Alcohol consumption can induce the development of nutritional disorders as alcohol ingestion often replaces food intake [ ]. The long-term intake of alcohol decreases the amount of food consumed when food is freely available [ ], and the degree of malnutrition may be related to the irregularity of feeding habits and intensity of alcohol intake [ ]. The repercussions of alcohol abuse over time can involve damage to most of the major organs and systems in the body [ ]. However, despite the overwhelming evidence linking alcohol to ill health the role if any alcohol plays in the development of disease remains uncertain.The hypothalamic-pituitary-adrenal HPA axis is responsible for the synthesis and release of steroid hormones, the most abundant being dehydroepiandrosterone DHEA , DHEA sulfate DHEAS , cortisol, and aldosterone [e.g. ]. The release of either corticotropin-releasing factor or arguinine vasopressin by the hypothalamus stimulates the anterior pituitary to release adrenocorticotropin ACTH , which promotes the synthesis and release of steroid hormones that have glucocorticoid i.e. cortisol , mineralocorticoid i.e. aldosterone , and androgenic i.e. DHEA, DHEAS functions [ ].Steroid hormones have a diverse and highly important role in the body and any dysregulation in steroid activity can lead to the development of disease. The adrenocortical system is markedly altered by food availability and an elevation in cortisol is commonly observed under fasting conditions [ -]. Cortisol plays a major role in the regulation of carbohydrate, protein, and lipid metabolism [ , ] and during prolonged fasting by stimulating gluconeogenesis acts to protect the body from cellular damage until food once again becomes available [ , , -].© 2012 Kokavec; licensee InTech. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.It is well accepted that alcohol consumption can significantly reduce DHEAS [ , ] and aldosterone [ , ]. However, the literature is highly contradictory with respect to the effect of oral alcohol intake on cortisol. Investigations have shown that blood alcohol concentrations exceeding g/L can elevate plasma cortisol [ ]. Moreover, it has also been reported that low to moderate alcohol intake has little [ ], if any effect on [ -] or may even significantly reduce [ ], cortisol concentration. Furthermore, early work showed that while alcohol consumption may promote a significant decrease in cortisol initially this is later followed by a significant elevation in plasma cortisol concentration [ ].In the past it has been proposed that the discrepancy in cortisol, noted in the alcohol literature, could be due to differences in stress levels associated with the testing procedure [ ].Cortisol is rapidly released in response to stress and the stress associated with blood sampling alone can falsely incr...