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PubMed2003

Effects of caffeine on human health.

Caffeine is probably the most frequently ingested pharmacologically active substance in the world. It is found in common beverages (coffee, tea, soft drinks), in products containing cocoa or chocolate, and in medications. Because of its wide consumption at different levels by most segments of the population, the public and the scientific community have expressed interest in the potential for caffeine to produce adverse effects on human health. The possibility that caffeine ingestion adversely affects human health was investigated based on reviews of (primarily) published human studies obtained through a comprehensive literature search. Based on the data reviewed, it is concluded that for the healthy adult population, moderate daily caffeine intake at a dose level up to 400 mg day(-1) (equivalent to 6 mg kg(-1) body weight day(-1) in a 65-kg person) is not associated with adverse effects such as general toxicity, cardiovascular effects, effects on bone status and calcium balance (with consumption of adequate calcium), changes in adult behaviour, increased incidence of cancer and effects on male fertility. The data also show that reproductive-aged women and children are 'at risk' subgroups who may require specific advice on moderating their caffeine intake. Based on available evidence, it is suggested that reproductive-aged women should consume </=300 mg caffeine per day (equivalent to 4.6 mg kg(-1) bw day(-1) for a 65-kg person) while children should consume </=2.5 mg kg(-1) bw day(-1).

Abnormalities, Drug-Induced↗
PubMed1996

Relation between geographic variability in kidney stones prevalence and risk factors for stones.

To determine whether geographic variability in rates of kidney stones in the United States was attributable to differences in personal and environmental exposures, the authors examined cross-sectional data that included information on self-reported, physician-diagnosed kidney stones collected from 1,167,009 men and women, aged > or = 30 years, recruited nationally in 1982. Information on risk factors for stones including age, race, education, body mass, hypertension, and diuretic and vitamin C supplement use was obtained by self administered questionnaire. Consumption of milk, coffee, tea, soft drinks, and alcohol was based on food frequency data. Indices of ambient temperature and sunlight level were assigned to subjects based on state of residence. Stones were nearly twice as prevalent in the Southeast as in the Northwest among men and women. Ambient temperature and sunlight indices were independently associated with stones prevalence after controlling for other risk factors for stones. Regional variation was eliminated for men and greatly reduced for women after adjustment for temperature, sunlight, and beverage consumption. Other factors appeared to not contribute to regional variation. These results provide evidence that ambient temperature and sunlight levels are important risk factors for stones and that differences in exposure to temperature and sunlight and beverages may contribute to geographic variability.

Adult↗
PubMed1989

A multichannel FES system for the restoration of motor functions in high spinal cord injury patients: a respiration-controlled system for multijoint upper extremity.

A multichannel functional electrical stimulation (FES) system for the restoration of quadriplegic upper extremity function is described. The system is composed of a personal computer NEC PC-8801mkII, peripheral electronic circuits, CRT display and respiratory sensors for volitional control by the patient, and percutaneous electrodes. A C4 quadriplegic patient could drink canned tea by herself by using this FES system. Distinct features of the system are as follows: 1) Versatile volitional control was realized by controlling the memory allocation of the stored stimulation data by voluntary respiratory signals. 2) Sophisticated fine control of the fingers, wrists, and elbow was realized by creating the multichannel stimulation data from recorded myoelectric activities of normal subjects during movements of the upper limb.

Arm↗
PubMed2006

Sugar snack consumption in Ugandan schoolchildren: Validity and reliability of a food frequency questionnaire.

OBJECTIVES: This study assessed the reproducibility and relative validity of an eight-item self-administered food frequency questionnaire (FFQ) on intake of sugared snacks in Ugandan schoolchildren. A 5-day precoded food behaviour checklist (FBC) was used as validation criteria. Sociodemographic correlates of a sum frequency sugar score were explored. METHODS: The study was conducted in Kampala, Uganda, in 2004. Six hundred and fourteen schoolchildren (mean age 12.4 years) completed the FFQ on cakes/biscuits, chocolate, ice sticks, soft drinks, coffee, tea, sugared desserts and sweets/candies at school. They were examined clinically for dental caries. Forty students completed the FFQ twice, 1 week apart and 325 students completed the 5 day FBC at school. RESULTS: The mean decayed, missing and filled tooth index score was 0.98 (SD 1.6, range 0-15). Reproducibility scores (Cohen's kappa) for the sugar items ranged from 0.17 (ice sticks) to 0.55 (biscuits). No differences were seen between the average intakes at test and retest. Higher intake was reported in FFQ than in FBC across all sugar items. Crude agreement between students reporting intake at least 3-5 times a week/less than three times a week ranged from 50% to 55% (e.g. biscuits, chocolate) to 87% (tea). Spearman's correlation coefficients ranged from 0.14 (desserts) to 0.27 (sweets). anova revealed significant increase (P = 0.001) in the mean FBC sum scores by increasing quartiles of the FFQ sum scores. The average sum FFQ sugar scores were higher in girls than in boys and higher in older than in younger students. CONCLUSION: Fair reproducibility was established for the FFQ sugar items. The FFQ was acceptable in classifying individuals into broad categories of low and high sugar consumption.

