2007
D. Lairon, J. Lopez-Miranda and C. Williams. European Journal of Clinical Nutrition 2007;61:1145-1161
Postprandial lipid metabolism in humans has deserved much attention during the two last decades. Although fasting lipid and lipoprotein parameters somewhat reflect body homeostasis to some extent, the transient lipid and lipoprotein accumulation that occurs in the circulation after a fat-containing meal highlights the individual capacity to handle an acute fat input. An exacerbated postprandial accumulation of triglyceride-rich lipoproteins in the circulation has been associated with an increased cardiovascular risk. The important number of studies published in this field raises the question of the methodology used for such postprandial studies, as reviewed. Based on our experiences, the present review reports and discusses the numerous methodological issues involved to serve as a basis for further works. These aspects include aims of the postprandial tests, size and nutrient composition of the test meals and background diets, pre-test conditions, characteristics of subjects involved, timing of sampling, suitable markers of postprandial lipid metabolism and calculations. Finally, the authors stress the need for standardization of postprandial tests.
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