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inline coffee brewingCoffee is a perpetual topic of interest, and for good reason: Almost everyone drinks it, almost everyone is passionate about it, and it’s pretty darn good for you. A recent post covered whether coffee breaks a fast or not. Before that, I told you how to make your coffee healthier. And on a regular basis, I cover something coffee-related in the weekly Dear Mark. One aspect of coffee I’ve never explored, however, is how coffee preparation and processing affects its health effects.

What’s healthier—filtered or unfiltered? Dark roast or light roast? Pre-ground or whole bean? French press or drip? Let’s get to it.

Filtered vs Unfiltered

Filtered coffee is coffee that runs through a paper filter, which catches most of the oils. Unfiltered coffee is coffee that doesn’t go through a paper filter; either it’s completely unfiltered (grounds directly in water) or it runs through a metal filter, which allows the oils to pass through. Unfiltered coffee is often referred to in the scientific literature as “boiled coffee.”

Filtered coffee includes drip, pour-over (unless you use a permanent filter that allows passage of the oils), and any method in which the coffee passes through a paper filter.

Unfiltered/boiled coffee brewing methods include French press, Moka pot/percolator, Aeropress, espresso.

Cold brew coffee can be either filtered or unfiltered, depending on what kind of filter you use to strain the final product.

Conventional wisdom is scared of those oils because they contain two lipid compounds  called cafestol (great name for a coffee shop) and kahweol, high doses of which elevate cholesterol and suppress LDL clearance from animal models. That does sound bad; suppressed LDL clearance means LDL particles hang around longer in the blood to be oxidized and form atherosclerotic lesions. Do the animal mdoels transfer over to humans?

Maybe not. While 73 mg of purified cafestol a day for six weeks can increase cholesterol by a worrisome 66 mg/dL, the average cup of French press coffee contains between 3-6 mg; 73 mg isn’t a normal physiological dose. In one study, boiled coffee consumption was associated with a more modest 8% cholesterol increase in men and a 10% increase in women. That’s cholesterol, not LDL. Total. Besides, high fitness levels abolished the link in men, and boiled coffee was also linked to lower triglycerides in both sexes.

Or maybe. Another study found a modest association between high intakes of boiled coffee and non-fatal heart attacks. Then again, a similar (but smaller) association also existed with filtered coffee. Tough to say.

Cafestol and kahweol have beneficial effects, too. For instance, cafestol kills leukemia cells and kidney cancer cells. In mice, cafestol exerts anti-diabetic effects. Kahweol inhibits fat accumulation by activating AMPK (the same pathway triggered by fasting, exercise, and ketosis). Both compounds have anti-angiogenic effects.

Both boiled and filtered coffee reduce the risk of type 2 diabetes, but only boiled coffee confers a lower risk of prostate cancerLiver enzyme levels drop when you consume boiled coffee, and when you inject rats with a known liver toxin, boiled coffee protects them against the expected rise in liver enzymes. Most evidence suggests that coffee, whether boiled or filtered, is protective against liver cancer, liver disease, and mortality from chronic liver disease.

If you want the unfiltered coffee with the most cafestol and kahwehol, brew a light roast using a French press or the boiling method. If you want the unfiltered coffee with the least cafestol and kahwehol, brew a dark roast using a Moka pot or use the Turkish method. If you want the least of all, use a paper filter.

If you’re a heavy consumer of unfiltered coffee and you worry about the cholesterol issue, get it tested. Go for a full lipid panel, one that includes LDL particle number.

Light vs Dark Roast

Coffee beans start out green and fairly uninteresting. It’s the roasting that brings out the flavors. The darker the roast, the longer it spends in the roaster.

Light roast advantages include less oil oxidation. The lighter the roast and the fresher the coffee, the lower the oil oxidation. Keeping it in whole bean form also increases the resistance, while grinding it prematurely will oxidize the oil and mar the taste.

Light roasts tend to have more caffeine, as the roasting process degrades caffeine. But caffeine content also depends on the bean; some have more than others.

Both are good, health-wise. Some studies suggest that dark roast has a better effect than light roast on antioxidant capacity in those who drink it. Light roasts tend to be higher in chlorogenic acids, which have been shown to improve subjective mood and ability to focus—even when the coffee is decaf. Medium roasts also have antioxidant effects.

They’re all good. Coffee just works.

Whole Bean or Pre-Ground?