Adolescent↗
PubMed1998

Caffeine and nicotine use in an addicted population.

This study was undertaken to examine differences in caffeine and nicotine use between the psychiatric population and the addicted population in a private psychiatric inpatient facility. Eighty-six patients on an adult addictive disease inpatient unit and 80 patients on an adult psychiatry unit in a private psychiatric hospital were interviewed with regard to their use of nicotine and caffeine. In addition, demographic information and primary diagnoses were obtained from the psychiatric admission assessment in the medical record as listed by the admitting psychiatrist. Although there was little difference in psychiatric patients vs. chemically dependent patients with regard to the percentage of caffeine users, the chemically dependent individuals drank more coffee, soft drinks, and tea. A much greater percentage of the chemically dependent individuals also smoked cigarettes, although not in a greater amount than the psychiatric patients who smoked. Because group assignment was not random, ordinary least squares (OLS) regression analyses were conducted to determine the independent associations of age, sex, education, and treatment population in predicting levels of caffeine and tobacco use. Even after controlling for demographic differences between the two samples, chemically dependent patients still reported higher levels of daily caffeine and tobacco use than patients on the general psychiatric unit.

Adolescent↗
PubMed2002

[Birthweight and caffeine consumption].

OBJECTIVES: To assess the association between maternal caffeine consumption during pregnancy and low birth weight, prematurity and intrauterine growth retardation. METHODS: A case-control was carried out and 354 newborns of single labor with birthweight <2,500 g (cases) and 354 with birthweight >3,000 g (controls) were analyzed. Caffeine consumption was calculated based on daily consumption of coffee, soft drinks and tea. Results were adjusted using multiple logistic regression for the following confounders: mother's age, schooling, income, marital status, skin color, parity, smoking, previous low birthweight children, mother's pre-pregnancy weight, employment status, interval between pregnancies, prenatal care and high blood pressure. RESULTS: For caffeine consumption <300 mg/day and >300 mg/day, the adjusted odds ratios for low birthweight were: 0.72 (95%IC=0.45-1.25) and 0.47 (95%IC=0.24-0.92); prematurity: 0.59 (95%IC=0.32-1.09) and 0.32 (95%IC=0.15-0.72); and intrauterine growth retardation: 1.16 (95%IC=0.45-3.01) and 0.64 (95%IC=0.20-1.98), respectively. CONCLUSION: There was no association between caffeine consumption during pregnancy and low birthweight, prematurity and intrauterine growth retardation.

Adult↗
PubMed1996

Aspartame's effects on behavioral thermoregulation in albino rats.

Aspartame (L-aspartyl-L-phenylalanine methyl ester) was administered intraperitoneally to 9 Sprague-Dawley rats partitioned into 2 studies (4 in Study 1 and 5 for a replication in Study 2) over a two-year period using a within-subjects, repeated-measures reversal design. Behavioral thermoregulation was assessed in a cold Skinner Box using 5-sec. exposures of microwave radiation [Specific Absorption Rate = 0.34 Watts/kg/(mW/cm2)] as reinforcing stimuli under a fixed-interval 2-min. schedule of positive reinforcement. Two factorial analyses of variance [5 (doses) x 8 (hours)] indicated that the main effect for the doses of aspartame (2, 4, 8, 16 mg/kg, and saline control) was not significant; yet, the interaction (dose x hours) was significant (p < .05). Tentatively, aspartame should not cause an uncomfortable rise in body temperature (as sugar can do) when consumed in common substances such as soft drinks, yogurt, tea, coffee, etc., in doses commensurate with "hedonic" sweetness.

Animals↗
PubMed1999

Antioxidants in the prevention of renal disease.

