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CAFFEINE & YOUR CHILD
http://kidshealth.org/parent/nutrition_fit/nutrition/caffeine.html

Most parents wouldn't dream of giving their kids a toasty cup of coffee,
but they may routinely serve soft drinks containing caffeine. Although
it's likely that your child will ingest caffeine at some time, it's a good
idea to keep caffeine consumption to a minimum, especially in younger
children.

Although the United States hasn't yet developed guidelines for caffeine
intake and kids, Canadian guidelines recommend that preschool children get
no more than 45 milligrams of caffeine a day. That's equivalent to the
average amount of caffeine found in a 12-ounce (355-milliliter) can of
soda or four 1.5-ounce (43-gram) milk chocolate bars.

What's Caffeine and How Does It Affect Kids?
A stimulant that affects children and adults similarly, caffeine is a drug
that's naturally produced in the leaves and seeds of many plants. Caffeine
is also made artificially and added to certain foods. Caffeine is defined
as a drug because it stimulates the central nervous system. At lower
levels, caffeine can make people feel more alert and like they have more
energy.

In both kids and adults, too much caffeine can cause:

jitteriness and nervousness
upset stomach
headaches
difficulty concentrating
difficulty sleeping
increased heart rate
increased blood pressure
Especially in young children, it doesn't take a lot of caffeine to produce
these effects.

Other reasons to limit kids' caffeine consumption include:

Consuming one 12-ounce (355-milliliter) sweetened soft drink per day
increases a child's risk of obesity by 60%.
Not only does caffeine contain empty calories (calories that don't provide
any nutrients), kids who fill up on caffeinated beverages don't get the
vitamins and minerals they need from healthy sources, putting them at risk
for developing nutritional deficiencies. In particular, children who drink
too much soda (which usually starts between the third and eighth grades)
may miss getting the calcium they need from milk to build strong bones and
teeth.
Drinking too many sweetened caffeinated drinks could lead to dental
cavities (or caries) from the high sugar content and the erosion of the
enamel of the teeth from the acidity. Not convinced that sodas can wreak
that much havoc on kids' teeth? Consider this: One 12-ounce
(355-milliliter) nondiet, carbonated soft drink contains the equivalent of
10 teaspoons of sugar (49 milliliters) and 150 calories.
Caffeine is a diuretic that causes the body to eliminate water (through
urinating), which may contribute to dehydration. Caffeine may be an
especially poor choice in hot weather, when children need to replace water
lost through perspiration.
Abruptly stopping caffeine may cause withdrawal symptoms (headaches,
muscle aches, temporary depression, and irritability), especially for
those who are used to consuming a lot.
Caffeine can aggravate heart problems or nervous disorders, and some
children may not be aware that they're at risk.
One thing that caffeine doesn't do is stunt growth. Although scientists
once worried that caffeine could hinder a child's growth, this concern
isn't supported by research.

Which Foods and Beverages Contain Caffeine?
Although kids get most of their caffeine from sodas, it's also found in
coffee, tea, chocolate, coffee ice cream or frozen yogurt, as well as pain
relievers and other over-the-counter medicines. Some parents may give
their children iced tea in place of soda, thinking that it's a better
alternative. But iced tea can contain as much sugar and caffeine as soda.

Here's how some sources of caffeine compare:

Item Amount of Item Amount of Caffeine
Jolt soft drink 12 ounces 71.2 mg
Mountain Dew 12 ounces 55.0 mg
Coca-Cola 12 ounces 34.0 mg
Diet Coke 12 ounces 45.0 mg
Pepsi 12 ounces 38.0 mg
7-Up 12 ounces 0 mg
brewed coffee (drip method) 5 ounces 115 mg*
iced tea 12 ounces 70 mg*
dark chocolate 1 ounce 20 mg*
milk chocolate 1 ounce 6 mg*
cocoa beverage 5 ounces 4 mg*
chocolate milk beverage 8 ounces 5 mg*
cold relief medication 1 tablet 30 mg*