Depends. I like whole bean, because keeping it intact until you’re ready to brew increases the oxidative resistance (more surface area means more oxidation), retains the aroma and flavor, and—this is seemingly minor but still important to me—I like the sound of grinding beans. The sound is a huge part of the ritual of coffee preparation. It’s the same reason instant coffee just isn’t the same as whole bean coffee. It’s almost too easy.

Healthwise, I imagine pre-ground beans are fine. Despite a huge number of people buying and drinking pre-ground coffee, coffee is consistently associated with health benefits in observational studies. If you believe the observational studies are pointing toward causality, ground coffee is good for you. And if you have the opposite relationship to grinding beans, and having whole coffee beans makes it less likely that you’ll drink coffee, go with the ground. It’s fine.

Water Quality

The quality of the water matters. Mineral content is the primary concern. A 2014 study sought to determine the optimal “hardness” for coffee water and found that the specific minerals causing the hardness made a big difference.

You don’t want too much bicarbonate. Bicarbonate is bad for coffee flavor.

Sodium was also bad for coffee flavor.

You want some magnesium. Magnesium is good for coffee flavor because it enhances the dissolution of coffee flavor from beans into the water. Since coffee flavor comes from the coffee compounds, and the coffee compounds are responsible for many of the beneficial health effects, better coffee is also probably healthier coffee.

I find adding a few dashes of Trace Minerals to my coffee brewing water helps the flavor.

My Favorite Way To Make Coffee

When you include coffee:water ratios, water quality, brew method, filter choice, ground size, and all the other variables, there are millions of ways to make coffee. I won’t get into all of them. I’m actually not a big coffee snob, although I do know a good cup when I taste it. I’ll just give my basic method.

  • French press, usually with a dark roast (although I’ll sometimes do medium, dark or light if I’m feeling wild). I’m really liking Caveman Coffee’s Blacklisted.
  • Grind size is a bit finer than most people recommend for French pressing. I use a blade grinder, which would get me excommunicated from most coffee geek circles, so my grind is probably less uniform than those using a burr grinder. Eh, tastes good to me.
  • 1:12 coffee:water ratio.
  • Spring or filtered water, sometimes with a dash of Trace Minerals. Boil it, then turn off the heat and wait ten seconds.
  • Add it to the grounds, stir until it froths, cover, and press after 4 minutes.

Sometimes I make cold brew coffee concentrate:

  • 12 ounces of light roast, something fancy and floral and fruity and acidic from a local 3rd wave coffee shop.
  • Grind medium-fine.
  • Mix with 60 ounces of cold spring water with a dash of Trace Minerals in a large glass jar.
  • Stir to combine, then let sit for at least 12 hours at room temperature. I’ve also experimented with letting it brew in the sun. That works quicker, but I prefer the taste of room temperature brewed cold brew.
  • Run it through a French press, store in glass bottle in the fridge. Drink it straight up, like little cold espresso shots, or with a dash of heavy cream.

That’s it for today, folks. I think I’ll go make another cup.

How do you make coffee? Tell me all about it down below.

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The post Do Coffee Brewing Methods Matter For Health? appeared first on Mark’s Daily Apple.

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As a market editor, I get to go to all these fun press appointments and see products before they hit the stores. I’m treated to a sneak peak of soon-to-be-released goodies at Target, World Market, West Elm, and more. It’s also my job to write or oversee all the gift guides we do here at Kitchn. So you’d be correct to assume I have all sorts of personalized present ideas for everyone in my life.

And yet I have a go-to gift that I almost always give my friends at their bridal showers. (For what it’s worth, I also have a go-to wedding gift. See: The Best Wedding Gift I Received.)

It’s a two-part gift and it has never let me down. Here goes.

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A Madeira cake is the sort of plain cake that looks like it might be dull and dry, but instead turns out to be exceptionally moreish. Many people are misled by the name, thinking that it must be made with Madeira — a sweet fortified wine akin to sherry or port — or come from the Portuguese island of Madeira. Instead, it was intended to be drunk with Madeira, the sort of afternoon decadence at which the Victorians excelled, and which I can confirm is a very good idea.

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Moving is the worst! I should know: I’ve had six apartments in 13 years. And while I don’t really have a lot of stuff in the other rooms (I’ll never understand some peoples’ obsession with shoes!), I do have a lot of dishes and glasses in my kitchen. Glasses that I’m super sentimental about; they were my grandmother’s and I have very fond memories of drinking Boost! out of them when I was little (any South Jersey kids here know what I’m talking about?).

