We may all be drinking more coffee to help us survive the COVID-19 lockdown. Scientists announce the healthiest way to make a brew.
The first study to examine
links between coffee brewing methods and risks of heart attacks and death has
concluded that filtered brew is safest. The research is published in the European
Journal of Preventive Cardiology, a journal of the European Society
of Cardiology (ESC).
“Our study provides strong
and convincing evidence of a link between coffee brewing methods, heart attacks
and longevity,” said study author Professor Dag S. Thelle of the University of
Gothenburg, Sweden. “Unfiltered coffee contains substances which increase blood
cholesterol. Using a filter removes these and makes heart attacks and premature
death less likely.”
Coffee is one of the most
popular beverages worldwide and the most frequently used stimulant. Some 30
years ago Professor Thelle discovered that drinking coffee was linked with
raised total cholesterol and the “bad” LDL cholesterol — to such an extent that
it was likely to have detrimental consequences for heart health. Experiments
identified the culprit substances in coffee and found that they could be
removed using a filter. A cup of unfiltered coffee contains about 30 times the
concentration of the lipid-raising substances compared to filtered coffee.
He said: “We wondered whether
this effect on cholesterol would result in more heart attacks and death from
heart disease. But it was unethical to do a trial randomising people to drink
coffee or not. So we set up a large population study and several decades later
we are reporting the results.”
Between 1985 and 2003, the
study enrolled a representative sample of the Norwegian population: 508,747
healthy men and women aged 20 to 79. Participants completed a questionnaire on
the amount and type of coffee consumed. Data was also collected on variables
that could influence both coffee consumption and heart diseases, so that these
could be accounted for in the analysis. For example, smoking, education,
physical activity, height, weight, blood pressure, and cholesterol.
Participants were followed
for an average of 20 years. A total of 46,341 participants died. Of those,
12,621 deaths were due to cardiovascular disease. Of the cardiovascular deaths,
6,202 were caused by a heart attack.
Overall, coffee drinking was
not a dangerous habit. In fact, drinking filtered coffee was safer than no
coffee at all. Compared to no coffee, filtered brew was linked with a 15%
reduced risk of death from any cause during follow up. For death from
cardiovascular disease, filtered brew was associated with a 12% decreased risk
of death in men and a 20% lowered risk of death in women compared to no coffee.
The lowest mortality was among consumers of 1 to 4 cups of filtered coffee per
day.
Professor Thelle said: “The
finding that those drinking the filtered beverage did a little better than
those not drinking coffee at all could not be explained by any other variable
such as age, gender, or lifestyle habits. So we think this observation is
true.”
Filtered brew was also less
risky than the unfiltered beverage for death from any cause, death due to
cardiovascular disease, and deaths from heart attacks. “Our analysis shows that
this was partly because of the cholesterol-increasing effect of unfiltered
coffee,” said Professor Thelle.
Professor Thelle noted that
unfiltered coffee did not raise the risk of death compared to abstaining from
coffee — except in men aged 60 and above, where unfiltered brew was linked with
elevated cardiovascular mortality.
He said: “We only had one
measurement of coffee consumption, but we know that brewing habits were
changing in Norway during the follow-up period. We believe that some women and
younger men drinking unfiltered coffee switched to filtered, thereby reducing
the strength of the association with cardiovascular mortality, whereas older
men were less inclined to change their habits.”
Professor Thelle emphasised
that these are observational data, but that if public health authorities asked
for his advice it would be: “For people who know they have high cholesterol
levels and want to do something about it, stay away from unfiltered brew,
including coffee made with a cafetière. For everyone else, drink your coffee
with a clear conscience and go for filtered.”
Journal article: https://journals.sagepub.com/doi/10.1177/2047487320914443
Source: How
to make the healthiest coffee – Scents of Science (myfusimotors.com)
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