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Taking stock of coffee's benefits, drawbacks
July 15, 04
Suzanne Havala Hobbs

It’s 90 degrees outside, but I still gotta have a hot cup of joe the moment I wake up each morning.

I love coffee – the aroma, the flavor, and the lift it gives me. Still, from time to time, I review the latest evidence – pro and con – so that I can take remedial action, if necessary.

Fortunately, it hasn’t been.

To date, research links between coffee and adverse health effects have been weak. Some recent studies have even suggested benefits. Here’s where things stand:

In defense of coffee:

* It gives a lift. Caffeine is a stimulant. You can use caffeinated coffee strategically when you need to be mentally alert – before a test or a long car drive. Caffeine can also boost athletic performance.

* It has antioxidant nutrients. Coffee contains polyphenols, substances that may reduce the risk of cancer and coronary artery disease.

* It can relieve a headache. A cup of coffee can be as effective as an aspirin in relieving headache pain.

* It may reduce the risk for type 2 diabetes. Researchers at the Harvard School of Public Health found a link between regular coffee consumption and significantly reduced risk for type 2 diabetes for 125,000 participants in the Nurses Health Study. It’s unclear why coffee was associated with this benefit, and more research is needed.

* It may reduce the risk of Parkinson’s Disease. In findings from the Health Professionals Follow-Up Study at Harvard, moderate caffeinated coffee consumption significantly reduced the risk of developing Parkinson’s Disease as compared to little or no daily caffeine consumption. Once again, however, it’s too soon to make recommendations based on either of these studies.

And there is certainly a downside to coffee consumption. The cons:

* Drinking caffeinated beverages can interfere with getting a good night’s sleep.

* Withdrawl symptoms. When habitual coffee drinkers go without, they can develop mild to severe headaches, sleepiness, irritability and nausea.

* Rapid heart beat. The caffeine can cause rapid or irregular heartbeats.

* Drinking coffee increases the need to urinate. (It can also have a laxative effect, which may be a pro or a con).

* It can accentuate anxiety. Too much caffeine can give you the jitters.

The relationships of caffeine and cardiovascular disease, fibrocystic breast disease, birth defects and reproductive function have been studied extensively, but moderate intakes of coffee or caffeine do not appear to have harmful effects.

Other ideas about coffee that have not panned out:

* It won’t negate the effects of alcohol. Don’t count on black coffee to sober up a drunk.

* It won’t dehydrate you. Yes, coffee is a diuretic. But the amount of water in a cup of coffee more than compensates for water lost.

* It won’t leach out all of your calcium. Just a little, and not enough to worry about if your coffee consumption is moderate. For those who put milk in their coffee, the amount of calcium in the milk offsets any calcium loss due to the effects of caffeine.

Which brings me to a few final words:

* Moderate means two to three 8-ounce cups per day, or up to about 250 milligrams of caffeine. Caffeine content varies by type of coffee bean, strength, length of time brewed, and other factors.

* If you use a whitener, use skim or _ percent milk or soymilk instead of whole milk, cream, or nondairy creamers made with hydrogenated oils. Hold sugar to a minimum.

* If you are pregnant, suffer from chronic anxiety, or have gastrointestinal problems such as gastritis or an ulcer, follow your health care provider’s advice about caffeine use.

For now, my cup of joe is safe. But if it gets any hotter outside, I’ll switch to iced.

The contents of this website are not intended to provide personal medical advice.Individual medical advice should be obtained from a qualified health professional.
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