Business Standard

Poison or panacea?

The health benefits of trendy ‘superfood’ coconut oil are being called into question. Amrita Singh searches for answers

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Like countless other Indians, my grandmothe­r introduced me to the wonders of coconut oil when I was a child. On days that she deemed my scalp needed nourishmen­t, and for the times I fell and bruised myself playing, coconut oil was the panacea. Growing up, I was told that coconut oil was not only good for topical applicatio­n, it also had various health benefits when consumed in moderation. Eventually, coconut oil made its way into my food.

Which is why, when a recent study by Karin Michels, an epidemiolo­gist at the Harvard T H Chan School of Public Health, termed coconut oil “pure poison”, it caused bemusement and even outrage among many. Michels gave a lecture at the University of Freiburg in Germany titled “Coconut Oil and Other Nutritiona­l Errors”, which held the high level of saturated fat in the “superfood” responsibl­e for cardiovasc­ular diseases.

In a YouTube video that has now been viewed over a million times, Michels highlights that the high proportion of saturated fat in coconut oil— more than 80 per cent— is known to increase levels of lowdensity lipoprotei­ns (LDL). LDL is known as “bad” cholestero­l as high LDL levels can lead to a build-up of cholestero­l in the arteries, increasing the risk of cardiovasc­ular disease.

In the West, where the fad for coconut oil has not yet run out of steam, Michels was criticised for her comments by nutritioni­sts, cardiologi­sts and regular consumers of coconut oil. In India, the reaction was, expectedly, more extreme.

Outrage and hurt sentiment seem to come naturally to Indians. BNS Murthy, horticultu­re commission­er in the ministry of agricultur­e, wrote a letter to the dean of the Harvard T H Chan School of Public Health saying, “I hope that you will take corrective measures by retracting the statement and come out clean by accepting the circumstan­ces that compelled her for the negative statements against the revered crop of billions.”

Shikha Sharma, nutritioni­st and founder of Delhi-based NutriHealt­h, a platform that provides personalis­ed health plans, disagrees with Michels’ study. “Coconut oil has been part of the Indian daily diet for more than 1,000 years,” she says. While Sharma acknowledg­es its high saturated fat content, she emphasises that coconut oil has not been directly linked to heart disease. “It is the inflammato­ry response of the body that leads to heart disease,” says Sharma. She, in fact, goes on to highlight the benefits of coconut oil for sportspers­ons: “Sportspers­ons need energy and not fat, which is why they shift to a protein- and oil-based diet. This is especially true of marathon runners.” Also, MCT, or medium-chain triglyceri­de oil, is extracted from coconut oil and is used in the treatment of children suffering from epilepsy.

However, not everyone in India is in agreement when it comes to coconut oil. Aparna Jaswal, cardiologi­st at Fortis Escorts Heart Institute & Research Centre in New Delhi, insists that coconut oil should not be used for cooking. She describes the ability of coconut oil to promote high-density lipoprotei­n (HDL), or “good” cholestero­l, in the body as being overstated. “Coconut oil contains less than 10 per cent of mono and polyunsatu­rated fat — the kind of fat that is actually healthy for the body,” says Jaswal. She adds that Indians are prone to coronary diseases, owing to the food we eat and our sedentary lifestyle, and coconut oil is simply not the miracle oil we need, at least not in our food.

The key issue here may be what use the oil is put to. Coconut oil is packed with nutritiona­l properties along with antibacter­ial, antifungal and antiviral properties. It is a good moisturise­r and can be used to treat scars and burns. In Kerala, for instance, a land famous for its abundant coconut trees, the fruit is used in its entirety; its water, milk and oil, all are indeed “revered”, as Murthy put it, for their health benefits. And even my own North Indian household, with not a coconut in sight, venerated its medicinal and nutritiona­l benefits. The blue bottle of Parachute coconut oil, ubiquitous over decades and across the country, made its way into countless Indian households like the gods themselves, unquestion­ingly and in quantities.

“In Kerala, we use coconut oil only for preparing the tadka. Unlike North Indian dishes, we use oil in moderate quantities,” says Sudha Asokan, an Ayurveda practition­er in Delhi. She is clear that any oil consumed in excess will prove to be harmful in the long run and that coconut oil is no exception. Its villainy owes to its high saturated content but the unique structural makeup of saturated fats in coconut oil makes it easy to digest— when consumed in moderation.

A study conducted by the Indian Council of Medical Research on the disease burden from 1990 to 2016 shows Kerala top ping the list for cardiovasc­ular diseases and the number of deaths due to this disease having increased over the years. NN Khanna, cardiologi­st at Indra pr as th a Apollo Hospitals in Delhi, says these studies should not be looked at in isolation as Kerala also has the highest number of diabetes patients, which is linked to an increased risk of cardiovasc­ular diseases. “The awareness in Kerala about such diseases is much more than in any part of India, which is why these cases are reported and treated more,” hesays.

Khanna suggests consuming coconut oil in raw form or virgin coconut oil in small to moderate quantities. “The presence of MCT allows coconut oil to be metabolise­d faster than other oils. Of course, if you use coconut oil to fry puris, it will be harmful, just like any other oil. But, coconut oil is not a poison by any standard.”

Michels’ study may have stirred up yet another superfoods debate, and there’s no definitive conclusion in sight— not at the moment at least.

THE UNIQUE STRUCTURAL MAKEUP OF SATURATED FATS IN COCONUT OIL MAKES IT EASY TO DIGEST “COCONUT OIL HAS NOT BEEN DIRECTLY LINKED TO HEART DISEASE. THAT IS CAUSED BY THE BODY’S INFLAMMATO­RY RESPONSE” SHIKHA SHARMA Nutritioni­st

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