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Coffee: Good or bad?

A detailed look at coffee and its health effects, both good and bad

This article takes a detailed look at coffee and whether it is good or bad for your health. Coffee is highly controversial among health experts.

Evidence-based
This article is based on scientific evidence, written by experts, and fact-checked by experts.
We look at both sides of the argument and strive to be objective, unbiased, and honest.
Last updated on September 4, 2022, and last reviewed by an expert on August 7, 2022.

The health effects of coffee are controversial.

Despite what you may have heard, coffee has plenty of good things.

It’s high in antioxidants and linked to a reduced risk of many diseases.

However, it also contains caffeine, a stimulant that can cause problems in some people and disrupt sleep.

This article takes a detailed look at coffee and its health effects, both the positives and negatives.

Coffee contains essential nutrients and is high in antioxidants

Coffee is rich in many of the nutrients naturally found in coffee beans.

A typical 8-ounce (240-ml) cup of coffee contains:

This may not seem like a lot, but try multiplying it with the number of cups you drink daily — it can add up to a significant portion of your daily nutrient intake.

But coffee shines in its high content of antioxidants.

The typical Western diet provides more antioxidants from coffee than from fruits and vegetables combined.

Summary: Coffee contains a small number of vitamins and minerals, which add up if you drink many cups per day. It is also high in antioxidants.

Coffee can enhance brain function and boost metabolism

Caffeine is the most commonly consumed psychoactive substance in the world.

Soft drinks, tea, and chocolate all contain caffeine, but coffee is the most significant source.

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The caffeine content of a single cup can range from 30–300 mg, but the average cup is somewhere around 90–100 mg.

Caffeine is a known stimulant. In your brain, it blocks the function of an inhibitory neurotransmitter (brain hormone) called adenosine.

By blocking adenosine, caffeine increases your brain’s activity and releases neurotransmitters like norepinephrine and dopamine. This reduces tiredness and makes you feel more alert.

Numerous studies demonstrate that caffeine can lead to a short-term boost in brain function, improving mood, reaction time, vigilance, and general cognitive function.

Caffeine can also boost metabolism by 3–11% and exercise performance by 11–12%, on average.

However, some of these effects are likely short-term. If you drink coffee every day, you will build up a tolerance — and with it, the effects will be less powerful.

Summary: The main active compound in coffee is the stimulant caffeine, and it can cause a short-term boost in energy levels, brain function, metabolic rate, and exercise performance.

Coffee may protect your brain from Alzheimer’s and Parkinson’s disease

Alzheimer’s is the world’s most common neurodegenerative disease and a leading cause of dementia.

Studies have shown that coffee drinkers have a 65% lower risk of developing Alzheimer’s disease.

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Parkinson’s is the second most common neurodegenerative disease caused by the death of dopamine-generating neurons in the brain.

Coffee drinkers have a 32–60% lower risk of Parkinson’s disease. The more coffee people drink, the lower the risk.

Summary: Several studies show that coffee drinkers have a much lower risk of dementia, Alzheimer’s disease, and Parkinson’s disease in old age.

Coffee lowers the risk of type 2 diabetes

Elevated blood sugar levels characterize type 2 diabetes due to resistance to the effects of insulin.

This common disease has increased tenfold in a few decades and now affects over 300 million people.

Interestingly, studies show that coffee drinkers may have a 23–67% reduced risk of developing this condition.

One review of 18 studies in 457,922 people associated each daily cup of coffee with a 7% reduced risk of type 2 diabetes.

Summary: Numerous studies have shown that coffee drinkers have a significantly lower risk of type 2 diabetes.

Coffee lowers the risk of liver diseases

Your liver is a vital organ that has hundreds of different functions in your body.

It is sensitive to excess alcohol and fructose intake.

The end stage of liver damage is called cirrhosis and involves most of your liver turning into scar tissue.

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Coffee drinkers have an 84% lower risk of developing cirrhosis, with the most potent effect for those who drink four or more cups daily.

Liver cancer is also common, and it is the second leading cause of cancer death worldwide. Coffee drinkers have up to a 40% lower risk of liver cancer.

Summary: Coffee drinkers have a significantly lower risk of cirrhosis and liver cancer. The more coffee you drink, the lower your risk.

Coffee lowers the risk of depression and suicide

Depression is the world’s most common mental disorder and leads to a significantly reduced quality of life.

In one Harvard study from 2011, people who drank the most coffee had a 20% lower risk of becoming depressed.

In one review of three studies, people who drank four or more cups of coffee per day were 53% less likely to commit suicide.