* denotes average amount of caffeine
Source: U.S. Food and Drug Administration and National Soft Drink Association


What's Caffeine Sensitivity?
Caffeine sensitivity refers to the amount of caffeine that will produce an
effect in someone. This amount varies from person to person. On average,
the smaller the person, the less caffeine necessary to produce side
effects. However, caffeine sensitivity is most affected by the amount of
daily caffeine use. People who regularly drink beverages containing
caffeine soon develop a reduced sensitivity to caffeine. This means they
require higher doses of caffeine to achieve the same effects as someone
who doesn't drink caffeinated drinks every day. So, the more caffeine your
child takes in, the more caffeine he or she will need to feel the same
effects.

In addition to being more susceptible to the effects of caffeine based on
size, small children are more sensitive to caffeine because they haven't
been exposed to it as much as older children or adults. Caffeine moves
through the body within a few hours after it's consumed and is then passed
through the urine. It's not stored in the body, but your child may feel
its effects for up to 6 hours if he or she is sensitive to it.

Cutting Caffeine Out of the Equation
Can you help your child conquer caffeine? Absolutely! The best way to cut
caffeine (and added sugar) from your child's diet is to eliminate soda.
Instead, offer water, milk, flavored seltzer, and 100% fruit juice. For
added convenience, give your child water in squeeze bottles to carry
around. Of course, you can still serve the occasional soda or tea - just
make it caffeine free. And be on the lookout for hidden caffeine by
checking the ingredient list on foods and beverages.

For older kids or teens who may be getting more caffeine than they should,
it's important to watch their caffeine consumption. If your teen has taken
up a coffee-drinking habit, one cup a day can easily turn into several (as
most adults know), especially if your teen is using coffee to stay awake
during late-night study sessions.

The best way to reduce your child's caffeine intake is to cut back slowly.
Otherwise, he or she could get headaches and feel achy, depressed, or just
downright lousy. Try cutting your child's caffeine consumption by
substituting noncaffeinated drinks for caffeinated sodas and coffee
(water, caffeine-free sodas, and caffeine-free teas). Keep track of how
many caffeinated drinks your child has each day, and substitute one drink
per week with a caffeine-free alternative until he or she has gotten below
the 100-milligram mark.

As you're cutting back the caffeine, your child may feel tired. The best
bet is for your child to hit the sack, not the sodas: It's just your
child's body's way of saying that more rest is necessary. Don't worry -
your child's energy levels will return to normal in a few days.

And feel free to let your child indulge in a sliver of chocolate cake at
birthday parties or a cup of tasty hot cocoa on a cold day - these choices
don't pack enough caffeine punch to be harmful. As with everything,
moderation is the key to keeping your kid's caffeine consumption under
control.

Reviewed by: Mary L. Gavin, MD
Date reviewed: January 2005

====================
http://www.doctoryourself.com/caffeine2.html

Caffeine Induced Anaphylaxis, A Progressive Toxic Dementia
Copyright 2002 Ruth Whalen, MLT, ASCP. Reprinted with permission of the
author.
Email: [EMAIL PROTECTED]
Cerebral allergy is an allergy to a substance, which targets vulnerable
brain tissue and alters brain function. Masked cerebral allergy can cause
symptoms of mental illness (Walker, 1996; Rippere, 1984; Sheinken et al.,
1979). Symptoms range from minimal reactions to severe psychotic states,
which may include irrational behavior, disruptions in attention, lack of
focus and comprehension, mood changes, lack of organizational skills,
abrupt shifting of activities, delusions, hallucinations, and paranoia
(Sheinken et al., 1979; McManamy et al., 1936).

An allergic reaction to caffeine manifests as anaphylaxis (Przybilla et
al., 1983). During a state of caffeine anaphylaxis, the body enters the
fight or flight mode, which may be mistaken as hyperactivity, anxiety, or
panic disorder. Caffeine anaphylaxis causes cerebral vasculitis, leads to
the breakdown of the blood brain barrier, and generates toxic dementia.

