An article was recently published in Nutrition Reviews titled, “Effect and mechanism of action of vinegar on glucose metabolism, lipid profile and body weight” (Nutr Rev. 2014 Oct;72(10):651-61). The abstract was published on the website of the National Center for Biotechnology Information, U.S. National Laboratory of Medicine, National Institutes of Health. See abstract below.
The aim of this review is to summarize the effects of vinegar on glucose and lipid metabolism. Several studies have demonstrated that vinegar can help reduce hyperglycemia, hyperinsulinemia, hyperlipidemia, and obesity. Other studies, however, have shown no beneficial effect on metabolism. Several mechanisms have been proposed to explain these metabolic effects, including delayed gastric emptying and enteral absorption, suppression of hepatic glucose production, increased glucose utilization, upregulation of flow-mediated vasodilation, facilitation of insulin secretion, reduction in lipogenesis, increase in lipolysis, stimulation of fecal bile acid excretion, increased satiety, and enhanced energy expenditure. Although some evidence supports the use of vinegar as a complementary treatment in patients with glucose and lipid abnormalities, further large-scale long-term trials with impeccable methodology are warranted before definitive health claims can be made.
The abstract can also be viewed here.