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The anti-nutritional effects of coffee

Neil Goffart


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Coffee, native to the highlands of Ethiopia, has seen its consumption boom since the 21st century. This « pleasure » drink has become so ordinary that it now serves as a pretext for a « coffee » break, or quite simply as morning fuel. But is it really sensible to drink this fine brew in such quantities? What are the consequences of excessive consumption?

The positive effects of coffee on our health [1]

Caffeine is responsible for the notable « health » effects of coffee:

  • Caffeine stimulates the nervous system: in small amounts, it has a positive impact on attention, concentration and intellectual performance [2] by promoting the production of noradrenaline.
  • Caffeine increases metabolism and the mobilisation of sugars and fats. And the immediate capacity for energy expenditure [3] (though only transiently, and with a risk of dropping below the starting level afterwards)
  • Caffeine has an anti-migraine action and can ease pain.
  • Caffeine promotes intestinal transit and increases gastric acid secretion, which in some people can be beneficial, while in others it causes acid reflux and heartburn.
  • Caffeine may have a preventive effect on gallstones [4].

Some people drink coffee for its energising effect without knowing its long-term drawbacks. Yet other nutrients can energise your body in a lasting way without causing unwanted effects. For example L-tyrosine (a natural amino acid)

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Excess coffee creates nutritional deficiencies

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There are two main varieties of coffee plant: robusta and arabica. They differ mainly in aromatic quality (arabica ranks higher) and in caffeine content: per 100g of dry matter, arabica contains between 1200 and 1500mg and robusta 2200 to 2600mg. For a 150ml cup, the figures are: ground coffee 80 to 90 mg; instant 60mg; decaffeinated, 3mg.

Beyond several cups of coffee a day (3 to 4 cups/day), most people will experience unwanted effects: nervousness, irritability, involuntary tremors, a drop in energy levels that prompts another cup of coffee to « chase the tiredness away », and the vicious circle of addiction sets in. With habit, caffeine produces fewer and fewer positive effects (tolerance), while still having anti-nutritional and negative effects in the long run:

  • Heart rhythm disorders [5]
  • Digestive level : amplified gastric secretion of histamine, the trigger for hydrochloric acid production. This can cause heartburn [6] ;
  • Nutritional level : reduced absorption of several B-group vitamins, in particular B1 and B6. Vitamin B1 is important for normal energy-yielding metabolism, which means that in the long run coffee, paradoxically, tires you out. Vitamin B6 [7] is important for impulse control, so prolonged use of this stimulant contributes to reduced self-control. Sugar cravings then start to appear. The anti-nutritional effects weigh all the more heavily given that this same caffeine increases the elimination of magnesium [8] (which helps, among other things, to calm our impulses and our stress) and of calcium;
  • Increased oxidative stress through two mechanisms: higher energy expenditure and the intracellular penetration of iron [9] caused by a loss of magnesium.

The contraindications of caffeine

Caffeine consumption is not advisable in the following cases:

  • During the first trimester of pregnancy : drinking more than 3 cups a day is associated with a risk of miscarriage. For the rest of the pregnancy, coffee can cause an excessive acceleration of the foetal heart rate [10] ;
  • If you are prone to heart rhythm disturbances : coffee can trigger or worsen arrhythmias and tachycardias ;
  • If you are prone to food allergies and to allergies in general : histamine, increased by caffeine, promotes inflammation of the digestive tract and the passage of insufficiently digested material into the blood, which provokes reactions.
  • If you are sensitive to stress and/or to a magnesium deficiency[11] ;
  • If you are prone to insomnia and prolonged night-time waking. Coffee late in the day produces a temporary stimulation at the very moment our body should be producing serotonin, in the late afternoon, to ensure a peaceful night's sleep.
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FREQUENTLY ASKED QUESTIONS

Frequently asked questions

Does coffee really have anti-nutritional effects?

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Yes, but this effect mainly concerns certain nutrients and certain conditions of consumption. The best-documented interaction involves non-haem iron, found in particular in plant foods and some fortified products. Human studies show that coffee drunk with a meal can reduce its absorption, mainly because of its polyphenolic compounds. That does not mean, however, that habitual coffee consumption systematically causes nutritional deficiencies.

Does coffee reduce iron absorption?

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Yes, coffee can significantly reduce the absorption of non-haem iron when it is drunk with a meal. In a clinical study, a cup of coffee taken with a meal containing a hamburger reduced iron absorption by around 39%. Other experiments have confirmed a dose-dependent effect linked in particular to the polyphenols in coffee. This effect mainly concerns non-haem iron and deserves particular attention in people with high requirements or an inadequate iron status.

Should you avoid coffee with meals when you are low in iron?

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Yes, it is preferable to avoid taking coffee at the same time as an iron-rich meal or an iron supplement when optimising absorption matters. A trial in women with iron deficiency showed that drinking coffee reduced the absorption of an iron supplement by 54% under the conditions studied. The effect nevertheless depends on the meal, the amount of coffee and individual iron status.

