636.ch7 · Cited by 3
Ou, S. J. L., Yusri, H., Yang, D., Khoo, C. M., & Liu, M. H. (2024) · Food Science & Nutrition · doi:10.1002/fsn3.4627 · Cited by 2
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Shivappa, N. (2014) · Scholar Commons (University of South Carolina) · Cited by 2
Yudkin, B. (2006) · Routledge eBooks · doi:10.4324/9780203464137-11 · Cited by 2
Therapy and clinical trials: Clinical therapy and trials
Chudleigh, R. A., & Platts, J. K. (2004) · Current Opinion in Lipidology · doi:10.1097/00041433-200412000-00014 · Cited by 2
Forum ekspertów The role of C-reactive protein as a cardiovascular risk predictor
Boguslawski, G., & Labarrere, C. A. (2006) · Cited by 2
Jang, S. Y. (2009) · Rutgers University Community Repository (Rutgers University) · doi:10.7282/t3n016s5 · Cited by 2
“Furthermore, moderate alcohol intake may have anti-inflammatory effect (82), which could reduce the risk of T2D.”
A systems engineering approach to coronary heart disease
Mathews, M. J. (2015) · Cited by 2
Teixeira, P. S. D. C. E. A., Leão, T. I. C., Severo, M., Ramos, E., & Fraga, S. J. D. S. (2024) · Stress and Health · doi:10.1002/smi.3418 · Cited by 1
Alcohol Consumption Patterns and Traditional Beverages Associated with Hypertension Subtypes
Zuzunaga-Montoya, F. E., Ballena-Caicedo, J., Rivera-Lozada, O., Valladares-Garrido, M. J., Zila-Velasque, J. P., & Vera-Ponce, V. J. (2026) · Medical Sciences · doi:10.3390/medsci14010060 · Cited by 1
“According to a study by Sierksma et al., beer contains significant amounts of polyphenols and other bioactive compounds that could influence blood pressure [28].”
Tzoulaki, I. (2007) · Cited by 1
Zheng, J.-S., Yu, Y., Yang, J., Xu, X.-J., Hu, X.-J., Luo, M., & Li, D. (2013) · Acta Physiologica Hungarica · doi:10.1556/aphysiol.100.2013.3.6 · Cited by 1
The healthy alcohol intake for the Japanese population is less than that for Caucasians
Mitsui, T., Kasezawa, N., & Goda, T. (2007) · Nutrition Research · doi:10.1016/j.nutres.2007.06.009 · Cited by 1
“A moderate amount of alcohol for women is generally considered to be slightly less than that for men [18,19].”
BackgroundResultInfluentialAlcohol consumption and Types of Cancer: A Review
Afshar, M., Otroshi, O., Elahian, E., Papi, S., Aalipour, R., Pourebrahimi, M., Moghaddam, L. F., Morandini, M. K., & Saehiniya, H. (2019) · Journal of Contemporary Medical Sciences · doi:10.22317/jcms.v5i5.591 · Cited by 1
Metadata
- Authors
- Sierksma, A., van der Gaag, M., Kluft, C., & Hendriks, H.
- Affiliations
- Netherlands Organisation for Applied Scientific Research (NL)
- Corresponding author
- Hendriks, HFJ
- ORCID
- Venue
- European Journal of Clinical Nutrition
- Published
- 2002-11-01
- Volume
- 56
- Issue
- 11
- Pages
- 1130-1136
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2076812730
- Cited by
- 231
- References
- 33
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 4 · 2023: 9 · 2022: 7 · 2021: 8 · 2020: 13 · 2019: 10 · 2018: 6 · 2017: 7 · 2016: 4 · 2015: 6 · 2014: 6 · 2013: 6 · 2012: 16
- FWCI
- 10.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- TNO Repository (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Hematology › Blood properties and coagulation
- Keywords
- moderate drinking, beer, C-reactive protein, fibrinogen, acute phase proteins, cardiovascular risk, postmenopausal women, middle-aged men, controlled diet
- MeSH terms
- Alcohol Drinking, Beer, C-Reactive Protein, Cardiovascular Diseases, Diet, Female, Fibrinogen, Humans, Cholesterol, HDL, Liver, Male, Middle Aged, Triglycerides, Postmenopause, Cross-Over Studies
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