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Is Cold Brew Coffee Unhealthy? An Expert's Perspective

7 min read

According to a study published in the journal Critical Reviews in Food Science and Nutrition, caffeine intake may promote weight and fat reduction, a benefit found in cold brew. However, many still question the overall health impact of this popular beverage. While often marketed as a healthier alternative, is cold brew coffee unhealthy?

Quick Summary

This article explores the health aspects of cold brew coffee, examining its caffeine concentration, antioxidant content, acidity, and potential impact on gut health. It also addresses the risks associated with improper preparation and excessive consumption, helping readers make informed choices.

Key Points

  • Less Acidic: Cold brew's lower acidity makes it gentler on the stomach for people with acid reflux or sensitive digestion.

  • Higher Caffeine: Concentrated cold brew can contain significantly more caffeine than regular coffee, which can be an issue for those sensitive to stimulants.

  • Risk of Contamination: Improper preparation and storage can lead to microbial growth, so sanitation is critical, especially for homemade batches.

  • Watch the Additives: The healthfulness of cold brew plummets when loaded with sugary syrups and creamers, which add unnecessary calories and sugars.

  • Antioxidant Benefits: Cold brew provides a healthy dose of antioxidants that can protect against various chronic diseases, similar to hot coffee.

  • Proper Filtering: Using a fine paper filter can help remove diterpenes, compounds that may raise cholesterol in some individuals.

  • Moderation is Key: As with any caffeinated beverage, responsible consumption and attention to your body's signals are essential.

In This Article

The Health Profile of Cold Brew: What the Science Says

Cold brew coffee has surged in popularity, celebrated for its smooth taste and low-acidity profile. But is this trendy beverage truly healthier than its hot-brewed counterpart? The healthfulness of cold brew depends on several factors, including its preparation, serving style, and the individual's sensitivity to caffeine and acid. While it offers some distinct advantages, particularly for those with sensitive stomachs, there are also potential drawbacks to consider.

Low Acidity: A Win for Digestive Health

One of the most frequently cited benefits of cold brew is its lower acidity. The cold-water brewing process, which can take 12 to 24 hours, extracts fewer of the acidic compounds and oils that give hot coffee its characteristic bitterness and bite. This makes cold brew a gentler option for individuals who experience indigestion, acid reflux, or other stomach discomfort when drinking hot coffee. The result is a smoother flavor that requires less added sugar or cream to mask the bitterness, naturally reducing overall calorie and sugar intake. A study published in the Journal of Agricultural and Food Chemistry in 2018 highlighted that this gentle extraction process leaves behind certain compounds that can irritate the stomach lining.

Caffeine Content: A Double-Edged Sword

Cold brew is often made as a concentrate, using a higher ratio of coffee grounds to water over an extended period. While diluting it brings the caffeine content closer to regular coffee, some commercial and undiluted versions can contain significantly more caffeine per ounce. For individuals sensitive to caffeine, this can lead to jitteriness, anxiety, or disturbed sleep patterns if consumed late in the day. However, for others, the higher caffeine dose may offer enhanced cognitive function, increased focus, and a significant energy boost. Moderation and awareness of personal tolerance levels are key.

Antioxidants: Protecting Your Cells

Coffee, regardless of brewing method, is packed with antioxidants, which help protect the body's cells from damage by free radicals. While some studies suggest hot coffee may have a higher concentration of total antioxidants, cold brew still delivers a potent dose of these beneficial compounds. The extended steeping process helps extract powerful antioxidants that have been linked to a reduced risk of heart disease, type 2 diabetes, and certain neurodegenerative diseases like Alzheimer's and Parkinson's. Ultimately, the difference in antioxidant levels is often minimal and both types of coffee offer significant health perks.

Potential Risks: What to Watch Out For

Despite its benefits, cold brew isn't without its health considerations. The brewing and preparation process introduces a few potential risks that consumers should be aware of.

Microbial Contamination

Unlike hot brewing, which uses high temperatures to kill off potential contaminants, cold brew's low-temperature, extended steeping creates a mild acidic environment that can be conducive to microbial growth if not handled properly. A study by the University of Georgia found that common foodborne bacteria like E. coli and Salmonella could survive and multiply in improperly handled cold brew for an extended period. This risk is most significant in commercially produced or inadequately sanitized homemade batches. To mitigate this, proper sanitation of equipment and refrigeration of the concentrate are crucial.

