Nonetherized Fatty Acids of Plasma

Overview and Clinical Significance

Non-esterified fatty acids (NEFAs), also known as free fatty acids, are key components of lipid metabolism, playing a crucial role in energy balance, metabolic health, and cardiovascular function. They are released from triglycerides during lipolysis and transported in the bloodstream bound to albumin.

Clinical Significance

  • Energy Metabolism & Lipid Utilization: NEFAs serve as fuel sources, particularly during fasting, exercise, and metabolic stress.
  • Insulin Resistance & Diabetes: Elevated NEFA levels are linked to insulin resistance, type 2 diabetes, and metabolic syndrome.
  • Cardiovascular Health & Atherosclerosis: High NEFA concentrations contribute to vascular inflammation, endothelial dysfunction, and lipid imbalance.
  • Obesity & Adipose Tissue Dysfunction: NEFAs play a role in fat mobilization, influencing weight regulation and metabolic flexibility.
  • Diagnostic & Therapeutic Applications: NEFA testing helps assess metabolic disorders, cardiovascular risk, and lipid homeostasis.

Non-esterified fatty acids are critical regulators of metabolic health, influencing energy balance, insulin sensitivity, and cardiovascular function.

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Decreasing -

Elevated Free Fatty Acids and Associated Conditions

  • Increased Lipolysis – Seen in fasting, stress, and metabolic syndrome, common in type 2 diabetes and obesity.
  • Acute Systemic Stress or Infection – Severe infections, sepsis, and some autoimmune reactions trigger elevated NEFAs as the body mobilizes energy stores.
  • Insulin Resistance – Elevated NEFA levels are often intertwined with disturbances in insulin sensitivity.

Low NEFA Levels and Associated Conditions

  • Anabolic or Fed States – Low NEFA levels occur soon after meals or in conditions where fat mobilization is suppressed.
  • Rare Adipose or Mitochondrial Disorders – Abnormalities in fat mobilization might present with atypically low NEFA levels.

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Free Fatty Acid Levels Across Life Stages

  • Neonates – May experience transient elevations during perinatal stress, with adjustments as metabolic systems mature.
  • Adults/ElderlyAltered endocrine responses, reduced insulin sensitivity, and chronic inflammation can elevate NEFAs in these groups.

All Markers