Coconut oil has had a rough year. Announced as “pure poison” by a public health expert in a lecture posted on YouTube, coconut oil suddenly became one of the worst foods you can eat. Coconut oil is a saturated fat and unfotuantely for our health, saturated fats have been completely misunderstood.

Earlier this year, Harvard professor Karin Michels picked up where the 1970’s left off, in a diatribe that parallels the American Heart Association’s stance against fats. Last year, the AHA sent an advisory to cardiologists, warning them that saturated fats are killers, coconut oil and butter among them. Their suggestion is to use margarine and the supermarket-staple, polyunsaturated vegetable oils, neither of which is fresh, wholesome or particularly healthful. Professor Michels also agrees that the human papilloma virus vaccine is suitable for all, including senior citizens. Levity aside, Dr. Michels’ espousal carries some weight because she works at Harvard University. But hers is only part of the story.

Myth: Fat is Evil

The “fat is evil” myth is deeply entrenched in our society. Counter arguments are on the horizon, especially one from a noted British cardiologist, Dr. Aseem Malhotra, who respectfully demands a public apology and a retraction on behalf of coconut oil from Dr. Michels. As a proponent of saturated fats and a foe of refined sugar, Dr. Malhotra censured the professor’s commentary as “unscientific nonsense,” warning that she is bringing Harvard into disrepute.

Arguably, not all coconut oil is not the same. Certified organic is preferred by some, but a few studies that looked for pesticide residues in coconut products have gone home empty handed (Brito, 2002). If organic designation is of no practical importance, what is? Even the refined vs. unrefined debate has lasted for a while. In the health world, unrefined anything is deemed better than refined everything. Although unrefined wins the debate, with coconut oil it might not make much difference.

MCT Oil — What is it exactly?

The answer lies all in the fat, namely in caprylic (C8:0) and lauric (C12:0) acids. The former, also known as octanoic acid, is an 8-carbon saturated fatty acid with anti-microbial properties that help to maintain gut integrity. As a medium-chain triglyceride (MCT), caprylic acid is not processed by the liver and requires no energy for absorption, use or storage. Lauric acid accounts for half the fatty acids in coconut oil. Known also as dodecanoic acid, this 12-carbon fat may be found in human breast milk. Lauric acid has been touted as having a positive effect on high-density lipoprotein levels, despite increasing total cholesterol (Mensink, 2003). Unlike other MCT’s, lauric acid metabolizes in the liver instead of getting immediately converted into energy.

The long-chain fatty acids in coconut oil include myristic (C14:0), palmitic (C16:0), stearic (C18:0), oleic (C18:1), and linoleic (C18:2) acids. The melting points of the saturated fats in coconut oil, from caprylic acid to stearic acid, range from 61° F to 158° F, quite a disparity, one that explains the most significant physical property of the oil — unlike most fats, both natural and hydrogenated, coconut oil does not exhibit a gradual softening with increasing temperatures, but passes abruptly from a somewhat brittle solid to a liquid.

Refined coconut oil is made from dried coconut meat, or copra. It is steamed and pressed, removing some of the flavor and aroma, but allowing a higher smoke point, which is good for cooking. The number of polyphenols and MCTs may be reduced by this method, also reducing the anti-oxidant and anti-inflammatory benefits. Where raw coconut is used instead of copra, a wet process emerges that presents an emulsion of water and oil, which may be separated by centrifuge, effecting a fifteen percent lower yield that incurs a greater expense. In cases where high melting point is desirable, as in warm climates, the oil is hydrogenated to bring the melting temperature to more than 100° F. Of course, trans fatty acids result (Foster, 2009). Raw, virgin, cold-pressed oil is preferred for its flavor and nutrient profile.

In their advisory, the AHA carefully picked and chose the studies to include, painstakingly omitting the Minnesota Coronary Survey, which found no difference between treatment and control groups and saturated fat intake (Frantz, 1989); exactingly skipping the Sydney Heart Study, which found no benefit in substituting linoleic acid for saturated fats (Ramsden, 2013); and assiduously ignoring the stellar Women’s Health Initiative, which concluded that, after 8 years’ attention, a dietary intervention that reduced total fat intake and increased intakes of vegetables, fruits and grains did not reduce the risk of CVD or stroke (Howard, 2006).