Toxic dementia induced by a stimulant or other toxin affects function of
all brain areas (Jacques, 1992). Several signs of toxic dementia are
memory impairment, deterioration of social and intellectual behavior, and
attention deficits (Allen et al., 2001; Jacques, 1992; Headlee, 1948).

Attention Deficit Disorder (ADD), assumed to affect children, (though of
late, adult onset ADD is grabbing a slice of the pie of psychiatric
disorders), is indistinguishable from caffeine allergy. Claudia Miller,
M.D. stresses that a chemical sensitivity, which includes caffeine as a
chemical capable of inducing sensitivity, can induce attention deficits
with hyperactivity (Miller, 1997).

Deteriorating intellect, the first stage of caffeine induced allergic
toxicity masquerades as ADD. Inability to concentrate, lack of
comprehension, lack of focus, hyperactivity, delusions, and disorganized
thought processes are hallmark signs of caffeine allergy. An allergic
reaction to caffeine results in poisoning of the prefrontal cortex. Damage
to the underside area on the prefrontal cortex, above the eye sockets,
generally renders a person absent minded and interferes with the ability
to monitor personal activities (Carter, 1998). Injury results in loss of
verbal and social inhibition, interferes with focus and memory (Eliot,
1999), and suppresses math skills (Carter, 1998).

In studies involving comprehension skills, as in mathematics and logical
reasoning, caffeine has either exhibited no change, or has actually
depleted performance (Braun, 1997). Caffeine may jeopardize math skills
and detailed projects, which require additional thought (Serafin, 1996;
NTP Chemical, 1991).

Caffeine anaphylaxis interferes with the ability to focus. Sitting still
becomes a project. Raising the catecholamine level, caffeine produces
additional dopamine, which increases locomotive movement. Agitation is
associated with excess dopamine (Carter, 1998).

Caffeine causes faster speech and mobility in children (Nehlig et al.,
1992). With 80% of the world’s population consuming caffeine, most persons
have remained stimulated since childhood. Stimulated adults can’t detect
caffeine-induced changes in themselves or in children. Misjudging a
child’s natural state, adults assume children should speak and act at the
same rate as stimulated adults. People forget that we are born relaxed.
Acceleration of speech and action indicates mania (Victor et al., 2001;
Restak, 1984), associated with bipolar affective disorder. Manic symptoms
affect children. Psychiatrically hospitalized manic children display
symptoms of ADD (Carlson et al., 1998).

Complaints of lack of focus, failing memory, and other mental
abnormalities, signify hypomania, a lesser degree of mania (Victor, 2001),
which accompanies the first stage of
ongoing-caffeine-induced-anaphylaxis-induced fight or flight dementia.
Unable to correlate the patient’s complaints with a textbook disorder,
physicians assume ADD.

According to the American Psychiatric Association, which classifies
caffeine as a substance, substance intoxication can present with
disturbance in thinking, judgment, perception, attention, motor activity,
and social functioning (1994). Caffeine toxicity can induce restlessness,
agitation, irritability, confusion, and delerium (Steinman, 2001; Fisher
Scientific, 1997; Turkington, 1994; Shen et al., 1979). In addition,
anaphylaxis can induce delerium (Kaplan, 2000).

Unlike Stephen Cherniske, aware of instinct warning him that caffeine was
affecting his behavior (Cherniske, 1998), a child does not know. A
youngster can’t feel the mild stimulant rush because the underdeveloped
body has developed a tolerance. Similarly, a toxic adult loses natural
insight and can’t recognize caffeine induced intellect and personality
changes (Shen, 1979; McManamy, 1936; Crothers, 1902).

During partial withdrawal, the body metabolizes some caffeine, saturating
cells. Clarity struggles to return. Symptoms of partial withdrawal can
overlap traits of poisoning (Strain et al., 1997) and can mimic depression
(Hirsch, 1984). As the noradrenaline level diminishes, symptoms of
depression set in (Restak, 1994, Ackerman, 1992). Caffeine induced
withdrawal depression can manifest as hyperactivity, lethargy,
irritability, confusion, and lack of focus. The glucose level, which rises
along with adrenaline (Davidson et al., 1969) and remains elevated during
the body’s struggle to maintain homeostasis, drops. A decrease in glucose
encourages lack of motivation, which may also mimic depression.

