| Caffeine: Friend or Foe? |
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| by Charles Stuart Platkin | |
| Saturday, 08 July 2006 | |
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We ingest a lot of caffeine in this country. In fact, according to the
International Food Information Council, the per capita consumption of
caffeine for the average adult is approximately 200 milligrams daily --
the equivalent of about two to three cups of coffee.
Since this legal drug is so widely available and consumed, I had a few caffeine-related questions for the experts.
Is there any reason we shouldn't drink/eat caffeine? According to Michael F. Jacobson, Ph.D., of the Center for Science in the Public Interest, "The average person shouldn't worry about drinking a couple cups of coffee a day, but those who are drinking five, 10 or more should rethink their habit. They probably are addicted. The biggest concern is that caffeine may interfere with reproduction. Women who are pregnant or trying to become pregnant simply should avoid caffeine." However Jonathan Scher, M.D. a New York City obstetrician, doesn't believe pregnant women have to give up coffee completely, "Caffeine does cross the placenta to the baby, but it is believed that only very large amounts of caffeine may have harmful effects." There are, however, other reasons to avoid caffeine: It increases anxiety and can induce panic attacks. Some even experience Caffeine-Induced Anxiety Disorder, which is characterized by severe psychological stress, as a result of caffeine consumption. Another issue is osteoporosis. "Caffeine increases calcium excretion and could conceivably contribute to bone loss and osteoporosis," says Jacobson. Will caffeine interfere with my sleep cycle, or just with falling asleep? Still, Harris R. Lieberman, Ph.D., of the Military Nutrition Division of th USARIEM in Natick, Mass., recommends avoiding caffeine too late in the evening. "I wouldn't advise someone to consume caffeine after dinner, although its effect is primarily determined by your caffeine habits. Someone who drinks a lot of coffee regularly will be less affected than someone who isn't used to getting a lot of caffeine. But I would say that three to four cups of coffee at 2 might interfere with your sleep at 11." And, according to Terry D. Blumenthal, Ph.D., a professor of psychology at Wake Forest University, Winston-Salem, N.C., caffeine "can increase sensitivity to stimulation while asleep, so that the person is more likely to wake up if there is noise. In fact, the half-life of caffeine (the time it takes for half of it to be metabolized or wear off) ranges from two to six hours, depending on the person and their history with caffeine," says Blumenthal. CSPI's Jacobson also warns that, "Even small amounts of coffee can cause insomnia, while large amounts of coffee might cause anxiety in some people." Does caffeine enhance performance during exercise or physical activity? As for exercise, most studies conclude that caffeine consumption prior to working out seems to extend endurance during moderately strenuous aerobic exercise and also to decrease the sense of overall exertion. However, the benefits may be reduced once a certain tolerance level is reached. The effects of caffeine on exercise endurance also seem contingent on the amount of time you intend to spend working out. Studies have shown that the caffeine in coffee improves athletes' stamina and endurance for long-term exercises as well as their performance in short-term exercise. However, performance in very short-term events, such as a 100-meter dash, is not improved. Does the source of caffeine affect these results? "The source doesn't matter," says Lieberman. However, "Different sources of caffeine will provide varying amounts of caffeine. The delivery is irrelevant: It's the dose that counts." Will caffeine enhance memory or mood? Can caffeine be lethal? A nonlethal caffeine overdose can produce two sets of symptoms, depending on the nature of the overdose. An acute overdose, reached by quick ingestion of an extreme amount of caffeine, can result in tremors, restlessness, nausea, vomiting, a quick heart rate and confusion. Serious intoxication may cause delirium, seizures, irregular heart rate, hypokalemia (low potassium levels) or low blood sugar. In the case of chronic high-dose caffeine intake, one can experience nervousness, irritability, anxiety, shaking or muscle twitching, insomnia, palpitations and hyperreflexia (overstimulation of the autonomic nervous system). How much caffeine is too much? What are some of the most important health benefits of caffeine? "The effect caffeine will have depends on whether you're rested or sleep-deprived," says Lieberman. "If you're rested, caffeine helps you maintain focus during prolonged, boring activities -- such as driving or monitoring a computer. If you're sleep-deprived, caffeine will elevate your ability to stay alert and to be functional." Does caffeine help you lose weight? Caffeine is not an appetite suppressant, so it isn't going to make you less hungry. What it does do, however, is increase the level of circulating fatty acids, which in turn increases the oxidation of these fuels. The bottom line? Fat oxidation and fatty acid metabolism are increased. Still, despite this effect on metabolism, caffeine has not been proved to help significantly with weight loss. Is drinking coffee a good way to sober up if you're drunk? Does soda have as much caffeine as coffee? Does espresso have less caffeine than a typical cup of coffee? How Much Caffeine Does It Have? Coffee (8-oz. cup) Brewed, drip method Average: 85mg Range: 65-120mg Coffee (8-oz. cup) Instant Average: 75mg Range: 60-85mg Coffee (8-oz. cup) Decaffeinated Average: 3mg Range: 2-4mg Espresso (1 oz. cup) Average: 40mg Range: 30-50mg Teas (8-oz. cup) Brewed, major U.S. brands verage: 40mg Range: 20-90mg Teas (8-oz. cup) Brewed, imported brands Average: 60mg Range: 25-110mg Teas (8-oz. cup) Instant Average: 28mg Range: 24-31mg Teas (8-oz. cup) Iced (8-oz. glass) Average: 25mg Range: 9-50mg Some soft drinks (8 oz.) Average: 24mg Range: 20-40mg Cocoa beverage (8 oz.) Average: 6mg Range: 3-32mg Milk chocolate (1 oz.) Average: 6mg Range: 1-15mg Dark chocolate, semi-sweet (1 oz.) Average: 20mg Range: 5-35mg Baker's chocolate (1 oz.) Average: 26mg Range: 26mg Chocolate-flavored syrup (1 oz.) Average: 4mg Range: 4mgCHARLES STUART PLATKIN JD MPH is a nutrition and public health advocate, author of the best seller Breaking the Pattern (Plume, 2005), Breaking the FAT Pattern (Plume, 2006) and Lighten Up (Penguin USA/Razorbill, 2006) and founder of Integrated Wellness Solutions. Copyright 2006 by Charles Stuart Platkin. Sign up for the free The Diet Detective newsletter at www.dietdetective.com.
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