Go Ahead, Drink Coffee

There has never been good evidence for patients not to drink coffee. In fact, there's a ton of research showing that coffee is good for you.

In one study of coffee consumption, researchers in Italy enrolled over 11,000 recent heart attack sufferers in research lasting 3-1/2 years. At the beginning of the study and at regular intervals throughout, the subjects were interviewed regarding their diet, specifically their coffee intake. The diet and coffee consumption of those subjects who experienced another heart attack or a stroke during the study were compared with those subjects who didn’t have any problems.

After controlling for the subject's age and gender, on the other hand, the association between coffee drinking and heart attack or stroke disappeared. There was no greater risk and no reduction in risk. Further analyses--controlling for various factors such as smoking, diabetes and obesity--had the same results: again, no increase OR reduction in risk. It appeared that coffee drinking made no difference. I do love that the Italians did this study. They really know what is important in life! (Circulation 2007; 116:000-000)

In another study, researchers found that people who increased their coffee intake had a lower average weight gain than their peers. Those men who drank an additional 1-1/2 cups of coffee per day gained a little less than 1/2kg less weight, while women who drank a single additional cup per day gained slightly less than the men. Interestingly, those who drank more decaffeinated coffee seemed to gain weight.

One surprising result was that women whose BMI was over 25, those who smoked, or those less physically active seemed to gain even less weight when increasing their caffeine intake. (AM J Clin Nutr 2006; 83:674-80)

The Nurses’ Health Study is a research project established in 1976 that includes over 121,700 women. It continues to the present day, with questionnaires sent to the participants every 2 years. As part of the research, nurses’ blood was drawn in 1990 and analyzed for markers of inflammation that might be associated with heart attack and stroke.

It was found that the more caffeinated coffee ,diabetic women drank, the lower were those markers of inflammation and endothelial dysfunction. On the other hand, higher levels of decaffeinated coffee intake by the healthy women were associated with lower levels of inflammatory markers and endothelial dysfunction. (AJCN 2006; 84:888-93)

Another study followed over 28,000 women, aged 55 to 69, for 11 years via a mailed questionnaire and telephone interview. The researchers also wanted to look at post-menopausal women to assess the impact of coffee drinking on their risk of developing diabetes.

The more coffee the women drank, the lower their risk of developing diabetes: Those who drank more than six cups per day reduced their risk by 34 percent! The surprising and different result, however, was that when the researchers differentiated between caffeinated and decaffeinated coffee, those women who drank more than six cups of decaffeinated coffee per day reduced their risk even further—by 42 percent.

What’s especially interesting about this study is that these women’s risk was reduced despite the fact that those who drank more coffee tended to drink more alcohol, smoke more, exercise less and get more high-fat dairy foods and less fiber in their diet than those who drank less coffee.

Clearly, there’s something in coffee that’s protecting people from diabetes, and it’s also clear that it’s not necessarily the caffeine. Researchers speculate that it’s the antioxidants in the coffee. (Indeed, coffee is the single largest source of antioxidants in the Western diet.) (Arch Intern Med. 2006; 166:1311-1316).

One of my favorite studies looked at the relationship between coffee drinking and health issues like cardiovascular disease, cancer (other than skin cancer), Parkinson’s disease, gallstones, cirrhosis of the liver and diabetes. These diseases have a strong inflammatory component, and the speculation is that the antioxidants in coffee help to control that inflammation.

Participants were 27,312 postmenopausal women between ages 55 and 69, without heart disease or other inflammatory diseases. They were followed for 15 years.

The findings were consistent with previous studies: The more coffee a participant drank, the lower the total death rates for all studied causes. This remained true even after controlling for age, smoking and alcohol intake, even though women who drank more coffee tended to smoke and drink more. (AJCN 2006; 83:1039-46)

None of this means that you should start drinking coffee if you don’t like it. But if you are a fan of coffee, don’t worry: It’s good for your health.

Timothy S. Harlan, M.D., a.k.a. Dr. Gourmet
Drgourmet.com