In view of the role of oxidative processes in inflicting damage that leads to glomerulosclerosis and renal medullary interstitial fibrosis, more attention could be paid to the use of antioxidant food constituents and the usage of drugs with recognized antioxidant potential. In any case atherosclerosis is an important component of chronic renal diseases. There is a wide choice of foods and drugs that could confer benefit. Supplementation with vitamins E and C, use of soy protein diets and drinking green tea could be sufficient to confer remarkable improvements.

Animals↗
PubMed2005

Dietary intake of pregnant women and their infants in a poor black South African community.

The aims of this study were (i) to determine the dietary intake of women in a poor rural area during pregnancy and lactation, and (ii) to determine the nutritional status and dietary intake of their infants at age 6 months. We recruited 46 women, below 40 years old, in their 2nd trimester of pregnancy. The subjects were living in a rural area of Limpopo Province. Their heights and weights were recorded, as were their diets during pregnancy and for the first 6 months after delivery. We also recorded weights, lengths, and dietary intake of the infants at 3 and 6 months after birth. The subjects were living in severe poverty: none had running water and almost all did their cooking over an open fire. None of the subjects smoked and only one consumed alcohol. The diets of the subjects consisted mainly of maize, brown bread, sweetened beverages (cold drink and tea), and small amounts of vegetables and chicken. The diets were adequate in protein but were marginal in energy and in dietary fibre, and may be deficient in numerous micronutrients, particularly calcium, iron, zinc, niacin, folate, and vitamins A, C, E, and B6. This was seen during pregnancy and lactation. Blood analysis 6 months after birth revealed normal levels of vitamins A and E and an absence of anaemia. Body mass index (BMI) of the women was 23.9 +/- 5.3 kg/m2 (mean +/- SD) when measured 6 months after birth. Those above 25 years old had a higher BMI than did younger subjects (25.5 vs. 22.2; p = 0.028). Overall, 24% were overweight (BMI 25-30) while 9% were obese (BMI > 30). Most infants (93%) were breastfed for at least 6 months but exclusive breastfeeding was only done by 65% of mothers. One-third of breastfed infants also received formula. The use of formula while breastfeeding was twice as common among mothers aged above 25 years (46% vs. 23%). Early introduction of solid foods was very common in this group. Younger mothers introduced solids in the first month (51%) more often compared with older mothers who tended to introduce solids at 2-3 months (64%). The most common solid food given was maize meal porridge (by 78% of all mothers). Mean BMI was low at birth (< 15), but this reached a normal value by 6 months. A significant fraction of the infants was underweight or short (i.e., stunted), based on being below the 3rd percentile compared with NCHS standards. Underweight was short length in girls. This study found that pregnant and lactating women had diets low in energy and micronutrients as reflected by the high prevalence of underweight at birth. Most infants were exclusively breastfed, but the benefit of this was offset by the early introduction of solid foods having a low energy and nutrient density. By 6 months, the prevalence of stunting had more than doubled.

Adolescent↗
PubMed1999

[A case-control study on the dietary risk factors of upper digestive tract cancer].

OBJECTIVE: To understand the effect of dietary factors in Yangzhong, Jiangsu Province-a high prevalence area in China. METHODS: A case-control study on 209 cases of upper digestive tract cancer was conducted. There were 68 cases of esophageal cancer, 69 cases of cardiac cancer and 72 cases of other gastric cancers including 129 males and 80 females aged 35-79 under the study. RESULTS: It is revealed that intake of pickled vegetables increases the ORs of esophageal, cardiac and other gastric cancers (OR = 2.82, OR = 5.17, OR = 2.92, respectively). It is also concluded that the intake of leftovers can elevate the ORs of esophageal and cardiac gastric cancer (OR = 1.88 and OR = 1.90) and over consumption of salt also elevates the OR of cardiac cancer (OR = 1.87). However, drinking green tea may decrease the ORs of esophageal and other gastric cancers (OR = 0.20 and OR = 0.28) while fruits consumption may reduce the OR of esophageal cancers (OR = 0.51). CONCLUSION: Tumors from upper digestive tract have some relations with diet factors but the effects vary with the differences of tumor sites, dose of exposure and area, etc.

Adult↗
PubMed2000

[Influence of risk factor "hot foods over 37 degrees Celsius" on oral flora and the pathogenesis of gingivitis and periodontitis].

