Health moderation: Coffee consumption conundrum

As prom­ised, health mod­er­a­tion series is off to a start, filled with sar­casm and just enough research and data to appease even the most crit­ical of indi­vidu­als and hope­fully less para­noia sprinkled in. Coffee is the topic of this con­ver­sa­tion, and con­sid­er­ing so many con­ver­sa­tions, rela­tion­ships and life events revolve around cof­fee dates and meet­ings, it just makes sense to start with it first. 

I’ll bet half of you expect that I will say that cof­fee is the devil and you should never drink it. Here’s where you are wrong. This a mod­er­a­tion series. I’m going to list the pros and cons to cof­fee con­sump­tion, and we can make some mod­er­ate decisions about this intervention.

Pros

  • High anti­ox­id­ant value, espe­cially when made with organic beans from a fair trade source
  • Supports liver and gall­blad­der emul­si­fic­a­tion of fats. This is import­ant in cho­les­terol levels as excess fat can be prop­erly broken into smal­ler pieces to move out into the colon. Has been found to assist in liver regen­er­a­tion in those with liver dis­ease to repair the hep­ato­cytes (liver cells) and their drainage.
  • Prevents con­stip­a­tion. Encourages the pass­ive con­trac­tion of the colon, increas­ing motil­ity (movement)
  • May pro­tect against colon can­cer due to the pres­ence of anti­ox­id­ant molecules cafestol, kah­weol, melanoid­ins, poly­phen­ols to name a few…especially in smokers
  • Increases meta­bol­ism and the lib­er­a­tion of energy and sus­tains and provides energy for intense phys­ical activ­ity, and improves the build­ing of muscle
  • When con­sumed in a drip cof­fee­maker with a fil­ter, reduces the incid­ence of expos­ure to cof­fee bean oils and does not con­trib­ute as much to cho­les­terol. A higher pro­por­tion of caf­feine is avail­able how­ever in this instance.
  • Reduces propensity for demen­tia and dementia-​like con­di­tions (very pre­lim­in­ary research, this is not yet confirmed)

Cons

  • If adrenal fatigue is present, then rely­ing on cof­fee and its caf­feine con­tent as a source energy sup­port actu­ally depletes the gland, and causes it to be stim­u­lated via epi­neph­rine and nore­pineph­rine rather than nour­ish­ing this sys­tem. Will also trig­ger anxi­ety in sus­cept­ible individuals.
  • Addictive. Caffeine is a drug, and can­not be cut out without wean­ing. Side-​effects include head­aches, fatigue, and grouchi­ness, among others!
  • For indi­vidu­als with looser stools by nature, either due to Crohn’s, ulcer­at­ive colitis, or gall­blad­der defi­cien­cies, cof­fee will cause increased bowel move­ments and cramp­ing. This is not help­ful for these individuals!
  • When con­sumed as espresso, the cof­fee bean oils can con­trib­ute to increased cho­les­terol (see the dir­ectly oppos­ing view above)
  • When abused as a weight loss tool, speed­ing up the meta­bol­ism before a workout or on fad diets will increase meta­bol­ism but not be a sus­tain­able source of change. Green cof­fee extract, as an example, does work to sup­port weight loss but inev­it­ably if you do not change eat­ing and main­tain healthy phys­ical activity
  • Those with high blood pres­sure, cof­fee increases blood pres­sure and is a car­di­ovas­cu­lar risk. For those with vibril­la­tion con­di­tions, it will increase the oppor­tun­ity for epis­odes (flut­ter­ing heart, the heart skip­ping a beat etc)
  • Is often used as a vehicle to con­sume sugar and cream!

So…what have we learned about coffee?

Clearly there is an indi­vidu­al­ity to who can drink cof­fee, when, how and why.

Yes, there is caf­feine. Yes, caf­feine is a stim­u­lant and it will cause our adren­aline sys­tem to be activ­ated. If we are more anxious by nature, have high blood pres­sure, or are adrenal com­prom­ised it may not be the best choice. When brewed as espresso, cof­fee bean oils can increase our cho­les­terol, which depend­ing on the per­son, can be a negative.