Additives and Sugar Overload

Many of the health benefits of cold brew coffee are tied to its consumption in its purest form—black and unsweetened. However, the cafe-style, ready-to-drink, and even homemade versions are often loaded with sugary syrups, flavored creamers, and milk, which can negate any potential health advantages. A 2018 Consumer Reports evaluation of ready-to-drink cold brews found surprising levels of added sugars and sodium in many popular brands. These additives can contribute to weight gain and increase the risk of heart disease and other health complications.

Excess Cholesterol

Coffee contains compounds called diterpenes (e.g., cafestol and kahweol), which can elevate cholesterol levels in some people. While most of these are filtered out in pour-over or drip methods, they can remain in unfiltered varieties like cold brew. Individuals with high cholesterol should consider using a fine paper filter during the straining process to minimize this risk.

Comparison: Cold Brew vs. Hot Brew

Feature Cold Brew Coffee Hot Brew Coffee
Acidity Level Significantly lower, smoother taste Higher, more acidic and bitter
Preparation Method Steeped in cold water for 12-24 hours Brewed quickly with hot water
Caffeine Content Varies, can be higher in concentrates Generally consistent, average content
Effect on Digestion Easier on sensitive stomachs, less likely to cause reflux Can aggravate acid reflux or indigestion
Antioxidants Potent but possibly lower total concentration Higher total antioxidant concentration
Additives Needed Often requires less sweetener due to natural sweetness Often needs more sugar/cream to balance bitterness
Microbial Risk Higher if improperly stored or prepared Lower due to hot water pasteurization

Conclusion: The Bottom Line on Cold Brew

So, is cold brew coffee unhealthy? The answer is nuanced and depends on how it is prepared and consumed. A simple, unsweetened, and properly prepared cold brew can be a healthy and stomach-friendly beverage choice, offering similar benefits to traditional coffee while being easier on the digestive system. Its lower acidity and naturally smoother flavor mean less reliance on high-calorie, high-sugar additives. However, the health risks emerge when consumers opt for heavily sweetened commercial versions, neglect proper food safety during preparation, or consume excessive amounts of the highly caffeinated concentrate. By being mindful of preparation and portion size, cold brew can be enjoyed as a perfectly healthy and delicious part of your routine. Always listen to your body and consult with a doctor if you have any health concerns, especially regarding caffeine intake or digestive issues. For a deeper look into the health impacts of various coffee compounds, explore research studies like the one available via the National Institutes of Health.

Keypoints

  • Less Acidic: Cold brew's lower acidity makes it gentler on the stomach for people with acid reflux or sensitive digestion.
  • Higher Caffeine: Concentrated cold brew can contain significantly more caffeine than regular coffee, which can be an issue for those sensitive to stimulants.
  • Risk of Contamination: Improper preparation and storage can lead to microbial growth, so sanitation is critical, especially for homemade batches.
  • Watch the Additives: The healthfulness of cold brew plummets when loaded with sugary syrups and creamers, which add unnecessary calories and sugars.
  • Antioxidant Benefits: Cold brew provides a healthy dose of antioxidants that can protect against various chronic diseases, similar to hot coffee.
  • Proper Filtering: Using a fine paper filter can help remove diterpenes, compounds that may raise cholesterol in some individuals.
  • Moderation is Key: As with any caffeinated beverage, responsible consumption and attention to your body's signals are essential.

Faqs

Question: Is cold brew coffee bad for my stomach if I have acid reflux? Answer: Cold brew is typically much less acidic than hot-brewed coffee, making it a better option for people with acid reflux or sensitive stomachs. The brewing process extracts fewer of the acidic compounds that cause digestive irritation.

Question: Does cold brew coffee have more caffeine than regular coffee? Answer: It depends. Since cold brew is often made as a concentrate using a higher coffee-to-water ratio, an undiluted serving can have significantly more caffeine. However, diluting it brings the caffeine level closer to that of a typical hot-brewed cup.

Question: What are the risks of drinking homemade cold brew? Answer: The main risk with homemade cold brew is microbial contamination if proper sanitation isn't followed. The low-temperature, long-steep process can allow bacteria to grow if equipment isn't clean and the concentrate isn't refrigerated properly.

