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Apple Cider Vinegar

By Cathy Wong, About.com

Updated: December 28, 2007

About.com Health's Disease and Condition content is reviewed by our Medical Review Board

What is Apple Cider Vinegar?

Other names: cider vinegar, ACV, acetic acid

Apple cider vinegar is a type of vinegar made by the fermentation of apple cider. During this process, sugar in the apple cider is broken down by bacteria and yeast into alcohol and then into vinegar. Apple cider vinegar contains acetic acid (like other types of vinegar) and some lactic, citric and malic acids.

Unlike white vinegar, apple cider vinegar is a light yellow-brown color and is often sold unfiltered and unpasteurized with a dark, cloudy sediment called mother of vinegar (consisting mainly of acetic acid bacteria) settled at the bottom of the bottle.

Unfiltered and unpasteurized apple cider vinegar is sold in health food stores, online and in some grocery stores.

Although other types of vinegar -- such as white vinegar, balsamic vinegar, red wine vinegar and rice wine vinegar -- are used mainly in cooking, apple cider vinegar is used primarily for health purposes. Hippocrates was said to have used it as a health tonic and American soldiers are said to have used it to combat indigestion, pneumonia and scurvy.

But it wasn’t until the book Folk Medicine: A Vermont Doctor’s Guide to Good Health, written by D.C. Jarvis, M.D., was published in 1958 that the medicinal use of apple cider vinegar took off. Jarvis recommended apple cider vinegar as a cure-all, explaining that it was unusually rich in potassium (compared to other food sources, it is not). He said that mixing the apple cider vinegar with honey, a mixture he called “honegar,” enhanced the healing power of the vinegar. Jarvis also wrote that apple cider vinegar could destroy harmful bacteria in the digestive tract and recommended as a digestive tonic to be consumed with meals.

Although the year it was released it didn’t attract much attention, the following year, Folk Medicine became a bestseller and stayed on the bestseller list for months. According to Time magazine, it sold more than 245,000 copies in a single week and received many testimonials by people who felt they benefited from the apple cider vinegar and honey mixture.

In the 1970s, apple cider vinegar became popular once again, this time by proponents who had read Jarvis’ book and suggested that apple cider vinegar along with kelp, vitamin B6 and lecithin could help people lose weight by speeding metabolism and burning fat at a faster rate.

Why Do People Use Apple Cider Vinegar

  • Diabetes

    Perhaps the most intriguing aspect of apple cider vinegar’s possible health benefits is its effect on blood glucose levels. Several small studies suggest that vinegar (both apple cider vinegar and other types) may help to lower glucose levels.

    For example, a preliminary study by researchers at Arizona State University, published in the journal Diabetes Care, examined people with type 2 diabetes. Study participants took either two tablespoons of apple cider vinegar or water with one ounce of cheese at bedtime for two days. The researchers found taking two tablespoons of apple cider vinegar at bedtime had a favorable impact on blood glucose levels the next morning. Prior to the study, the average fasting blood glucose level was 137 mg/dL. It decreased by 2% with the cheese and by 4% with the vinegar, a statistically significant difference. In people with a fasting glucose level above 130 mg/dL prior to the study, the vinegar reduced glucose levels by as much as 6%. The study was very small and the duration was short, so more research is needed.

    Other studies have found that vinegar can lower the post-meal rise in glucose. The acetic acid in vinegar is thought to slow starch digestion and reduce the glycemic index of starchy foods. For example, a small study compared the effect of vinegar with white bread on blood glucose and insulin levels. Researchers found that those who took vinegar with white bread had lower post-meal blood glucose and insulin levels and it also appeared to increase satiety ratings.

  • Weight Loss

    Apple cider vinegar has become popular as a “fat-burner” and as a natural appetite suppressant. In fact, there’s even an apple cider vinegar diet, which involves taking one to three teaspoons of apple cider vinegar or apple cider vinegar pills before each meal.

    The earliest proponent of apple cider vinegar for weight loss was Jarvis, who wrote that people who consumed apple cider vinegar regularly would burn fat instead of store it. Although some say that the pectin, enzymes, vitamins, or potassium may help with weight loss, there is no reliable research showing that either apple cider vinegar or the combination of apple cider vinegar, kelp, vitamin B6 and lecithin can influence metabolic rate or the help us “burn fat” faster than we normally would.

    One small study in 2005 found that those who ate a piece of bread with a small amount of white vinegar felt more full and satisfied than those who ate the bread alone. It’s possible that vinegar may affect satiety by lowering the glycemic index of carbohydrates eaten at a meal. More research is needed.

  • Alkaline Acid Balance

    Some alternative practitioners suggest apple cider vinegar as part of a diet to restore alkaline acid balance. The theory behind the alkaline diet is our blood is slightly alkaline, with a normal pH level of between 7.35 and 7.45. Our diet should reflect this pH level and be slightly alkaline. All foods we eat, after being digested and metabolized, release either an acid or alkaline base (bicarbonate) into blood. The foods that people tend to overeat –- grains, meat, dairy products -- all produce acid.

    Proponents of the alkaline-acid theory believe that a diet high in acid-producing foods leads to lack of energy, excessive mucous production, infections, anxiety, irritability, headache, sore throat, nasal and sinus congestion, allergic reactions and makes people prone to conditions such as arthritis and gout. Despite being an acidic solution, some proponents of apple cider vinegar believe it has an alkalinizing effect on the body, which is why one to two teaspoons of apple cider vinegar in water is recommended as a daily health tonic. Although it's a popular remedy, the effectiveness of the remedy and the theory haven't been researched.

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