Tuesday, January 5, 2010

Consumption

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I mentioned today I love coffee.  I really really do.  I also mentioned that coffee, or presumably the caffeine in coffee, has been demonstrated to have a positive effect on cognitive performance.  I like this data.  A lot.

I also like this recent article.  It's an overview of some of the effects that have been found related to coffee consumption.
This month alone, an analysis in the Archives of Internal Medicine found that people who drink three to four cups of java a day are 25% less likely to develop Type 2 diabetes than those who drink fewer than two cups. And a study presented at an American Association for Cancer Research meeting found that men who drink at least six cups a day have a 60% lower risk of developing advanced prostate cancer than those who didn't drink any
And it gets BETTER even.
Earlier studies also linked coffee consumption with a lower risk of getting colon, mouth, throat, esophageal and endometrial cancers. People who drink coffee are also less likely to have cavities, gallstones, cirrhosis of the liver, Parkinson's disease and Alzheimer's disease, or to commit suicide, studies have found. Last year, researchers at Harvard University and the University of Madrid assessed data on more than 100,000 people over 20 years and concluded that the more coffee they drank, the less likely they were to die during that period from any cause.
Seriously - that's music to my ears.

But...I also talked today about how one of the reasons that every psychology course has a section on research methods, and one of the reasons that I go on and on and on until you fall asleep spend so much time and energy trying to hammer home research methods is that understanding some of the details and rules about how science is conducted helps us become better consumers of science.  Just because we find a relationship between two variables (i.e. a correlation) doesn't necessarily imply a causal relationship, even it it's something we really really want to believe.

The WSJ article actually does a relatively good job pointing out some of the complications with the rosy view of coffee presented above.  For example, they point out that while certainly those beneficial effects have been noted, negative effects for coffee consumption have also been found in other research.
But those studies come on the heels of older ones showing that coffee—particularly the caffeine it contains—raises blood pressure, heart rate and levels of homocysteine, an amino acid in blood that is associated with stroke and heart disease. Pregnant women who drink two or more cups of coffee a day have a higher rate of miscarriages and lower birth-weight babies; caffeine has also been linked to benign breast lumps and bone loss in elderly women. And, as many people can attest, coffee can also aggravate anxiety, irritability, heartburn and sleeplessness, which brings its own set of problems, including a higher risk of obesity. 
Moreover, as they point out, research on coffee consumption is plagued by many of the same methodological concerns common to most research focusing on lifestyle issues.  For reasons of both pragmatics and ethics, most studies such as the ones cited above involve observational designs.  In other words, people report on their consumption.  As such, there may be something different about regular coffee drinkers than those who abstain, or people's memories may be faulty or incorrect. And lab studies which do control for these factors can be critiqued on the grounds that they are not ecologically valid.  What happens in the lab may not necessarily mirror what happens in real  life.

The authors of the article conclude that while there are some indications that coffee can be a healthy drink, there is not enough evidence to suggest that non-coffee drinkers take up the habit, and that certain groups (e.g. pregnant women, people with high blood pressure) should consider reducing their intake.

As for me?  I'll stick with my caffeine habit.  After all it makes the morning headache go away just tastes so darned good in the morning!

17 comments:

  1. I know that if I don't have some coffee in the morning, I am not the person you want to be around. Four months ago, I had my first child. When I was pregnant, drinking coffee was something that I had to fight the urge on. I was told, by my very awesome doctor, that it would in fact increase my chances of a miscarriage and/or cause low-birth weight for the baby. However, friends of mine claimed they drank coffee throughout their pregnancy and their baby turned out just fine. I decided to drink an occasional cup of decaf and my son was born very healthy. Making these references could be considered an example of availability heuristics, correct? From the articles posted on the blog, it seems like there are more pros than cons in drinking coffee. All I know that an iced black coffee, some half and half, and two sweet n' low's are all I need to start my day off right.

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  2. Wow I always thought coffee was bad and stayed away from it. Instead of cofee I ate an apple in the mornings. I now live with a room mate who drinks coffee every morning and got me hooked on it. I tend not to drink it everyday, But with this information maybe i should start.. or not.. thanks for the information.

    ...Reno ...

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  3. My name is Kim Wiseman. I really enjoy coffee myself but unfortunatly I have the opposite effect as to what your study shows. If I have coffee in the morning I forget things the rest of the day. I have found that it is because caffeine increases anxiety for me and causes me to forget things more than normal. I have also found that sugar, which is another of my favorites, has the same effect on me. Oh how I do love coffee though.