Does coffee cause magnesium and calcium loss?

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Caffeine can temporarily increase the urinary excretion of calcium and magnesium, but that does not mean habitual coffee consumption automatically causes a deficiency. In a small metabolic study, caffeine led to a clear but modest rise in the urinary losses of these two minerals over 24 hours. These findings argue more for attention to overall dietary balance than for the claim that coffee systematically « depletes » magnesium or calcium stores.

Does coffee reduce the absorption of vitamins B1 and B6?

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The data do not allow us to state simply that coffee blocks the absorption of vitamins B1 and B6. A large observational study in more than 10,000 adults found lower circulating concentrations of vitamin B6, folate and riboflavin among heavy coffee drinkers. An association, however, demonstrates neither reduced intestinal absorption nor a deficiency caused by coffee. The specific relationship between coffee and vitamin B1 likewise calls for more clinical data.

How much coffee can you drink per day?

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It makes more sense to think in milligrams of caffeine than in numbers of cups, as the content varies widely with the method of preparation. For healthy adults, EFSA considers intakes of up to 400 mg of caffeine per day to raise no safety concern. As a guide, EFSA estimates around 90 mg for 200 ml of filter coffee and 80 mg for a 60 ml espresso. Individual sensitivity can nevertheless vary a great deal.

Can coffee disrupt sleep even when it is consumed in moderate amounts?

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Yes. When you drink it matters as much as how much you drink in total. EFSA indicates that a single dose of around 100 mg of caffeine can alter the duration or the structure of sleep in some adults, particularly when it is consumed close to bedtime. A total intake that stays within the 400 mg per day limit can therefore still disrupt sleep when a large share of the caffeine is taken late in the day.

How much caffeine is recommended during pregnancy?

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During pregnancy, EFSA considers that a total intake of up to 200 mg of caffeine per day, from all sources combined, raises no safety concern for the foetus according to the data assessed. It is therefore better to speak in milligrams rather than in « numbers of cups », since the amount of caffeine varies considerably with the size, the bean and the method of preparation. Tea, chocolate, energy drinks and certain medicines can also contribute to daily intake.

Coffee yes, but as a drink for pleasure!

Given the benefit-risk balance, coffee ranks as a drink to be savoured as a tasting experience without slipping into a daily habit that can, repeated over time, create prolonged tiredness caused by a shortfall in B vitamins and a urinary loss of magnesium. The taste of coffee should remain something singular, best found in high-quality coffees with interesting aromas.

Sources

[1] Dr Jean-Paul Curtay & Dr Rose Razafimbelo, « Le guide familial des aliments soigneurs », Editions Albin Michel, 2005 ;p334-338.

[2] Is caffeine a cognitive enhancer? Nehlig A. J Alzheimers Dis. 2010;20 Suppl 1:S85-94. Review.
Effects of low doses of caffeine on cognitive performance, mood and thirst in low and higher caffeine consumers. Smit HJ, Rogers PJ. Psychopharmacology (Berl). 2000 Oct;152(2):167-73.

[3] Magkos F, Kavouras SA. Caffeine use in sports, pharmacokinetics in man, and cellular mechanisms of action. Crit Rev Food Sci Nutr. 2005;45(7-8):535-62.

[4] Leitzmann MF, Willett WC, et al. A prospective study of coffee consumption and the risk of symptomatic gallstone disease in men.JAMA. 1999 Jun 9;281(22):2106-12.
Ruhl CE, Everhart JE. Association of coffee consumption with gallbladder disease.Am J Epidemiol. 2000 Dec 1;152(11):1034-8.

[5] Panagiotakos DB, Pitsavos C, et al. The J-shaped effect of coffee consumption on the risk of developing acute coronary syndromes: the CARDIO2000 case-control study. J Nutr. 2003

[6] « Gastroesophageal Reflux Disease (GERD) », Cedars-Sinai

[7] DAKSHINAMUTRIK. Et al., « Neurobiology of pyridoxine », in « Vitamine B6 », Ann. NY Acad. Sci., 1990 ; 585 : 128-144.

[8] PORTA S. et al., «  Interaction between Magnesium and stress hormones in stress », Magnesium Bull., 1992 ; 14 :21-23.

[9] FORMAN H.J et al., « Inflammation, and overview », in DAVIES K.J.A., Oxidative damage and repair. Chemical, biological and medical aspects, Pergamon Press, Oxford, 1991 ; 636-641.

[10] Van der Hoeven T, Browne JL, Uiterwaal CSPM, van der Ent CK, Grobbee DE, Dalmeijer GW ; « Antenatal coffee and tea consumption and the effect on birth outcome and hypertensive pregnancy disorders » ; PLoS One. 2017 May 16;12(5):e0177619. doi: 10.1371/journal.pone.0177619. eCollection 2017.

[11] SELLIG M.S.,  «  Consequences of magnesium deficiency  on the enhancement of stress reactions ; preventive and therapeutic implications (a review) » J. Am. Coll. Nutr., 1994.

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