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Is espresso bad for cholesterol? Unfiltered Truths and Brewing Methods

5 min read

According to a 2022 study in the journal Open Heart, drinking 3–5 cups of espresso daily is associated with higher total cholesterol levels, especially in men. This research highlights the critical question: is espresso bad for cholesterol, or are other factors at play?

Quick Summary

Espresso's effect on cholesterol is tied to diterpenes, compounds present in coffee oil. Unlike paper-filtered coffee, espresso brewing allows an intermediate level of these oils to pass through. Moderate consumption is generally acceptable, but higher intake has been linked to increased cholesterol. Overall lifestyle and diet are also critical factors.

Key Points

  • Diterpenes Raise Cholesterol: Compounds called cafestol and kahweol in unfiltered coffee can increase LDL ('bad') cholesterol levels.

  • Brewing Method Matters: Paper filters trap most diterpenes, making drip coffee a safer choice for managing cholesterol compared to espresso and French press.

  • Espresso Has Moderate Risk: Espresso contains an intermediate amount of diterpenes. High consumption (3-5+ cups daily) is linked to elevated cholesterol, especially in men.

  • Moderation is Key: For those concerned about cholesterol, limiting espresso intake to 1-2 shots per day is a low-risk approach.

  • Add-Ins Impact Health: Sugary syrups and high-fat creams or milks can have a more significant negative impact on heart health than the espresso itself.

  • Lifestyle Overrides Coffee: Overall diet, regular exercise, and avoiding smoking are the most critical factors for managing cholesterol levels.

In This Article

The Core Culprits: Diterpenes, Cafestol, and Kahweol

The primary reason for coffee’s link to elevated cholesterol levels lies in two naturally occurring compounds found in coffee beans: cafestol and kahweol. These substances, collectively known as diterpenes, are part of the oily, unfiltered fraction of coffee. They have been shown to interfere with the body's metabolism of cholesterol, leading to increased levels of LDL ('bad') cholesterol. The key factor determining how many diterpenes end up in your final cup is the brewing method. Methods that allow coffee grounds to have prolonged, unfiltered contact with hot water, such as boiling or using a French press, result in a high concentration of these compounds. Espresso falls somewhere in the middle, but still contains a significant amount compared to fully filtered options.

How Diterpenes Influence Your Cholesterol

Diterpenes raise LDL cholesterol by affecting the body's cholesterol metabolism. Specifically, research has shown that cafestol can inhibit bile acid synthesis in the liver, a process that helps to regulate and excrete cholesterol. By hindering this process, the body's cholesterol levels can increase. While diterpenes have also been linked to some beneficial properties, such as anti-inflammatory effects, their cholesterol-raising potential is a key consideration for individuals at risk of cardiovascular disease. The impact is most significant with high consumption and for specific brewing styles.

The Role of Brewing Method and Quantity

The way you prepare your coffee has a direct impact on its diterpene content. This is why some studies show coffee to be beneficial while others flag it as a potential risk factor. The filter—or lack thereof—is the key difference. Paper filters, used in standard drip coffee machines and pour-overs, are highly effective at trapping the coffee oils and, consequently, the diterpenes within them.

Common Brewing Methods and Their Impact

  • Filtered (Drip, Pour-Over): These methods use paper filters that trap the oily diterpenes, resulting in coffee with the lowest amount of cholesterol-raising compounds. This is considered the safest option for those concerned about cholesterol.
  • Espresso (Machine, Capsule): Espresso machines force hot water through finely ground coffee with a metal filter, and the resulting brew retains a moderate amount of cafestol and kahweol. Moderate consumption (1-2 shots) is typically not a major concern, but higher daily intake (3-5+ cups) has been linked to elevated cholesterol.
  • Moka Pot (Stovetop Espresso): Similar to a machine-brewed espresso, the Moka pot uses a metal filter, and the brew contains an intermediate amount of diterpenes. Using a paper filter insert can help mitigate this effect.
  • French Press & Boiled Coffee: These methods involve direct, prolonged contact between water and coffee grounds without a paper filter. This allows the highest concentration of diterpenes into the cup, posing the greatest risk for cholesterol elevation.
  • Instant Coffee: Generally contains negligible levels of diterpenes, as the oil is largely removed during processing.

Espresso and Cholesterol: A Comparative View

Brewing Method Filtration Type Diterpene Content (Cafestol/Kahweol) Cholesterol Impact
Drip Coffee (Paper Filter) Paper Filter Very Low Minimal to No Effect
Pour-Over (Paper Filter) Paper Filter Very Low Minimal to No Effect
Instant Coffee Processed / Filtered Negligible Very Low
Espresso (Metal Filter) Metal Filter Moderate Moderate Effect (Especially with high intake)
Moka Pot (Metal Filter) Metal Filter Moderate Moderate Effect (Similar to espresso)
French Press Metal Mesh High Significant Effect
Turkish / Boiled Coffee Unfiltered Highest Highest Risk

Considering Gender and Moderation

Interestingly, recent studies have shown a sex-based difference in how coffee affects cholesterol. The 2022 Tromsø study found that drinking 3-5 cups of espresso daily led to significantly higher cholesterol levels in men compared to women. While the exact reasons for this difference are still being explored, the findings reinforce the importance of understanding your own health risks and consuming espresso in moderation.

