Is cheese better than butter for heart health?

(Reuters) – Doctors and nutritionists have long  recommended avoiding all animal fats to trim cholesterol, but  Danish researchers say cheese may not be so bad, and probably  shouldn’t be placed in the same category as butter.

According to their study, published in the American Journal  of Clinical Nutrition, people who ate daily servings of cheese  for six-week intervals had lower LDL cholesterol, the so-called  “bad” cholesterol, than when they ate a comparable amount of  butter.

The cheese eaters also did not have higher LDL during the  experiment than when they ate a normal diet.

“Cheese lowers LDL cholesterol when compared with butter  intake of equal fat content and does not increase LDL  cholesterol compared with a habitual diet,” wrote Julie  Hjerpsted and her colleagues, from the University of Copenhagen.

The group surveyed about 50 people. Each person was put on a  controlled diet and added a measured amount of cheese or butter  daily.

Throughout, each participant was compared against his or  herself, to follow changes in the body caused by the foods.  Researchers gave each person cheese or butter, both made from  cows milk, equal to 13 percent of their daily energy consumption  from fat.

During six-week intervals, each person ate the set amount of  cheese or butter, separated by a 14-day cleansing period which  they returned to their normal diet. Then they switched, and for  six weeks those who had eaten the cheese before, ate butter,  while the butter eaters in the first phase ate cheese.

Despite eating more fat than had been in their normal diet,  the cheese eaters showed no increase in LDL or total  cholesterol. While eating butter, however, the same subjects had  LDL levels about seven percent higher on average.

While eating cheese, subjects’ HDL or “good” cholesterol  dropped slightly compared with when they ate butter, but not  compared with their normal eating period.

The researchers speculated that there could be several  reasons why cheese affected people differently than butter. But   there is nothing conclusive in the study, which was supported by  the Danish Dairy Board and the National Dairy Research  Institute.

For one, cheese has a lot of calcium, which has been shown  to increase the amount of fat excreted by the digestive tract.  Researchers did detect a little more fecal fat during the time  the group ate cheese, but the amounts were not statistically  significant.

Other possible explanations involve the large amount of  protein in cheese and its fermentation process, both of which  could affect the way it’s digested compared to butter.

Elizabeth Jackson, assistant professor of medicine at the  University of Michigan Health Systems, told Reuters Health that  the study was well done but does not really change what  cardiologists currently recommend.

“We want people to have a diet focused on whole grains and  vegetables and moderate fats,” said Jackson, who was not  involved in the study.

“In terms of cheese, anything in moderation,” she added.