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Concordia Winter 2022

Coffee vs Health Health atMTS DrNikChopra Men'sHealthSpecialist &PrivateGP at TheDoctor's Lounge, Northwood Now I’m no lyrical genius - for that you’ll have to find Mr Christopher Roseblade (who by the way, was not only my old English teacher but also a wizard o the quad 5 a side football pitch) or maybe the better known Riz Ahmed (who clearly ne ds no further introduction). Science was more my forte and now I’ve gone full circle, I have the pleasure of coming back to MTS to write about health. So please don’t expect any onomatopoeic or declamatory sentences, just a truly compendius style (yep had to look those up too!). Over the coming articles I hope to muster up some interest and build an atmosphere of health awareness in all our readers. In this article I digest the information from a New England Journal of Medicine article and aim to restore your faith in the health benefits of that perfect cup of coffee - …but of course as always…in moderation! So here they are. Alertness and energy levels increase by blocking the ad nosine receptors. Vigilance improves especially for long duration tasks, however this cannot compensate for the decline in performance after sleep deprivation Basal Metabolic Rate increases with regular intake leading upto a 5% increase in energy expenditure and a reduced long-term weight gain Diabetes risk can reduce with habitual consumption Cardiovascular disease risk is reduced with the lowest risk occurring at 3-5 cups/day Gallstone / Liver disease (cirrhosis/fibrosis) risk is reduced THE GAINS

Health at MTS

Here is the first in a series of articles on topical health issues by Dr Nik Chopra (1994-2001). Here he writes on the effects of coffee.

Cancer risk of some cancers has an inverse association with coffee consumption - including prostate, skin, breast, prostate and womb cancers (for our female readers of course!) Parkinson’s disease risk is reduced Depression risk is reduced Death rates are lower at a consumption of 2-5 cups a day Reduced reaction time Reduced quality of sleep Increased anxiety, especially at >200mg per occasion or >400mg/d Rambling flow of thought LDL cholesterol (the “bad” one) increases - especially with unfiltered coffee (French press or Turkish) - a bit better with espressos Liver cancer risk can increase Withdrawal symptoms on stopping habitual coffee drinking - headache, fatigue, reduced alertness, depressed mood, flu-like symptoms (peak day 2, and last 2-9 days) Of course medicine is rarely so straightforward as the risks of caffeine are certainly present, including: KEY POINT - I am of course not advocating that you rush down to your local Starbucks, and if you are, please at least go and find some decent coffee (if you must, my recommendation would be Coopers Roastery, Marlow!). I am simply stating that a moderate consumption of coffee can be part of a healthy lifestyle. For more in depth information see the full article titled "Coffee, Caffeine and Health". https://www.nejm.org/doi/full/10.1056/NEJMra1816604 Dr Nik Chopra offers traditional GP services but focusses on health prevention, screening and Men's Health at The Doctor's Lounge, Northwood www.thedoctorslounge.co.uk, Tel: 07359 466732 or Turkish) – a bit better with espressos Liver cancer risk can increase Withdrawal symptoms on stopping habitual coffee drinking – headache, fatigue, reduced alertness, depressed mood, flu like symptoms (peak day 2, and last 2-9 days) KEY POINT: I am of course ot advocating that you rush own o your local Starbucks, and if y u are, please at least go nd find so e decent coffee (if yo must, my recomme dation would be Coopers Roastery, Marlow!). I am simply stating that a moderate consumption of coffee can be part of a healthy lifestyle. For more in depth

THE LOSSES England Journal of Medicine article and aim to restore your faith i the health benefits of that perfect cup of coffee…" "In this article I digest the information from a New

Now I’m no lyrical genius – for that you’ll have to find Mr Christopher Roseblade (who by the way, was not only my old English teacher but also a wizard on the Quad 5-a-side football pitch) or maybe the better known Riz Ahmed. Science was more my forte and now I’ve gone full circle, I have the pleasure of coming back to MTS to write about health. So please don’t expect any onomatopoeic or declamatory sentences, just a truly compendius style (yep had to look those up too!). Over the coming articles I hope to muster up some interest and build an atmosphere of health awareness in all of our readers. In this article I digest the information from a New England Journal of Medicine article and aim to restore your faith in the health benefits of that perfect cup of coffee… but of course, as always… in moderation! So here they are. THE GAINS Alertness and energy levels increase by blocking the adenosine receptors. Vigilance improves, especially for long duration tasks, however this cannot compensate for the decline in performance after sleep deprivation. Basal Metabolic Rate increases with regular intake leading up to a 5% increase in energy expenditure and a reduced long term weight gain. Diabetes risk can reduce with habitual consumption. Cardiovascular disease risk is reduced, with the lowest risk occurring at 3-5 cups/day

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Gallstone/Liver disease (cirrhosis/fibrosis) risk is reduced.

C ncer risk of some cancers has an inverse association with coffee consumption – includ ng prostate, skin, breast, and womb cancers (for our female rea rs, of course!) Parkinson’s disease risk is reduced consumption of 2-5 cups a day Of course, medici e is rare y so straightforward as the risks of caffeine are certainly present, inclu ing: THE LOSSES Reduced reaction time Reduced quality of sleep Increased anxiety , especially at >200mg per occasion or >400mg/d Rambling flow of thought LDL cholesterol (the “bad” one) increases – especially with unfiltered coffee (French press Depression risk is reduc d Death rates are lower at a

information see the full article titled "Coffee, Caffeine and Health". https://www.nejm.org/doi/ full/10.1056/NEJMra1816604 Dr Nik Chopra offers traditional GP services but focuses on health prevention, screening and Men's Health at The Doctor's Lounge, Northwood

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