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  4. Just a side note- I was searching for something to do this weekend with my friends and came across this coffee lover's night at the world forestry center. It is a coffee break weekend. Check it out! http://www.worldforestry.org/

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  5. My name is Andrea Barney--I never really liked coffee, the smell of it turns my stomach in the morning. I never drank it because I was told that it would stunt my growth, and turn my teeth yellow or brown. But after reading this I may try to start drinking it, considering my family history with cancers and Parkinsons. It would be a shot in the dark but you have to try everthing.
    Though I could use the memory boost for the late night study sessions. But I am worried about the caffeine buzz that I will get and the crash afterwards.

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  6. These benefits sound spectacular. Now if I could only get past my loathing of the taste and smell of coffee. I know I'm a freak, but I can't stand the stuff... I don't even like things like tiramasu because of the coffee flavor. It's pretty ridiculous.

    My question would be, are these benefits due to something in the chemical nature of coffee and the coffee bean, or is it just the caffiene that is beneficial? Because I do like me some Red Bull. (apologies if this question was covered in the articles, I haven't had a chance to look through them yet.)

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  7. Coffee is my drug of choice. I remember discovering it freshman year of college, and I haven't looked back since.

    However, this article makes me wonder, could there be other factors effecting this study? For instance, the statistic that says people who drink three to four coffee drinks a day are 25 % less likely to develop Type 2 diabetes, couldn't this be because these coffee drinkers are choosing coffee over more sugary drinks like soda and juice? The same goes for coffee-drinker's decreased chances of getting cavities. Maybe it's not the coffee that's providing benefits, but the harms these people avoid when choosing coffee over the alternative.

    Just a thought.
    Until we know for sure, I'll be happy accepting the fact that my three cups of coffee a day are providing me with a healthier and longer life. :-)

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  8. Wow! My favorite part is how Harvard University and University of Madrid came to the conclusion (from their data, of course) that “the more coffee they drank, the less likely they were to die during that period from any other cause.” I actually laughed out loud!
    I drink coffee almost every day, and thankfully do not suffer withdraw when a day goes by dry. My personal challenge with coffee is a unique one, as far as I know, in that it sometimes makes me almost uncontrollably tired! And not just coffee, but black tea too, as I have discovered. I have assumed this to be a 'causal' relationship between me and caffeine, but there has to be additional factors that play into my adverse reaction since it doesn’t always make me tired, right?

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  9. Kim, Nate and Rebecca - I like the way you're thinking. Those are all valid points. And, those are all the things we should be doing when we evaluate claims - considering alternative explanations and weighing what we read and hear against our own experiences.

    Andrea and Nate - bite your tongues. Coffee is DELICIOUS.

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  10. i love coffee & have, like, all my life. i swear my gramma used to let me sip hers with a lot of cream in it..mmmmm...so good! & yes, the caffeine benefit...also, so good! i read online recently that "apples provide more energy in the morning then coffee". i dont know if thats true & i havent (& probably never will) put that to the test.

    i like research studies & they sure are interesting, but i also wonder about research in general. seems like if that you are looking for some type of result, you will probably find it. & who knows what the history of lifystyle of the sample group is. for example: can we really link coffee to miscarriages? i mean, im sure a fetus wouldnt really enjoy of benefit from overconsumption of any type of "drug" but jeese, doesnt that seem a bit far fetched?

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  11. Cory Hollcraft reiterates

    Yes of course coffee raises blood pressure. It also raises your heart rate. I believe the article is sound science but the interpretation or extrapolation of data into theory is somewhat askew. In order for a person to activate their fight or flight mechanism from an evolutionary perspective they must be alert. Having ones, "I am coherent, warrior persona ready for action requires stressors on the body to motivate action. The action (awakeness)produced by the caffeine raises the blood pressure and heart rate so your body and mind can alert one another that basically, "WE need to stay away." Being uncomfortable is a good stressor requiring action to actively pursue awakeness. As far as caffeine producing miscarriages, the data's suggestion is extreme. If watching your hair every day causes cancer (3 needed elements for clean hair when most shampoos have 30 cancer causing ingredients), how is this case study different. The key is moderation and is acceptable, sound science too.

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  12. By Dimitri A. Giannakopoulos:
    Coffee drinking in my household was a way for the family to start the day together. One reason for this was for the increase in mental acuity and to basically ready you for the day. Now, might it have properties that may cause a level of harm, perhaps, but it is something which like many things should be taken in moderation. It seems that for any study, such as this on coffee, it must possess validity and also usefulness too, and necessarily must be tested thoroughly.