I’ve broken a few more than I care to admit. So during my last move, I decided to call in an expert. Lior Rachmany, CEO and founder of Brooklyn-based Dumbo Moving + Storage, came to my apartment to show me how to properly pack up glasses and plates. He had a few other pointers to share, too, which makes sense considering he’s packed and moved more than 6,000 apartments!

Here are his tips.

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A simple to follow, scalable training routine, 3 days a week, 3 months, designed for the mature athlete.


12-Week Fitness Program for Older Athletes

Week 1-6

Week Day 1 Day 2 Day 3
1 Bodyweight Strength and Endurance Circuit #1

Conditioning Workout #1

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Step away from any thoughts you have of bland and boring ground turkey right now, because that is not the case here. Not even close. Akin to a restaurant-style bolognese, this slow-simmered sauce makes a pack of ground turkey shine in ways you probably didn’t think it was capable of.

Between the full, rich flavor and mellow, velvety texture that perfectly clings to each strand of spaghetti, this is the turkey meat sauce I’ve been after for years — and I can’t wait for you to try it!

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Kitchn’s Delicious Links column highlights recipes we’re excited about from the bloggers we love. Follow along every weekday as we post our favorites.

Lunch is the hardest meal to plan. Prepping for breakfast is straightforward with smoothies, muffins, and even breakfast burritos. Dinner always steals the show and is usually the meal people put the most effort into. And then there’s lunch. I usually want something kinda healthy that keeps my energy levels up, and I don’t always want a salad. Sandwiches are great, but what else?

That’s why I was excited when I saw this delicious BBQ chicken quinoa bowl from What’s Gaby Cooking. It looks super easy to prepare on a Sunday night for the week, and something I’d actually want to eat again and again.

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Not all deadlifts are right for every body. Allow your anatomy to dictate which style of deadlift suits you best.

 

No exercise is quite as feared, or revered, as the barbell deadlift. It is probably the oldest barbell exercise in existence. The day the barbell was invented, you can bet someone tried to pick it up off the floor. It is the obvious thing to do with a barbell, isn’t it?

 

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If you’ve been reading Alternative Daily for any length of time, you’ve probably heard of lots of things which can lower inflammation in the body. There’s fish oil, turmeric or fresh leafy greens, just to name a few. You may have even heard about some mind-body practices, like yoga or meditation, which can affect the health […]

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Gestational diabetes mellitus (GDM) is a common medical complication of pregnancy when your body cannot cope with the extra demand for insulin production. The resultant is persistent levels of high blood glucose levels (BGL) in the body. Although elevated BGL associated with GDM usually resolves itself naturally postpartum, there is increased risk of many acute and long-term health problems for the mother and the baby.

Exposure to consistently high glucose levels due to GDM results in excessive growth in the fetus that occurs disproportionately, favoring growth of the shoulders rather than the head. This leads to a predisposition to shoulder dystocia — when a baby’s shoulders are unable to pass through the birth canal — which increases the chance of birth trauma and medical interventions during birth.

For a pregnant woman with GDM, recurrence rate of the condition in subsequent pregnancies becomes as high as 69 percent. Furthermore, a woman’s risk of developing Type 2 diabetes increases sixfold, compared to women with normal glycemic control in pregnancy.

While gestational diabetes has similarities with Type 1 and Type 2 diabetes, it should not be mistaken for the same condition. Gestational diabetes is a form of diabetes that only presents due to pregnancy while Type 1 diabetes is an autoimmune condition in which the immune system destroys the cells in the pancreas that produce insulin. Type 1 diabetes is not linked to modifiable lifestyle factors and cannot be cure or prevented.

Compared to Type 1 diabetes, Type 2 diabetes and GDM have more similarities. Type 2 diabetes is a progressive condition where the body becomes resistant to the normal effects of insulin and/or gradually loses the capacity to produce enough insulin in the pancreas, much like GDM. Type 2 diabetes is associated with modifiable lifestyle risk factors but also has strong genetic and family-related risk factors. However, Type 2 diabetes has much more long-term health implications for a woman compared to GDM.

So What Exactly Is Gestational Diabetes?

A pregnant woman’s body undergoes many physical and metabolic changes. In any normal pregnancy, a woman naturally becomes more insulin resistant to ensure adequate glucose for fetal development. What this means is that a pregnant woman’s cells are less responsive to the action of insulin, a hormone that acts as a gateway for glucose to enter cells and out of the blood stream, and vice versa.