Summary: Studies show that people who drink coffee have a lower risk of becoming depressed and are significantly less likely to commit suicide.

Some studies show that coffee drinkers may live longer

Because coffee drinkers have a lower risk of many common, deadly diseases and suicide, coffee could help you live longer.

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Long-term research on 402,260 individuals aged 50–71 found that coffee drinkers had a much lower risk of dying over the 12–13 year study period.

The sweet spot seems to be at 4–5 cups per day, with men and women having a 12% and 16% reduced risk of death, respectively.

Summary: Some studies demonstrate that — on average — coffee drinkers live longer than non-coffee drinkers. The most substantial effect is seen at 4–5 cups per day.

Caffeine can cause anxiety and disrupt sleep

It wouldn’t be right to only talk about the good without mentioning the bad.

The truth is, coffee also has some negative aspects, although this depends on the individual.

Consuming too much caffeine can lead to jitteriness, anxiety, heart palpitations, and even exacerbated panic attacks.

If you are sensitive to caffeine and tend to become overstimulated, you may want to avoid coffee altogether.

Another unwanted side effect is that it can disrupt sleep.

If coffee reduces your sleep quality, try quitting coffee late in the day, such as after 2:00 p.m.

Caffeine can also have diuretic and blood pressure-raising effects, though these usually dissipate with regular use. However, a slight increase in blood pressure of 1–2 mm/Hg may persist.

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Summary: Caffeine can have various adverse effects, such as anxiety and disrupted sleep — but this depends greatly on the individual.

Caffeine is addictive and can cause withdrawal symptoms

Another issue with caffeine is that it can lead to addiction.

When people consume caffeine regularly, they become tolerant of it, and it either stops working as it did, or a larger dose is needed to produce the same effects.

When people abstain from caffeine, they get withdrawal symptoms, such as headaches, exhaustion, brain fog, and irritability. This can last for a few days.

Tolerance and withdrawal are the hallmarks of physical addiction.

Summary: Caffeine is an addictive substance, and it can lead to tolerance and well-documented withdrawal symptoms like headaches, tiredness, and irritability.

The difference between regular and decaf coffee

Some people opt for decaffeinated coffee instead of regular.

Decaffeinated coffee is usually made by rinsing coffee beans with chemical solvents.

Each time beans are rinsed, some percentage of the caffeine dissolves in the solvent, and this process is repeated until most of the caffeine has been removed.

Remember that even decaffeinated coffee contains some caffeine, just much less than regular coffee.

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Summary: Decaffeinated coffee is made by extracting caffeine from coffee beans using solvents. Decaf does not have all of the same health benefits as regular coffee.

How to maximize the health benefits of coffee

You can do some things to maximize the beneficial health effects of coffee.

The most important is not to add a lot of sugar to it.

Another technique is to brew coffee with a paper filter. Unfiltered coffee — such as from a Turkish or French press — contains cafestol, a substance that can increase cholesterol levels.

Bear in mind that some coffee drinks at cafés and franchises contain hundreds of calories and a lot of sugar. These drinks are unhealthy if consumed regularly.

Finally, make sure not to drink excessive amounts of coffee.

Summary: It is important not to put a lot of sugar in your coffee. Brewing with a paper filter can eliminate a cholesterol-raising compound called cafestol.

Should you drink coffee?

Some people — especially pregnant women — should avoid or severely limit coffee consumption.

People with anxiety issues, high blood pressure, or insomnia might also want to reduce their intake to see if it helps.

There is also some evidence that people who metabolize caffeine slowly have an increased risk of heart attacks from drinking coffee.

Additionally, some people are concerned that drinking coffee may increase cancer risk over time.

While it’s true that roasted coffee beans contain acrylamides, a category of carcinogenic compounds, there is no evidence that the small amounts of acrylamides found in coffee cause harm.

Most studies suggest coffee intake has no effects on cancer risk or may even reduce it.

That said, coffee can significantly benefit the average person’s health.

If you don’t already drink coffee, these benefits are not a compelling reason to start doing it. There are downsides as well.

But if you already drink coffee and enjoy it, the benefits far outweigh the negatives.

Summary

It’s essential to keep in mind that many of the studies referenced in this article are observational. They examined the association between coffee drinking and disease outcomes but did not prove a cause and effect.

However, given that the association is strong and consistent among studies, coffee may play a positive role in your health.

Though it was demonized in the past, coffee is likely very healthy for most people, according to scientific evidence.

If anything, coffee belongs in the same category as healthy beverages like green tea.

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