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  13. By Trinh Le:
    I drink coffee on the daily basis, but only one cup of black coffee a day. I like the feeling of awareness that you get from caffein, and you can read 50 pages of text without falling asleep. About a few months back, I read an interesting article about caffein in my runner's magazine. Caffein can actually enhanced your performing in physical activities, and its can also decreased the recovery time. So, that gave me another reason to enjoy my espresso without feeling guilty with caffeinated beverage.

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  14. by Jeremy id # 950023770:

    I personally cannot drink coffee because it makes me physically ill every time I do. However, I am curious as to whether the possitive effects coffee has are related to the caffeine in coffee or the coffee itself.

    I am a green tea drinker. Green tea also has caffeine in it. University of Maryland's Medical Center did a study on the benefits of drinking green tea. They found that green tea can improve heart health, promote digestion, help fight against cancer and improve mental prossesing. However, people with heart problems, stomach ulcers and pregnant women should not drink green tea.

    Are the benefits to coffee and tea the same?

    www.umm.edu/altmed/articles/green-tea-000255.html

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  15. By Nicole Dettra

    I consider myself to be a coffee drinker. I love myself a good latte in the morning. Although I don’t tend to notice the effect caffeine has on my body. Or maybe ignorance is bliss. I don’t necessarily feel more awake in the morning after consuming coffee, nor do I feel jittery when I’ve consumed a lot. I don’t drink coffee every day, but I do consume a fair amount. Not enough to get headaches on those coffee free mornings, but enough to where my bank account may feel a little robbed (okay maybe more than a little) from Starbucks. Coffee has a lot of great benefits to be obtained from drinking it. Some of the advantages from consuming it, as Gabbi mentioned, is less chances of getting certain types of cancer, diseases and even cavities. I won’t go into the possible negative side effects of coffee mentioned, like I said, ignorance is bliss.

    For me though coffee is much morning then that. For instance, coffee simply put could be a hobby even of its self. Like wine connoisseurs, similarly there are coffee connoisseurs. Only coffee connoisseurs don’t refer to their samplings as tastings, no plainly stated they say cuppings. Smelling the hot cup of java, slurping it and then letting your taste buds and palate awaken, this is what coffee drinkers and connoisseurs alike experience. Connoisseurs like to take sipping coffee one-step farther and find fancy, but unpretentious words to describe, hopefully the brilliant, taste of that particular roast. I once read an interview with Mike White, the regional manager for Gimme! Coffee. He says “A great percentage of coffee drinkers are willing to make an extra effort to appreciate (coffee) on a higher level.” One can partake in this experience by joining one of many of the cupping clubs, which are becoming vastly popular. You can even enjoy a geography lesson at the same time. “(Cuppings) allow enthusiastic cafe owners and baristas to teach consumers about direct-trade coffee and single origins from a certain country or farm, or even a distinct lot” (Wallace. H, 2009, May 29, Do I Detect a Hint of…Joe?). There is a great article online from the NY Times on such clubs. For further reading click on this link: http://www.nytimes.com/2008/05/29/fashion/29Cuppings.html?_r=1&partner=rssnyt&emc=rss

    So the next time someone says you should cut back on coffee, you can tell them not only the great health benefits caffeine has, but also boldly announce that coffee can make you smarter….literally.

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  16. Student ID: 951447772 Human Development
    I am always sad (or amused) when I am confronted with how quickly and unquestioningly people believe studies purported to be "scientific." People don't realize that just because a scientific study "says so" doesn't mean that there aren't spurious correlations, faulty research methods or desigh, or just poor scientific practice going on. This post about coffee reminds me of the oftcited claim that red wine is good for you. It may be, but it is hard to disentangle the benefits of red wine, since most studies on its benefits have involved ressearch participants that are most likely to drink red wine: individuals of higher SES, who are in other ways healthy (presumably because they are better educated about their health, have better access to health care, and have the money and time to go to gym, eat well, etc).So, studies on red wine must take into account the initial better health of those who drink red wine.

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  17. To start this off I'd like to say two things: 1) At this point in my career as a psych student I can't read anything about any study without "CORRELATION DOESN'T PROVE CAUSATION" popping up in a big thought bubble in my head, and 2) I work at Starbucks - I had 9 shots of espresso during my 5 hour shift today.

    So basically, I'm on your side. It's almost funny to me how coffee gets thrown around almost daily it seems as either really good or really bad for you. I might have had a little too much caffeine today but I still feel like I could go right to bed. Also, all in all I'm in fairly decent health. Although I do have high blood pressure, I've never had a cavity and I'm still alive. Knowing that I've fallen asleep in the far left lane on the freeway and woken up exiting in the far right lane, I can say in good conscience that coffee is probably better for my health and wellbeing than it is detrimental for me. In this case, the good outweighs the bad.

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