During pregnancy, the pancreas responds to the increasing insulin resistance by secreting more insulin into our bloodstream to regulate BGL. Unfortunately, in about 15 percent of pregnancies globally, the pancreas is unable to secrete enough insulin to overcome the degree of insulin resistance, resulting in consistent high BGL.

Gestational diabetes has both modifiable and non-modifiable risk factors. Non-modifiable risk factors such as advancing maternal age and being of non-Caucasian ethnicity can increase one’s risk of developing GDM. Additionally, women with polycystic ovarian syndrome (PCOS) have an increased risk of a GDM diagnosis.

On the other hand, pre-pregnancy weight and the amount of weight gained in pregnancy can be controlled. Women with excess weight are twice as likely to develop GDM as women with normal weight. The risk becomes 3.5 times higher if obesity is present, and 8.5 times higher in the case of morbid obesity compared to women with normal weight [1].

In addition to pre-pregnancy weight, excessive gestational weight gain, especially during the early stages of gestation, also appears to increase a woman’s risk of GDM [2]. Weight gain exceeding the recommended levels by Institute of Medicine is considered as excessive weight gain (see table below) [3].

In particular, being physically inactive contributes to the risk of developing GDM given that physical inactivity is linked to being overweight and obese and also results in excessive pregnancy weight gain [4,5].

Can GDM Be Prevented? Or Can the Risk Be Reduced?

Epidemiological studies suggest that being physically active before and during pregnancy is associated with reduced risk of GDM [6-8]. To date, several randomized controlled trials have shown that compared to control intervention, exercise intervention could significantly decrease the risk of GDM [9].

However, in a recently published article in Obstetrics & Gynaecology, researchers found that regular exercise during pregnancy was not effective in preventing the recurrence of GDM in women with a history of the condition [10]. This suggest that the pathophysiology of GDM is far more complicated that we imagine and requires more research so that we can better understand the condition.

How Can Women Know If They Have GDM?

As most pregnant women do not show symptoms of GDM, pregnant women are routinely screened for GDM between 24 and 28 weeks of pregnancy by their obstetrician or midwife. Women with multiple risk factors may be screened earlier in pregnancy.

There is a vast discrepancy in the way that GDM is screened for in different countries. This may include either a two-step screening procedure of a 50g glucose challenge test (GCT) followed by a two-hour, 75g or 100g oral glucose tolerance test (OGTT; if the GCT results are abnormal), or a direct two-hour OGTT.

What Are the Implications of a GDM Diagnosis on Nutrition and Exercise?

If you are diagnosed with GDM, your obstetrician will refer you to a dietitian for nutritional education. This mode of management is usually referred to as medical nutrition therapy (MNT).

A dietitian will review your nutritional requirements on an individual basis and provide advice to help you maintain optimum BGL. To confirm the efficiency of the prescribed GDM diet, regular self-monitoring of fasting and postprandial (post-meal) BGL measurements are taken daily via finger pricks to collect a capillary sample. If daily capillary monitoring of glucose concentrations shows a lack of glycemic control after two weeks of MNT (i.e., consistent daily fasting/preprandial BGL > 5.5 mmol/M or 1-hr postprandial BGL > 7.0 mmol/L), insulin therapy or the oral hypoglycemic agent metformin may be considered.

Whether your GDM is treated by MNT or by insulin therapy, you are encouraged to engage in 30 minutes of moderate exercise each day as an adjunct therapy for glycemic control. This prescription is based on several studies showing the effectiveness of exercise for the management of BGL in women with GDM [11-14].

Coaches’ Corner

If you are training a client who has GDM, it is important to find out how your client’s GDM is managed (remember that, as a trainer, it is out of your scope of practice to practice MNT).

More precaution should be taken if your client is using insulin therapy to manage their glucose levels as they are at higher risk of experiencing a hypoglycemic event (dangerously low BGL) if the intensity is too great or the duration is too long (>30 minutes).

To avoid this, your safest bet is to stick to the recommendation of 30 minutes of moderate intensity exercise which may include:

  • Brisk walking
  • Stationary cycling
  • Swimming
  • Low intensity full-body circuit

Always advise your client to do a capillary blood glucose check after exercise to avoid a hypoglycemic event. If you do not feel confident that you can train a pregnant woman with GDM safely, refer to an accredited exercise physiologist who specializes in GDM.