The AHA and its allies would replace saturated fats with rancid, oxidized,, supermarket vegetable oils that have been denatured in processing, storage and exposure to the high heat of the sauté pan. The resultant production of toxic aldehydes far exceeds what could be made from coconut oil (or butter or lard), which lacks the profusion of double bonds that are damaged in PUFAs.

But where is the negativity coming from?

Tom Brenna is a professor of nutrition at Cornell. His study of the reports on coconut oil have concluded that the oil’s bad reputation stems from a single factor…hydrogenation. Most of the negative findings were based on the use of partially-hydrogenated coconut oil, which was purposely used to raise the cholesterol of the study subjects and promote the preordained conclusions. Virgin coconut oil would not render the same data. Remember, lauric acid raises HDL.

A piece in the November 2014 edition of the journal, Postgraduate Medicine, allowed that virgin coconut oil (VCO) may have a place in cardioprotection (Babu, 2014). Norwegian researchers learned that VCO has a favorable effect upon the fibrinolytic system and Lp(a) concentrations when contrasted to a diet high in unsaturated fats (Muller, 2003). This position is bolstered by a Brazilian team that observed a reduction in waist circumference, HbA1C, and body mass index, and an increase in HDL (Cardoso, 2015).

The MCTs in coconut oil appear to be the most beneficial fractions, but lauric acid is not to be discounted. As a substitute for trans fats in some foods, it’s healthier. And that it can raise HDL is a plus. Yes, coconut oil is a saturated fat. And, yes, water can dilute electrolytes to the point of coma. And, yes, too much vitamin A can make your sclera yellow. Yet, moderate amounts of these commodities do no harm.

This analogy is used to help medical students better visualize the cellular membrane. Picture a circus tent. The masts that support the ceiling represent cholesterol, without which the tent (and the membrane) would collapse. The fabric of the tent is phosphatidylcholine, the absence of which would effect nihility. The poles that hold up the sides of the tent are saturated fats, lacking which there would be no stable structure. The flaps that allow ingress and egress are essential fatty acids, hence the free passage of energy into the cell and detritus out.

The suggested dietary limit for saturated fats is 20 grams a day. Coconut oil carries about 11.7 grams of saturated fat per tablespoon. Most people will use it sparingly and wisely. But oils are more than just fats. They carry anti-oxidants and other substances that disallow the prediction of overall health effects merely by changes in LDL and HDL. Even Harvard’s famed Walter C. Willett, M.D., agrees that “coconut oil’s special HDL-boosting effect may make it ‘less bad’ than the high saturated fat content would indicate…”



References

Alan B. Feranil, Paulita L. Duazo, Christopher W. Kuzawa, and Linda S. Adair. Coconut oil predicts a beneficial lipid profile in pre-menopausal women in the Philippines. Asia Pac J Clin Nutr. 2011; 20(2): 190–195.

Alghamdi BSA. Possible prophylactic anti-excitotoxic and anti-oxidant effects of virgin coconut oil on aluminium chloride-induced Alzheimer’s in rat models. J Integr Neurosci. 2018 Jul 13.

Babu AS, Veluswamy SK, Arena R, Guazzi M, Lavie CJ. Virgin coconut oil and its potential cardioprotective effects. Postgrad Med. 2014 Nov;126(7):76–83.

Barbara V. Howard, PhD; Linda Van Horn, PhD; Judith Hsia, MD; et al. Low-Fat Dietary Pattern and Risk of Cardiovascular DiseaseThe Women’s Health Initiative Randomized Controlled Dietary Modification Trial. JAMA. 2006;295(6):655–666.

Brito NM, Navickiene S, Polese L, Jardim EF, Abakerli RB, Ribeiro ML. Determination of pesticide residues in coconut water by liquid-liquid extraction and gas chromatography with electron-capture plus thermionic specific detection and solid-phase extraction and high-performance liquid chromatography with ultraviolet detection. J Chromatogr A. 2002 May 31;957(2):201–9.

Cardoso DA, Moreira AS, de Oliveira GM, Raggio Luiz R, Rosa G. A coconut extra virgin oil-rich diet increases hdl cholesterol and decreases waist circumference and body mass in coronary artery disease patients. Nutr Hosp. 2015 Nov 1;32(5):2144–52.

Chong YH, Ng TK. Effects of palm oil on cardiovascular risk. Med J Malaysia. 1991 Mar;46(1):41–50.

