Can people with hyperlipidemia drink alcohol?

Written by Luo Juan
Endocrinology
Updated on January 18, 2025
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If hyperlipidemia can exclude some secondary causes or diseases, moderate alcohol consumption is permissible, because alcohol can increase the level of high-density lipoprotein (HDL) in the plasma. However, research has confirmed that long-term excessive drinking can inhibit the oxidation of fatty acids in the liver and increase the synthesis of fatty acids, leading to excessive production of triglycerides and raising the level of triglycerides in the plasma. Therefore, it is recommended that alcohol intake be generally less than 30 grams per day, and for spirits, not exceed 50 grams per day. Moderate drinking is acceptable, but of course, this excludes cases where alcohol consumption is not permissible, such as in patients with liver or kidney failure or acute complications of diabetes. If the overall physical function is stable and it is merely a case of hyperlipidemia, moderate alcohol intake is permissible.

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Written by Zhang Yue Mei
Cardiology
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What should be paid attention to for hyperlipidemia?

What should be noted for hyperlipidemia? First, maintain regular life habits, avoid staying up late, smoking, excessive drinking, and overeating. Try to avoid consuming animal offal, fatty meats, fried foods, and foods high in cholesterol. Opt for easily digestible and high dietary fiber foods, and consume more vegetables and fruits to help lower blood lipids. Additionally, under the guidance of a doctor, medication that regulates blood lipids should be used. Common medications include rosuvastatin, atorvastatin, fenofibrate, and Xuezhikang, which should be routinely used to maintain blood lipids within a normal range.

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Written by Zhang Yue Mei
Cardiology
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How is hyperlipidemia formed?

The formation of hyperlipidemia is a very complex physiological process, simply related to the dysregulation of lipid metabolism. Disorders in lipid metabolism are related to some diseases, common ones include diabetes, nephrotic syndrome, liver damage, and gallbladder disease. These diseases can cause increased blood lipids. It is also directly related to an unreasonable dietary structure. Consuming foods that are high in calories and cholesterol, which exceed the body's needs, can lead to increased blood lipids. Examples include animal organs and some high-cholesterol seafood, excessive intake of which can lead to hyperlipidemia.

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Written by Li Hui Zhi
Endocrinology
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What are the dangers of hyperlipidemia?

If hyperlipidemia is present, it primarily refers to elevated levels of cholesterol, triglycerides, and low-density lipoprotein, though some patients may also have reduced high-density lipoprotein. The main risk of hyperlipidemia is the arterial sclerosis it can cause in blood vessels, which in severe cases can lead to plaque formation. Prolonged arterial sclerosis can cause acute cerebrovascular accidents, cerebral infarction, cerebral hemorrhage, or coronary artery disease of the heart, with severe cases leading to myocardial infarction. Significantly elevated triglycerides may also trigger acute pancreatitis. Therefore, it is essential to control lipid levels and maintain a light diet in cases of hyperlipidemia.

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Written by Li Hui Zhi
Endocrinology
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Foods to avoid for high blood lipids

Foods that should be avoided for high blood lipid mainly include greasy foods. First, foods like braised pork and deep-fried dishes should be avoided. Second, it is best not to consume animal fats, and instead, opt for vegetable oils that contain unsaturated fatty acids. Third, animal organs are not recommended. The overall diet should be light, with an emphasis on eating more vegetables and fruits, which are more suitable.

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Written by Zhang Yue Mei
Cardiology
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Early clinical symptoms of hyperlipidemia

Hyperlipidemia early on does not show specific clinical symptoms and is typically indicated by increased blood lipid levels during physical examinations. If it is not taken seriously and left untreated, long-term hyperlipidemia can lead to noticeable clinical symptoms. Mild cases may experience fatigue and weakness. Prolonged elevated blood lipid levels can cause the blood to become viscous and flow slowly, affecting the supply of blood to the heart, leading to palpitations and shortness of breath that worsen with activity. It can also affect blood supply to the brain, causing irritability, restless sleep, frequent nightmares, and even sleepiness. Therefore, it is crucial to treat hyperlipidemia actively upon diagnosis to prevent it from impacting the blood supply to vital organs.