There is more murk than clarity in our understanding of coronary artery
disease. The lipid hypothesis is actually 150 years old and based on the
finding of cholesterol in the fatty streaks that are commonly found in
arteries. Based on some animal studies, this was laid to high intake of
meat and animal fat. Rather than face dietary recommendations that might
adversely affect the meat industry, the beef lobby succeeded in
promoting the idea that somehow saturated fat is the culprit, even
though evidence suggesting that saturated fat reduction is scanty.
Evidence for cholesterol lowering itself is thin except in men with
either diabetes and heart disease. With the widespread availability of
in office lipid testing, everyone now knows their lipid levels even
though their role in health for the general population is unknown. Even
so, it appears that for most people Hdl is a more important risk factor
than ldl, and hdl is primarily affected by exercise.
Be that as it may, the role of coffee in this is very small if it exists
at all. coffee, in my opinion, has positive health effects including
positive effects on cognition and possibly playing a protective role in
bladder and bowel cancer through its anti oxidant properties.
Food and nutrition journalist Michael pollan recently said that we
should stay away from any foods that have health claims, so lets just
say that coffee is wonderful and leave it at that.
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