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Abstention from filtered coffee reduces the concentrations of plasma homocysteine and serum cholesterol--a randomized
B Christensen1, A Mosdol, L Retterstol
1Department of Medical Genetics, Ullevål University Hospital, Oslo, Norway. christensen@ioks.uio.no
Insights
Quitting filtered coffee consumption, even in moderate amounts, can lower plasma total homocysteine (tHcy) and serum total cholesterol levels. This reduction is significant for individuals at risk of ischemic heart disease (IHD).
Area of Science:
- Cardiovascular Health
- Nutritional Science
- Biochemistry
Background:
- Elevated plasma total homocysteine (tHcy) and serum total cholesterol are established risk factors for ischemic heart disease (IHD).
- Previous research indicated that high intake of unfiltered coffee may increase tHcy and total cholesterol levels.
Purpose of the Study:
- To investigate the impact of coffee consumption, using common doses and brewing methods in southeastern Norway, on tHcy and total cholesterol concentrations.
- To assess the effects of abstaining from coffee versus moderate and high consumption.
Main Methods:
- A 6-week, unblinded, controlled intervention trial involving 191 healthy, non-smoking coffee drinkers.
- Participants were randomized into three groups: no coffee, 1-3 cups/day, or >=4 cups/day, consuming coffee as usual.
- Blood samples were collected at baseline, 3 weeks, and 6 weeks; dietary data were gathered via questionnaire.
Main Results:
- Abstaining from coffee for 6 weeks led to a significant decrease in tHcy (1.08 micromol/L) and total cholesterol (0.28 mmol/L) in regular filtered coffee drinkers.
- These results remained consistent after adjusting for potential confounding factors.
- The majority (97%) of participants regularly consumed caffeinated filtered coffee.
Conclusions:
- Abstaining from commonly consumed filtered coffee is associated with reduced levels of tHcy and total cholesterol.
- This finding suggests a potential dietary intervention strategy for managing cardiovascular risk factors.
Background:
Elevated concentrations of plasma total homocysteine (tHcy) and serum total cholesterol are risk factors for ischemic heart disease (IHD). Previous studies showed that the consumption of very high doses of unfiltered coffee increases tHcy and total cholesterol.
Objective:
A prospective intervention study was performed to assess the effects of coffee consumption on the concentrations of tHcy and total cholesterol by using doses and brewing methods common in southeastern Norway.
Design:
The study was an unblinded, controlled trial with 191 healthy, nonsmoking, coffee-drinking volunteers aged 24-69 y randomly assigned to 3 groups who were asked to consume for 6 consecutive weeks no coffee, 1-3 cups (approximately 175-525 mL)/d, or > or =4 cups (approximately 700 mL)/d prepared in the manner to which they were accustomed. Blood samples were drawn when the subjects were randomly assigned and at 3 and 6 wk of the trial. Dietary data were collected by questionnaire.
Results:
Ninety-seven percent of the participants reported being regular consumers of caffeinated filtered coffee. Abstention from coffee for 6 wk was associated with a decrease in the tHcy concentration of 1.08 micromol/L and a decrease in the total cholesterol concentration of 0.28 mmol/L in participants who had been drinking on average 4 cups of filtered coffee daily for the past year. Adjustments for several possible confounders did not alter the results.
Conclusion:
Abstention from filtered coffee in doses that are commonly consumed was associated with lower concentrations of tHcy and total cholesterol.
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