Question: Can cold brew coffee raise my cholesterol levels? Answer: Coffee contains compounds called diterpenes that can raise cholesterol. While most are filtered out in pour-over methods, they can remain in unfiltered cold brew. If you have concerns, using a paper filter during straining can help.

Question: How can I make my cold brew healthier? Answer: To ensure your cold brew is as healthy as possible, drink it black and unsweetened. Avoid adding excessive sugar, syrups, or high-calorie creamers, which can negate the health benefits.

Question: Is it safe to drink cold brew every day? Answer: For most people, drinking cold brew daily is safe, provided it's consumed in moderation and without excessive additives. Be mindful of your total caffeine intake and how your body responds.

Question: Does cold brew coffee still have antioxidants? Answer: Yes, cold brew coffee is still rich in antioxidants, offering many of the same protective benefits as hot coffee. While some studies show slight differences in antioxidant concentrations, both brewing methods provide significant health perks.

Question: Can I use old coffee beans to make cold brew? Answer: Yes, the cold brew method is more forgiving and works well with older, stale beans. The process can smooth out the bitterness that develops in older beans when brewed hot, giving them a second life.

Question: Is store-bought cold brew unhealthy because of additives? Answer: Store-bought, ready-to-drink cold brews can often contain surprisingly high levels of added sugars, sodium, and other additives. Always check the nutrition label for the healthiest options, or choose unsweetened varieties.

Question: How long can homemade cold brew be stored safely? Answer: Homemade cold brew concentrate should be stored in an airtight container in the refrigerator for up to two weeks to prevent microbial growth. Dilute it with water or milk just before serving.

Question: What's the main difference between cold brew and iced coffee? Answer: Cold brew is steeped in cold water for a long time, resulting in a low-acid, smooth flavor. Iced coffee is hot-brewed coffee that is then chilled, which retains its higher acidity and bitterness.

Question: Does cold brew dehydrate you more than hot coffee? Answer: No, the hydrating effects of the water generally balance the mild diuretic effect of the caffeine. The amount of caffeine is comparable, so there's no significant difference in hydration impact between cold and hot coffee.

Frequently Asked Questions

Cold brew is typically much less acidic than hot-brewed coffee, making it a better option for people with acid reflux or sensitive stomachs. The brewing process extracts fewer of the acidic compounds that cause digestive irritation.

It depends. Since cold brew is often made as a concentrate using a higher coffee-to-water ratio, an undiluted serving can have significantly more caffeine. However, diluting it brings the caffeine level closer to that of a typical hot-brewed cup.

The main risk with homemade cold brew is microbial contamination if proper sanitation isn't followed. The low-temperature, long-steep process can allow bacteria to grow if equipment isn't clean and the concentrate isn't refrigerated properly.

Coffee contains compounds called diterpenes that can raise cholesterol. While most are filtered out in pour-over methods, they can remain in unfiltered cold brew. If you have concerns, using a paper filter during straining can help.

To ensure your cold brew is as healthy as possible, drink it black and unsweetened. Avoid adding excessive sugar, syrups, or high-calorie creamers, which can negate the health benefits.

For most people, drinking cold brew daily is safe, provided it's consumed in moderation and without excessive additives. Be mindful of your total caffeine intake and how your body responds.

Yes, cold brew coffee is still rich in antioxidants, offering many of the same protective benefits as hot coffee. While some studies show slight differences in antioxidant concentrations, both brewing methods provide significant health perks.

Yes, the cold brew method is more forgiving and works well with older, stale beans. The process can smooth out the bitterness that develops in older beans when brewed hot, giving them a second life.

Store-bought, ready-to-drink cold brews can often contain surprisingly high levels of added sugars, sodium, and other additives. Always check the nutrition label for the healthiest options, or choose unsweetened varieties.

Homemade cold brew concentrate should be stored in an airtight container in the refrigerator for up to two weeks to prevent microbial growth. Dilute it with water or milk just before serving.

Cold brew is steeped in cold water for a long time, resulting in a low-acid, smooth flavor. Iced coffee is hot-brewed coffee that is then chilled, which retains its higher acidity and bitterness.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.