Some coffee brewing techniques raise the serum concentration of total
and low-density-lipoprotein cholesterol in humans, whereas others do n
ot. The responsible factors are the diterpene lipids cafestol and kahw
eol, which make up about 1% (wt:wt) of coffee beans. Diterpenes are ex
tracted by hot water but are retained by a paper filter. This explains
why filtered coffee does not affect cholesterol, whereas Scandinavian
''boiled.'' cafetiere, and Turkish coffees do. We describe the identi
fication of the cholesterol-raising factors, their effects on blood le
vels of lipids and liver function enzymes, and their impact on public
health, based on papers published up to December 1996.