For those with existing high cholesterol or a history of heart disease, limiting or switching to filtered coffee may be a wise choice. A cardiology dietitian from Verywell Health recommends limiting espresso to zero to two cups per day for those looking to manage cholesterol. For the general population, a couple of shots per day is not typically a concern, but excessive intake is not recommended.

The Bigger Picture: Lifestyle Beyond the Cup

Focusing solely on the diterpenes in espresso can cause you to overlook other potentially more significant dietary factors impacting your cholesterol. Adding large amounts of saturated fat from cream, whole milk, or sweetened syrups can have a much larger negative effect than the coffee itself. Furthermore, overall lifestyle factors like a diet high in saturated and trans fats, a lack of physical activity, and smoking are major contributors to high cholesterol and heart disease risk.

For heart health, a balanced approach is best. This means focusing on a diet rich in fruits, vegetables, whole grains, and healthy fats, along with regular exercise. In the context of your coffee habits, opting for black coffee or using low-fat, unsweetened additions is a better choice for cholesterol management.

Conclusion

So, is espresso bad for cholesterol? The answer is nuanced. The naturally occurring diterpenes in coffee can raise cholesterol, and the amount varies significantly by brewing method. Espresso contains an intermediate level of these compounds, meaning that heavy consumption could negatively impact your cholesterol, particularly for men. However, moderate consumption is generally not a major concern for most healthy adults. For those with existing cholesterol issues, switching to a paper-filtered method or limiting espresso intake to 1-2 shots daily is a sensible precaution. Ultimately, a balanced diet and healthy lifestyle choices will have a far greater overall impact on your cardiovascular health than your daily espresso habit.

The Science of Coffee and Cholesterol

Can coffee raise cholesterol?

Yes, but it depends heavily on the brewing method. Unfiltered methods like French press and espresso contain diterpenes that can raise LDL cholesterol.

Which coffee is best for low cholesterol?

Paper-filtered coffee, such as drip coffee or pour-over, contains the lowest levels of cholesterol-raising diterpenes, making it the best choice.

How does filtration affect cholesterol?

Paper filters effectively trap the oily diterpenes (cafestol and kahweol), preventing most of these compounds from entering your cup and impacting your cholesterol levels.

Is one espresso shot bad for cholesterol?

For most healthy individuals, a single shot of espresso is unlikely to have a significant effect. The risk increases with higher daily consumption.

Is espresso worse than French press for cholesterol?

French press coffee is generally considered worse for cholesterol than espresso because it has a higher concentration of diterpenes due to the longer, unfiltered brewing process.

What can I add to my espresso to reduce its effect on cholesterol?

Opting for black espresso or using low-fat, unsweetened milk and flavoring can help. Avoiding high-saturated-fat additions like cream or certain flavored syrups is recommended.

Does decaf espresso affect cholesterol?

Decaffeinated coffee still contains diterpenes, so the effect on cholesterol depends on the brewing method, not the caffeine content. If unfiltered, it still poses a risk, though generally less due to processing.

Can a paper filter be used with a Moka pot?

Yes, inserting a small paper filter can help trap some of the diterpenes in a Moka pot brew, making it a healthier option.

What are diterpenes and why are they in coffee?

Diterpenes like cafestol and kahweol are natural, oily compounds found in coffee beans that can interfere with the body’s cholesterol regulation.

Is the cholesterol-raising effect immediate or long-term?

The effect is gradual and dose-dependent. It's a risk associated with long-term, high consumption of unfiltered coffee, rather than a single instance.

Frequently Asked Questions

Yes, but it depends heavily on the brewing method. Unfiltered methods like French press and espresso contain diterpenes that can raise LDL cholesterol.

Paper-filtered coffee, such as drip coffee or pour-over, contains the lowest levels of cholesterol-raising diterpenes, making it the best choice for managing cholesterol.

For most healthy individuals, a single shot of espresso is unlikely to have a significant effect on cholesterol. The risk increases with higher daily consumption over time.

French press coffee is generally considered worse for cholesterol than espresso because its brewing method allows a higher concentration of cholesterol-raising diterpenes to pass into the cup.

Diterpenes like cafestol and kahweol are natural, oily compounds found in coffee beans. They can interfere with the body’s normal cholesterol regulation, leading to higher levels of LDL.

Decaffeinated coffee still contains diterpenes, so its effect on cholesterol depends on the brewing method, not the caffeine content. If unfiltered like espresso, it still poses a risk, though generally less than regular coffee due to processing.

You can use a paper filter with a Moka pot, opt for black espresso, or use low-fat, unsweetened milk and flavorings. Limiting your total daily intake is also effective.

References

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Medical Disclaimer

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