As Allbutt and Dixon stressed, in 1909, regarding caffeine, another “dose
of the poison” provides minor relief, but continues to jeopardize organs
(1909). A return to caffeine intake increases noradrenaline, heightening
the fight or flight response. In turn, adrenaline, dopamine, and glucose
increase, thus lifting depression. With continued substance exposure,
toxins accumulate (Van Winkle, 2000).

Caffeine allergy is a deceptive allergy. Ongoing caffeine anaphylaxis
reduces allergic inflammation and maintains organ stimulation. Endogenous
glucocorticoids (including cortisol) inhibit inflammation (Claman, 1983).
Theophylline is the principle therapy for asthma. All forms of
theophylline maintain open bronchial passages, allowing for easier
breathing. During ongoing caffeine anaphylaxis, airways remain open.

Adrenaline, the drug of choice for anaphylaxis, is always present in a
caffeine consumer. By suppressing phosphodiesterase release, caffeine
(Davidson, 1969) increases cyclic AMP. Excess amounts of cyclic AMP
inhibit histamine production (Dykewicz, 2001; Ernst et al., 1999).
Phosphodiesterase inhibitors inhibit histamine release (Raderer et al.,
1995).

Cyclic AMP is increased in patients diagnosed as schizophrenic and many
individuals diagnosed with affective disorders (Nishino et al., 1993;
Erban et al., 1980; Biederman et al., 1977). Histamine is reduced in
persons diagnosed with schizophrenia, a late stage of ongoing caffeine
anaphylaxis.

Although the histamine level is low in schizophrenics (Malek-Ahmadi et
al., 1976; Hoffer et al., 1967), schizophrenic patients exhibit a marked
tolerance to histamine (Lea, 1955). This suggests, in the case of caffeine
anaphylaxis, that during the onset stage of schizophrenia, when
anaphylaxis induced hyperactivity, or anaphylaxis induced panic symptoms
were mistaken as ADD, anxiety, or panic, (before continued cerebral
poisoning), histamine was increased but the allergy went undetected.

Symptoms of allergic anxiety (Bonner, 2000; Kaplan, 2000; Walsh, 2000) may
be mistaken as anxiety neurosis, considered an onset symptom of
schizophrenia. When a young person experiencing a first anxiety episode
arrives in an emergency room, doctors suspect a developing schizophrenia
(Victor, 2001).

Attention and memory deficits accompany schizophrenia (Zuffante et al.,
2001; Goldberg et al., 1993). Researchers theorize that prior to the onset
of schizophrenia changes in a person’s cognition may be subtle (Goldberg,
1993).

Chlorpromazine (Thorazine) and other phenothiazine drugs exhibit an
anti-histamine effect (Sifton, 1994; Malek-Ahmadi, 1976), similar to
diphenhydramine (Benadryl). A person allergic to caffeine, taking a
phenothiazine medication, will experience relief of the physical
manifestations of ongoing caffeine anaphylaxis. In addition, phenothiazine
medications reduce allergic induced abnormal psychological symptoms,
including a reduction in paranoia, hallucinations, and delusions, and
generate a return of partial insight, focus, and comprehension.

Ongoing caffeine allergy induces a progressive toxic dementia (McManamy,
1936). In a caffeine allergic person, each caffeine or theophylline dose
increases toxin accumulation. A buildup of caffeine, which may exceed
tolerance level, saturates the ability of metabolism (Carrillo et al.,
2000; Nehlig, 1999); rate of drug accumulation exceeds rate of
elimination. Introducing a stimulant into a caffeine allergic individual’s
system will further poison the frontal cortex and hypothalamus and
continue to mask allergic symptoms of caffeine anaphylaxis. Continued
stimulant use increases toxic psychosis, which results in decreased affect
and deterioration of mental abilities.

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