Coleman H, Quinn P, Clegg ME. Medium-chain triglycerides and conjugated linoleic acids in beverage form increase satiety and reduce food intake in humans. Nutr Res. 2016 Jun;36(6):526–33.

Djurasevic S, Bojic S, Nikolic B, Dimkic I, Todorovic Z, Djordjevic J, Mitic-Culafic D. Beneficial Effect of Virgin Coconut Oil on Alloxan-Induced Diabetes and Microbiota Composition in Rats. Plant Foods Hum Nutr. 2018 Aug 31.

D M Dreon, H A Fernstrom, H Campos, P Blanche, P T Williams, R M Krauss. Change in dietary saturated fat intake is correlated with change in mass of large low-density-lipoprotein particles in men. The American Journal of Clinical Nutrition, Volume 67, Issue 5, 1 May 1998, Pages 828–836

Elson CE. Tropical oils: nutritional and scientific issues. Crit Rev Food Sci Nutr. 1992;31(1–2):79–102.

Fernando WM, Martins IJ, Goozee KG, Brennan CS, Jayasena V, Martins RN. The role of dietary coconut for the prevention and treatment of Alzheimer’s disease: potential mechanisms of action.Br J Nutr. 2015 Jul 14;114(1):1–14.

Foster, R., Williamson, C.S. and Lunn, J. (2009). “BRIEFING PAPER: Culinary Oils And Their Health Effects”. Nutrition Bulletin. 34 (1): 4–47

Frantz ID Jr, Dawson EA, Ashman PL, Gatewood LC, Bartsch GE, Kuba K, Brewer ER. Test of effect of lipid lowering by diet on cardiovascular risk. The Minnesota Coronary Survey. Arteriosclerosis. 1989 Jan-Feb;9(1):129–35.

Kaplan RC, Frishman WH. Systemic inflammation as a cardiovascular disease risk factor and as a potential target for drug therapy. Heart Dis. 2001 Sep-Oct;3(5):326–32.

Kinsella R, Maher T, Clegg ME. Coconut oil has less satiating properties than medium chain triglyceride oil. Physiol Behav. 2017 Oct 1;179:422–426.

Mensink RP, Zock PL, Kester AD, Katan MB. Effects of dietary fatty acids and carbohydrates on the ratio of serum total to HDL cholesterol and on serum lipids and apolipoproteins: a meta-analysis of 60 controlled trials. Am J Clin Nutr. 2003 May;77(5):1146–55.

Müller H, Lindman AS, Blomfeldt A, Seljeflot I, Pedersen JI. A diet rich in coconut oil reduces diurnal postprandial variations in circulating tissue plasminogen activator antigen and fasting lipoprotein (a) compared with a diet rich in unsaturated fat in women. J Nutr. 2003 Nov;133(11):3422–7.

Nago N, Ishikawa S, Goto T, Kayaba K. Low cholesterol is associated with mortality from stroke, heart disease, and cancer: the Jichi Medical School Cohort Study. J Epidemiol. 2011;21(1):67–74.

Penzo D, Tagliapietra C, Colonna R, Petronilli V, Bernardi P. Effects of fatty acids on mitochondria: implications for cell death. Biochim Biophys Acta. 2002 Sep 10;1555(1–3):160–5.

Ramsden CE, Zamora D, Majchrzak-Hong S, Faurot KR, Broste SK, Frantz RP, Davis JM, Ringel A

Suchindran CM, Hibbeln JR. Re-evaluation of the traditional diet-heart hypothesis: analysis of recovered data from Minnesota Coronary Experiment (1968–73). BMJ. 2016 Apr 12;353:i1246.

Christopher E Ramsden, Daisy Zamora, Kim Faurot, Sharon Majchrzak, and Joseph Hibbeln. The Sydney Diet Heart Study: a randomised controlled trial of linoleic acid for secondary prevention of coronary heart disease and death. FASEB Jrnl. April 2013; Vol. 27, №1_supplement

Swee Keong Yap, Boon Kee Beh, Norlaily Mohd Ali, Hamidah Mohd Yusof, Wan Yong Ho, et al.

Antistress and antioxidant effects of virgin coconut oil in vivo. Exp Ther Med. 2015 Jan; 9(1): 39–42.