Regardless, it is important for us as a health or fitness professional, to encourage pregnant women with or without GDM to be physically active during pregnancy due to the many benefits that regular exercise can bring to both mother and baby.

Currently with less than 50 percent of pregnant women achieving recommended levels of physical activity and exercise for health benefits [15,16], it is up to us to educate women about the importance and safety of exercising during pregnancy and become a change catalyst to encourage exercise in this population of women.

When we know better, we must do and educate better!

References

  1. Chu, S. Y., Callaghan, W. M., Kim, S. Y., Schmid, C. H., Lau, J., England, L. J., & Dietz, P. M. (2007). Maternal obesity and risk of gestational diabetes mellitus. Diabetes Care, 30(8), 2070-2076.
  2. Hedderson, M. M., Gunderson, E. P., & Ferrara, A. (2010). Gestational weight gain and risk of gestational diabetes mellitus. Obstetrics & Gynecology, 115(3), 597.
  3. 3. Rasmussen, K. M., & Yaktine, A. L. (2009). Weight gain during pregnancy: re-examining the guidelines: National Academies Press.
  4. 4. Bryan, S., & Walsh, P. (2004). Physical Activity and Obesity in Canadian Women. BMC Womens Health, 4 Suppl 1(Suppl 1), S6.
  5. 5. Kraschnewski, J. L., Chuang, C. H., Downs, D. S., Weisman, C. S., McCamant, E. L., Baptiste-Roberts, K., … & Kjerulff, K. H. (2013). Association of prenatal physical activity and gestational weight gain: results from the first baby study. Women’s Health Issues, 23(4), e233-e238.
  6. 6. Dempsey, F. C., Butler, F. L., & Williams, F. A. (2005). No need for a pregnant pause: physical activity may reduce the occurrence of gestational diabetes mellitus and preeclampsia. Exercise and Sport Sciences Reviews, 33(3), 141-149.
  7. 7. Dempsey, J. C., Sorensen, T. K., Williams, M. A., Lee, I. M., Miller, R. S., Dashow, E. E., & Luthy, D. A. (2004). Prospective study of gestational diabetes mellitus risk in relation to maternal recreational physical activity before and during pregnancy. American Journal of Epidemiology, 159(7), 663-670.
  8. 8. Tobias, D. K., Zhang, C., van Dam, R. M., Bowers, K., & Hu, F. B. (2011). Physical activity before and during pregnancy and risk of gestational diabetes mellitus: a meta-analysis. Diabetes Care, 34(1), 223-229.
  9. 9. Yu, Y., Xie, R., Shen, C., & Shu, L. (2017). Effect of exercise during pregnancy to prevent gestational diabetes mellitus: a systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 1-6.
  10. Guelfi, K. J., Ong, M. J., Crisp, N. A., Fournier, P. A., Wallman, K. E., Grove, J. R., … & Newnham, J. P. (2016). Regular exercise to prevent the recurrence of gestational diabetes mellitus: a randomized controlled trial. Obstetrics & Gynecology128(4), 819-827.
  11. Avery, M. D., & Walker, A. J. (2001). Acute effect of exercise on blood glucose and insulin levels in women with gestational diabetes. Journal of Maternal-Fetal and Neonatal Medicine, 10(1), 52-58.
  12. Davenport, M. H., Mottola, M. F., McManus, R., & Gratton, R. (2008). A walking intervention improves capillary glucose control in women with gestational diabetes mellitus: a pilot study. Applied Physiology Nutrition & Metabolism, 33(3), 511-517.
  13. Halse, R. E., Wallman, K. E., Newnham, J. P., & Guelfi, K. J. (2014). Home-based exercise training improves capillary glucose profile in women with gestational diabetes. Medicine & Science in Sports & Exercise, 46(9), 1702-1709.
  14. Jovanovic-Peterson, L., & Peterson, C. M. (1991). Is exercise safe or useful for gestational diabetic women? Diabetes, 40(S2), 179-181.
  15. de Jersey, S. J., Nicholson, J. M., Callaway, L. K., & Daniels, L. A. (2013). An observational study of nutrition and physical activity behaviours, knowledge, and advice in pregnancy. BMC Pregnancy and Childbirth, 13(1), 115.
  16. Field, T. (2012). Prenatal exercise research. Infant Behavior and Development, 35(3), 397-407.

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