WALNUT CREEK, Calif.
— Sarah Pullman has what she calls a long-standing, cyclical
relationship with caffeine. When she doesn't have her morning
latte, the John F. Kennedy University graduate student feels
sleepy and her head pounds. When she has too much caffeine,
she feels jittery. But most of the time, caffeine makes her
feel perky.
"I'm able to focus and concentrate
better," says Pullman, 30, of Oakland, Calif.
"Sometimes, I think it enhances my mood, like 'Wow, I
feel great. Yippee!'"
Turns out caffeine, a naturally occurring,
flavorless chemical that stimulates the central nervous
system, does more than wake us up. Medical researchers and
nutritionists long have touted the health benefits of black
coffee, antioxidant-packed teas and dark chocolate. In
moderation, these natural sources of caffeine are associated
with weight loss, the treatment of asthma and headaches and a
reduced risk of Parkinson's disease. Coffee, in particular, is
associated with a decreased risk of depression, colon cancer
and type two diabetes, according to researchers at Vanderbilt
University's Institute for Coffee Studies.
But that doesn't justify guzzling Joe all
day. According to the American Medical Association, moderation
is considered three cups of coffee a day, or 300 milligrams of
caffeine. If you're a tea drinker, you can double that to six
cups, because eight ounces of brewed tea has 30 to 50
milligrams of caffeine, says Junaid Khan, cardiac surgeon with
Alta Bates Summit Medical Center in Berkeley, Calif. Too much
dark chocolate obviously can lead to obesity, he adds, and so
can sodas and other caffeinated products loaded with sugar. He
cautions women who are pregnant, people with osteoporosis and
diabetics to curb their caffeine use.
But Khan's only major concern over caffeine
consumption is among young athletes who use energy drinks such
as Rockstar, Red Bull or Spike Shooter. The latter has 300
milligrams — one's daily intake of caffeine — in a single
serving. He sees it often: A young runner consumes two energy
drinks before a marathon, and the combination brings on heart
palpitations, sometimes to the point of causing the runner to
pass out.
"The problem I have with those (drinks)
is that people don't realize how much caffeine they're
getting," he says. "The combination of sugar and
caffeine can act as a diuretic, causing urination when the
person is already dehydrated. Young kids are coming in with
heart arrhythmias. They think (these energy drinks) are like
Diet Coke, and they're not."
Vanessa Barahona tried taking an energy
drink before a run once, but she didn't like the effect at
all. "It felt like acid was running through my
body," says Barahona, 21, of Lafayette, Calif. "I
felt dehydrated. It was like the opposite of Gatorade."
She sticks to mixing Red Bull with vodka at parties. She likes
the taste, she says, and the added benefit of up being able to
stay up late.
Caffeine is a stimulant, but the stimulation
isn't just about speed. It's also about mental performance.
"So it's not that you're working faster or have an edge,
you actually perform better because of the caffeine,"
Khan says. He also cites a 2001 study that showed a 30 percent
lower risk of Parkinson's disease in folks who drank three
cups of coffee a day. It was the caffeine, he says, that was
responsible for the reduction. "It is thought that
caffeine may prevent the loss of dopamine, the critical brain
chemical that is depleted by the disease," he explains.
Parkinson's isn't the only serious disease
that may be prevented by taking caffeine. Peter Martin, a
Vanderbilt University professor of psychiatry and
pharmacology, says that one to three cups of coffee in
particular has been proven to reduce the risk of type two
diabetes by several percentage points.
"Here, it's not the caffeine but a
plethora of compounds within coffee, including chlorogenic
acids, that can reduce the risk not only of type two diabetes
but also Alzheimer's disease and colon cancer," says
Martin, who runs the university's Institute for Coffee
Studies. "What we still need to understand is the
mechanism by which it does this."
Martin also cites a Brazilian study that
found the incidence of teen depression was lower in kids who
grew up drinking coffee. "My hypothesis is if kids began
drinking coffee before they began drinking alcohol and smoking
pot and cigarettes, it may help in the prevention of severe
addictions," he says.
Claudia Long, a Lafayette, Calif., attorney
who grew up in Mexico, has no experience with depression, but
she does say that caffeine makes her "feel better all
around." Long, 54, has been drinking coffee since the age
of 8. She calls herself the queen of caffeine.
"All my life I struggled with asthma,
and just about the only thing that stopped an attack was a cup
of that strong, dark stuff," she says. When she became
pregnant, Long was forced to eliminate caffeine from her diet,
and the attacks returned, she says. It wasn't until a doctor
prescribed Theophylline, a medication that is structurally
similar to caffeine and relaxes the bronchials in the same
way, that her asthma stabilized.
"As soon as my son was born, my husband
brought me a thermos of iced coffee in the recovery
room," Long says.
Ria Tanz Kubota is a retired registered
nurse who self-medicated for more than a decade using
caffeine. As an adult with undiagnosed attention deficit
hyperactivity disorder, she drank 10 to 12 cups a day to stay
focused, she says.
"I could get jittery on cup nine or so,
but I slept fine and was able to safely do my nursing work in
the hospital," says Tanz Kubota, 67, of El Sobrante,
Calif. During this time she noticed another positive side
effect of caffeine. "A cup or two in the morning helps
regularity. When I'd withdraw from it (caffeine), I'd go
constipated immediately."
Caffeine does effect contraction in the
colon, and while there's no data supporting coffee enemas and
weight loss, Khan, the cardiac surgeon, says it's fine for use
as a mild diuretic.
"If it keeps you regular, and you're
within the AMA's standards for caffeine, go for it," Khan
says. "Listen to your body. That's the most important
thing you can do when it comes to caffeine."