Depending on how you use it, coffee can be a pick-me-up or a real downer. 

      By Jennifer Warner
      WebMD Feature  Reviewed By Brunilda Nazario, MD  


     
A cup of coffee with breakfast, another during the morning commute, a few 
lattes at the office, and an espresso after dinner -- is this a healthy habit 
or an addiction? 

Coffee's caffeine jolt can temporarily boost alertness, perk up performance, 
and possibly even improve concentration. 

But before you pour yourself another cup of joe, experts say it's important to 
remember coffee's main ingredient, caffeine, is a drug and not a nutrient 
required for good health like vitamins and minerals. And as with any drug, 
there are right ways and wrong ways to use it.

"The right way is to know how it affects your body and your reasoning," says 
registered dietitian and epidemiologist Gail Frank. "The wrong way is to use it 
in an abusive way, and that means going without sleep and then drinking a lot 
of coffee to get the perk."

In fact, too much caffeine may also lead to health problems like high blood 
pressure, brittle bones, trouble sleeping, and just plain irritability.

"The other wrong way, as a parent, is to allow young children to use it and 
have it as crutch -- not only for the perk but because it may also displace 
nutrient-rich beverages for kids," says Frank, who is professor of nutrition at 
California State University at Long Beach.

Frank says the caffeine in coffee is especially dangerous for young children 
and teenagers with growing bones because caffeine leeches much-needed calcium 
from the bones and may retard growth or make the bones weaker. 

Five milligrams of calcium is lost for every six ounces of coffee that is 
consumed, says Frank. But the good news is you can put back some of those lost 
nutrients by adding two tablespoons of milk to your coffee or making your 
espresso a latte.

Good Coffee Habits

Here are some other tips to help you keep your coffee habit as healthy as 
possible:


  a.. Some people feel the buzz of caffeine more than others. Listen to your 
body and know when to say "when" to that extra cup of coffee, even if your 
friend says he can drink it 'til the cows come home and still get a good 
night's sleep. 
  b.. Most research suggests that drinking one to three cups of coffee a day 
(up to 300 milligrams of caffeine) does not seem to have any negative effects 
in most healthy people. However, pregnant women, children, people with heart 
disease or peptic ulcers, and the elderly may be more susceptible to the 
effects of caffeine and are advised to restrict caffeine. 
  c.. Be aware that the caffeine content of coffee varies widely depending on 
roasting and brewing methods as well as the size of the cup you're drinking. 
For example, a recent study showed that a 16-ounce cup of the house blend at 
Starbucks had an average of 259 milligrams of caffeine compared with only 143 
milligrams in the same-sized cup of coffee at Dunkin Donuts. 
  d.. Although coffee is the main source of caffeine for many people, other 
items, such as soft drinks, tea, chocolate, and cold and headache medicines 
also contain caffeine and can add substantially to your daily caffeine quota. 
  e.. Regular coffee drinkers who skip their daily java fix may experience 
temporary "caffeine withdrawal" (usually in the form of a headache or 
drowsiness), but these symptoms will go away within 24-48 hours or after 
getting a new dose of caffeine. 
  f.. Some medications may interact with caffeine. Consult with your health 
care provider or pharmacist about potential interactions with caffeine whenever 
you take medications.

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