There are also anti­ox­id­ants and poly­phenol com­pounds in cof­fee. Antioxidants and poly­phenol are known to pre­vent can­cer, and are demon­strat­ing that is pro­tect­ive for colon and some female can­cers (endo­metrial) in nature.

So, what do I think about cof­fee for health?

The anti­ox­id­ant poten­tial of cof­fee is very bene­fi­cial. One cup a day is really not that big an issue, depend­ing on your health his­tory.

Moderate cof­fee con­sump­tion is:

A per­son who likes cof­fee, who has a mod­er­ate life­style, drinks a cup daily with no cream and little to no sugar in a filtered drip.

Moderate cof­fee con­sump­tion also includes not hav­ing the fol­low­ing health concerns:

  1. If you are intensely fatigued and snap at people without your caf­feine fix, cof­fee is prob­ably keep­ing you some­what sane but might not be the long-​term solu­tion for you.
  2. If you have digest­ive troubles where you have more diarrhea and inflam­ma­tion in your bowel, it is best to be mod­er­ate in your cof­fee con­sump­tion at best, mak­ing sure to be doing other things to sup­port your digest­ive tract. If a his­tory of colon can­cer is added to these symp­toms, then other pre­vent­at­ive things should be used.
  3. If you have intense anxi­ety, cof­fee is not the bever­age for you.
  4. If you have high blood pres­sure where stress and caf­feine can change your blood pres­sure and med­ic­a­tion you may be tak­ing for this blood pres­sure, you need to be care­ful how much cof­fee you con­sume. This may include a half cup every other day, or a few times a week.
In sum­mary, cof­fee does have some good bene­fits but like everything, may not your choice of bever­age if you have health con­cerns that may be lim­it­ing for you. The choice is ulti­mately yours, but let’s not glor­ify or shame cof­fee itself!

A cup of cof­fee a day?

About Dr Aoife

Dr Aoife Earls is a naturopathic doctor whose passion is in improving skin conditions and supporting gastrointestinal conditions like irritable bowel diseases and irritable bowel syndrome.
This entry was posted in Health Moderation, Nutrition and tagged , , , , , , , . Bookmark the permalink.

2 Responses to Health moderation: Coffee consumption conundrum

  1. Excellent art­icle! I do have a ques­tion about decaf­fein­ated cof­fee. Can you drink more if you drink decaf? By that I mean per­haps 2 – 3 cups a day? Would the bene­fits more out­weigh the prob­lems if you drank decaf?

    • Dr Aoife says:

      Great ques­tion Bettina! Actually, the research is very unclear for decaf. More recently, the pro­cess of roast­ing decaf­fein­ated beans has shown the same anti­ox­id­ant bene­fits from melanoid­ins as with reg­u­lar beans, activ­at­ing com­pletely dif­fer­ent parts of the immune sys­tem. It was thought at one time that there was no bene­fit, but most of the research was on blood lip­ids (fats) asso­ci­ated with car­di­ovas­cu­lar dis­ease and a neg­at­ive asso­ci­ation with cof­fee. With the recent evid­ence for other bene­fits for cof­fee (anti­ox­id­ants), there is a change in the per­cep­tion of decaf. Preliminary research for colon can­cer com­par­ing decaf and caf­fein­ated cof­fee shows bene­fit for both over tea which had no bene­fit in pre­ven­tion. If you’re drink­ing decaf in a paper fil­ter any­way, it stands to reason that you won’t have the neg­at­ive asso­ci­ations of caf­feine on blood lip­ids. Whether you get more anti­ox­id­ants the more you drink, you most likely do. However, research will determ­ine if that is actu­ally true!

      The type of decaf­fein­ated cof­fee bean how­ever and how it is pro­cessed is import­ant. Traditional decafs use chem­ic­als to strip the beans of caf­feine, whereas Swiss or nat­ural labelled (using com­pressed car­bon diox­ide) meth­ods do not.

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>