We get flooded with questions about coconut oil in the clinic. Many folks have been raised to think coconut oil is the central culprit in the cast of dietary characters responsible for heart disease and chronic disease. Used sensibly, coconut oil can be a powerfully effective nutritional tool in our quest to improve body composition and reverse diseases. Medical student, Nihaal Karnik reviews the research behind coconut oil, and then our clinical dietician Prerna Uppal and I will share some of our experiences from the clinic at the end.
Introduction
Like every young Indian kid in America there is nothing I dreaded more than the blue bottle: yes….the coconut oil bottle my mother would heat on a weekly basis. No, mom was not ahead of the curve with regards to consuming coconut oil. Like every other Indian mom she was absolutely hell bent on heating that greasy stuff and working it into our hair for a good 45 minutes. And like all children, I fussed, squirmed, and went to bed with a grease soaked scalp promising I would never ever buy this stuff when I am an adult. Fast forward 20 years and I am at the grocery store about once every 2 months buying a massive jar of coconut oil for myself.
Am I using it for my hair? Well….moms are always right, so yes. But the majority of that oil goes towards my daily cooking. Whether I am frying eggs or heating up some ground turkey, I cannot remember the last meal I cooked without some coconut oil.
Although a variety of misconceptions exist about the safety of coconut oil with regards to diet, scientific literature has begun to emerge that supports the use of coconut oil.
Today’s post aims to take readers on a chronological journey of everything coconut: from the beginning of the theory concerning its health hazard to modern research which proves otherwise.
Key Terms and Background
So Why Has Coconut Oil Been Labeled as a Bad Thing
We won’t go into the details in this post about why saturated fat received such a bad reputation, but if you’d like to do some research read up on Ancel Keys and the lipid hyopothesis and if you really want to dig in, read The Big Fat Surprise by Nina Teicholz.
In regards to coconut oil specifically, Thomas Brennan, a professor of nutritional sciences at Cornell University, offers a simple explanation of why it has been implicated as a heart disease risk factor. In a 2011 interview with the New York Times, he tells us “Most of the studies involving coconut oil were done with partially hydrogenated coconut oil, which researchers used because they needed to raise the cholesterol levels of their rabbits in order to collect certain data.” This simply means there was a pre-conceived bias since researchers were using processed coconut oil (remember what we said about all coconut oil not being equal?” He further states, “Virgin coconut oil, which has not been chemically treated, is a different thing in terms of a health risk perspective. And maybe it isn’t so bad for you after all.”
It is clear that improper science, a lack of using proper coconut oil, and repeated misinformation has labeled coconut oil as a villain to any advocate of a healthy lifestyle.
From Villain to Victor: Emerging Research Supporting the Use of Coconut Oil
I could devote pages upon pages to emerging research about potential benefits. Instead, I will try to highlight the main points by presenting a simple list.
- Lipid Maintenance and Fat Burning. Researchers at the University of Kerala recently published a study in the British Journal Of Nutrition. In this study the group points out that VCO 1) helped improve lipid panel results and 2) directly reduced fat formation. The group further concluded that these two findings suggest that a diet in coconut oil could reduce one’s risk for coronary heart disease (CHD).
- Anti-Inflammatory/Antioxidant Properties. Anti-inflammatory and antioxidant rich foods are important for a healthy diet. Both are essential in maintaining a body free of cellular damage. New research shows VCO may be such a potent anti-inflammatory agent, that it could help treat various forms of arthritis (remember, a lot of arthritic conditions are due to a pro or high inflammatory state). The biggest selling point of VCO is its antioxidant property. The problem with cooking with other media such as olive oil concerns high heat and oxidative damage. Simply put, when we fry things in olive oil, the olive oil is so hot that various chemicals become oxidized or rather damaged. So even though olive oil may be good for us, at high temperatures the chemical changes are actually damaging at a cellular level. Conversely, VCO does not oxidize or get damaged at high temperatures. In fact, current research shows that this lack of damage has heart healthy benefits.
- Antimicrobial activity. One of the nastiest hospital infections is Clostridium Dificile (a really nasty bacteria). It is a major cause of severe diarrhea and a very hard pathogen to treat. That said, a study shows that laboratory testing (called in vitro) of this super nasty bug with VCO is effective. In other words, VCO is so potent as an antimicrobial agent it has promising abilities to treat tough bacterial infections.
- Quality of Life Among Breast Cancer Patients. Another study found consuming VCO during chemotherapy improved functioning and quality of life among 60 patients who received VCO as part of the diet.
Final Thoughts
A brief review of history shows that coconut oil was unfairly cast as an evil oil due to misinformation and poor science. Dogmatic adherence to outdated studies still casts fear about its usage with doctors, patients, and wellness experts.
The growing body of literature surrounding VCO is promising. However, more laboratory and human trial research needs to be done.
Furthermore, one of the most important things to take away is knowing that not all coconut oils are created equally. Remember, try to buy organic and virgin coconut oil as it has the most antioxidants (the good stuff that protects our cells).
As a medical student I constantly evaluate the medical science of new advancements. As much as I am on board with the VCO train there are two things I would like to see. First, would be long term research in a large patient population using VCO. It is not that I am a skeptic; rather the gold standards of medical claims are supported by these types of studies. Second, I would like to see dietary research where VCOs replace carbohydrates, processed foods,and sugar as an energy source. To date, few if any studies assess this model.
Tips on getting nuttier with coconut oil. Remember, adding saturated fats and MCTs to the diet are only beneficial if we eliminate unnecessary carbohydrates, processed foods, and sugar. Furthermore, make sure you buy the right stuff. Feel like reading this topic on your own? Then definitely look at any studies that assess VCO, not just any regular coconut oil.
So I guess I spent a long blog post to basically say one thing: mom is always right. About once a week I squirm, fuss, and moan. This time it’s about pouring over textbooks (mainly because I have procrastinated) while I have a scalp soaking in greasy coconut oil. As I lie in bed tonight (with a towel over my pillow of course), I can go ahead and rest knowing that maybe coconut oil for everyday use is not so crazy after all.
Clinic Insights from Dr.Ron and Prerna
I know the information about coconut oil and saturated fat in general can be very confusing. I suggest you follow our general principle of self-experimentation. There is enough compelling evidence to suggest that safely using coconut oil in reasonable portions does not have harmful effects, and may in fact promote health benefits. As Nihaal mentioned, Prerna and I recommend it in conjunction with healthy anti-inflammatory foods and lifestyle habits. So many patients we see in the clinic have direct evidence of suffering from chronic inflammation, and simply adding coconut oil to an inflammatory diet and lifestyle not only is ineffective, but can be harmful as well. Remember, even the highest quality fats are not immune to the dangerous process of oxidation which occurs from consuming unhealthy foods. Once these foods are removed and coconut oil is added, we do not see cholesterol and inflammatory markers go up.
