THE MEDICINE CABINET
Coffee - Much Ado About Nothing!
By Jean Sutherland

     There's a battle brewing over your coffee pot. First, reports link caffeine to health problems; then, new research comes along to say it's OK. It's enough to give a coffee drinker whiplash. Do coffee and caffeine harm health? Not likely, say most experts, as long as you don't overdo it. Here's the latest scoop.
     Heart Disease-The Fear: Research in the early '80s suggested coffee might raise cholesterol levels. The Evidence: A recent study surveying more than 20,000 men and women for 10 years found no link between coffee and heart disease. Other large studies have drawn similar conclusions.
     What Changed-Scientists speculate that the paper filters now used to brew coffee make a difference. Filters trap terpenes - components in coffee known to raise cholesterol.
     Caveat 1: Caffeine can temporarily raise blood pressure ? a risk factor for heart attack or stroke. However, it's rarely a significant issue for people who regularly consume caffeine.
     Caveat 2: Watch what you add to your coffee. Loading up with creamers adds hydrogenated oils and their dreaded trans fats; stirring in lots of sugar adds empty calories which could contribute to weight gain. Both raise risks for heart disease.
     Cancer-The Fear: In the 1980s, caffeine was linked to an increased risk for pancreatic cancer. The Evidence: Several subsequent studies have disproved these findings. According to the American Cancer Society, there is no strong evidence that moderate daily coffee drinking - 2 - 3 cups - poses any cancer risk.
     The Good News: Some studies report caffeine may actually reduce the risk of colon cancer.
     Osteoporosis-The Fear: Caffeine can cause the body to lose calcium, a risk factor for osteoporosis. The Evidence: The small loss of calcium -5mg for every 6 oz. of coffee -is easily replaced by a few tablespoons of milk or yogurt.
     Intestinal problems-The Fear: Caffeine can have negative effects. The Evidence: Indeed it might, particularly if you have an existing condition. If you have reflux problems, caffeine may make it more likely for stomach acid to back up into the esophagus. Caffeine may also intensify pain from an ulcer. But while it might exacerbate these conditions, it won't cause them. In addition, caffeine can have a laxative effect on anyone.
     Caffeine: Is It Good for You? Research into caffeine isn't just about exploring the different ways it can hurt you. Researchers have found potential benefits from caffeine and coffee, too.
     Pain relief-The Good News: Caffeine can help produce faster, longer lasting relief of headaches. Why? Caffeine supports aspirin or ibuprofen, possibly because it improves the absorption of these medications in the stomach or it affects the flow of blood to the head. Nothing's Perfect: In some people, caffeine can aggravate and trigger headaches.
     Gallstones-The Good News: A study following 46,000 men found that those who reported drinking 2 -3 cups of regular coffee a day were 40% less likely to have symptoms of gallstones over a 10 year period. Why? Experts think caffeine may help the gallbladder contract and empty, making it less likely stones will form.
     Colon cancer-The Good News: Some studies suggest coffee may reduce risk. Why? Experts think that caffeine either may stimulate activity in the colon, which helps prevent cancerous cells from forming, or that caffeine and coffee inhibit the effect of cancer causing agents.
     Brain function-The Good News: Two recent studies found that volunteers who drank coffee or caffeinated beverages exhibited improved short term thinking skills and memory. Why? Caffeine blocks adenosine - a chemical that slows brain activity.
     The Bottom Line - Caffeine in moderation, whether it's from coffee, soda or tea, appears to do no serious harm to your health and may actually have some perks. Enjoy your java - just keep daily consumption to three 8 oz. cups or less. And if it makes you jittery or 24 oz. just isn't enough, there's always decaf.