Walk With the Doc
   Saturday August 5th, 7:00 am

        Is Coffee Good for Health?

       Finally, there has been a reversal in the
thinking about coffee’s health effects. Early studies
gave coffee a bad reputation.  The problem was that
many studies didn't take into account heavy
smoking and physical inactivity which tended to be
quite common among heavy coffee drinkers. By
eliminating people with lifestyle habits that would
overshadow any help coffee might offer, the effects
of coffee became clearer.  

       Today, coffee has a rather impressive portfolio
of positive associations with health.  According to
two recent large-scale studies coffee consumption
has become even more strongly associated with
better health. The keyword here is “associated” not
“proven.”  These were observational studies, not
controlled clinical trials. So while they demonstrate
an association, they don’t identify the underlying
cause and effect.  

    The International Agency for Research on
Cancer (IARC) has changed their position. In 1991
they advised coffee may cause cancer.  By 2016
research showed the opposite - coffee may be
protective from certain cancers.                      

    These two new reports are unlikely to be the last
word about coffee’s benefits.  However, they do add
to an expanding body of research sponsored by the
coffee industry and others that generally indicates
no harm for most and for many some benefits.  
While a daily walk would probably have more benefit
than a cup of coffee that’s not a head-to-head study
the coffee industry is likely to fund.
        
       To their credit, these recent studies were
overseen by independent research organizations
that collected health histories from over 500,000
people for a wide range of ethnicities spanning
sixteen years.  As far as nutrition research goes,
this is about as good as it gets.

       One especially positive finding was an
association indicating that a cup of coffee daily
resulted in a twelve percent lower risk of death from
heart disease, cancer, stroke, diabetes, respiratory
and kidney disease.

                And drinking three cups a day reduced
the risk by eighteen percent.  Another strong
association from the study was lower death risk from
digestive ailments, circulatory problems and liver
disease.

       An unresolved question is why coffee provides
preventative advantages.  What researchers know
is that caffeine alone is not the answer.   Given that
coffee is a complex concoction of molecules,
researchers have plenty to puzzle over.  

       Before jumping to the conclusion that more
coffee is right for you, be aware that because of
genetic differences, some people metabolize
caffeine fast and others metabolize it more slowly.  
In one study, the slow metabolizers who drank four
or more cups of coffee a day experienced a greater
risk of nonfatal heart attacks.

        Aside from a few exceptions, these recent
studies fit well with accumulating research that finds
positive associations between coffee and health.  No
doubt, you are pleased there is still one way to get a
buzz that’s not bad for health.  For myself, a
morning walk gives me the buzz I need although I
must to admit rather enjoying a nice cup of tea or
coffee.                            

     Many of the studies that brought attention to the
potential health benefits of coffee came from
research done at Harvard University and the
National Institute for Health.  Findings from these
studies associated coffee with:

   • Reduced risk of developing Parkinson’s disease

   • Lower risk of a lethal form of prostate cancer

   • Reduced risks of heart failure at 2 cups per day
but declined with more

   • Reduced risk of skin cancer

   • Protecting liver health

    • Reduced risk of death from non-viral liver
cirrhosis.

    Various studies have identified 51 reasons why
coffee may be healthy.  While some of the claims
would likely suffer in the light of rigorous scientific
scrutiny it’s still an amazing list of possibilities. Just
keep in mind that when the topic of coffee research
is mentioned it’s not about the health benefits of
syrupy frappuchinos.  It’s fair to assume that coffee
flavored sugar drinks are not what researchers have
been studying. So, if drinking unadulterated coffee
isn’t your thing then all bets are off on whether
coffee will provide any health benefits. What I have
far more confidence in is a morning walk. Why not
join me?

    Nancy Neighbors, MD


                                  *****

       While coffee containing caffeine may have
many desirable effects, it may also present
undesirable side effects.  Possible side effects
include insomnia, increased heart and breathing
rate, nervousness and restlessness, stomach upset,
nausea and vomiting, and other side effects.
Consuming large amounts of coffee might also
cause anxiety, agitation, headache, irregular
heartbeats and ringing in the ears. For more about
coffee’s possible side effects click here.


             
                    Let’s take a walk

          Date:
Saturday, August 5th

    Location: Jones Family Park (see map)

   Time: 7:00 am (Meet in front of Yogurt Mt.)

Yogurt Mt. is the last store at the end of Valley Bend
Shopping Center).  If cloudy, bring an umbrella, we walk
come rain or shine.  



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