Austrian law prescribes that hot food and beverages must be served at a minimum temperature of 75 degrees C. Within a group of 50 volunteers, we studied hot food at a temperature higher than 37 degrees C as a risk factor for the pathogenesis of gingivitis and periodontitis. In the first part of the investigation the effects of heat on bacterial growth in the mouth were evaluated. Bacterial growth was significantly reduced after drinking hot tea (70 degrees C) (p < 0.001). The ability of the volunteers to estimate the temperature of a direct heat stimulus in the mouth was tested in the second part of the study. 82% of the volunteers underestimated the temperature of tea (70 degrees C) by about 15 degrees C. In the third part of the study the periodontal state of the volunteers was determined by index measurements. Moreover, eating behaviour was assessed by a questionnaire. No statistically significant correlation between eating behaviour (hot/cold) and periodontal inflammation was found.

Adolescent↗
PubMed2002

Herbal remedies: drug-herb interactions.

Controlled clinical studies are needed to clarify and determine the clinical importance of drug-herb interactions. However, it is unlikely that this information will be forthcoming except as anecdotal reports. Patients taking drugs with a narrow therapeutic index (cyclosporine, digoxin, hypoglycemic agents, lithium, phenytoin, procainamide, theophylline, tricyclic antidepressants, and warfarin) should be discouraged from using herbal products. All drugs with a narrow therapeutic index may either have increased adverse effects or be less effective when used in conjunction with herbal products. More research is required to define the interactions. When adverse reactions are experienced with drug therapy, patients must always be queried as to their intake of herbal products: what they are taking in pills and tincture form, what they are drinking as teas, and what they are eating from their garden.

Adverse Drug Reaction Reporting Systems↗
PubMedDate not supplied

Promotion effects of hot water on N-nitrosomethylbenzylamine-induced esophageal tumorigenesis in F344 rats.

This study is to determine the effects of hot water on N-nitrosomethylbenzylamine (NMBA)-induced rat esophageal tumorigenesis model. F344 rats received one treatment of hot water 1 ml/kg and NMBA 1 mg/kg, or a combination treatment of NMBA 1 mg/kg pus hot water 1 ml/kg, or/and EGCG (epigallocatechin-3-gallate) 10 mg/kg. The experiment was concluded at the 20th week. Our results showed that the number of tumors and incidence of carcinomas were significantly increased by hot water (65 degrees C) (p<0.05, p<0.03, respectively), as compared with the group which received NMBA injections only. EGCG treatment did not significantly reduce the number or the size of tumours as the temperature of added hot water increased. In addition, PGE2 production was induced by NMBA, and further significantly increased by added hot water (p<0.05). On the other hand, EGCG slightly decreased the elevated PGE2 production, however, this effect of EGCG was offset by hot water. Our study further confirmed that the drinking of hot beverages increased the risk of esophageal carcinogenesis, and the drinking hot tea will abolish the inhibitory effects of EGCG on this disease.

Animals↗
PubMed2003

[Morita therapy in cultural context].

East is characterized by concepts of transcendence of ego structure, equality of mind to body and psychic structure of emptiness or nothingness. West is on the other hand characterized by concepts of ego strength, superiority of mind to body and psychic structure of fullness. Namely in the East ego is not strengthened but dispersed into relationships of a person with other persons, animated and in-animated others. There is no differentiation between mind and body. Also there is a traditional way of reaching a psychic state of emptiness or nothingness which is found in Zen-Buddhism. However in the West nothingness or emptiness has only negative meaning. West has also linear way of thinking that one lives by developing oneself towards God as progress whereas East has circular way of thinking like Nietzches word, "Eternal repeat of the sameness". Such traditional concepts of Eastern culture are reflected on our Japanese language. For example we would like to omit subject and object and propose to go to drink something, tea or coffee. We would like to keep the ambiguity in our expression so that we could avoid harming the others who actually wanted to go with us. Morita Therapy is based on the Eastern culture and has such cultural backgrounds. Indicated are the patients who have a tendency to be hypochondriacal and called "shinkeishitu". These patients have namely strong fear of death and also at the same time strong wish to live a full life. However the fear of death predominate and suppress the desire to live a full life which produces several neurotic symptoms like simple phobia, panic disorder, obsessive compulsive disorder, etc. For such patients we do absolute bed rest in order to let the patients discern the natural process of their inner self through paradoxical setting of lying down for 7 days that is usually unnatural. Patients are prescribed to lie down in bed except eating, face-washing and keeping hygiene. The bed rest induces at first boredom which would bring about paradoxically desire to live a full life. Also in the following work therapy period patients would not fixate their attention inwards, namely to their symptoms but learn to pay attention towards outwards even though they have still symptoms. In the body action we could acknowledge changes of our inner perception that is also possessed by other persons, other animated creatures and in-animated creatures as a form of "Inter-perceptivity". We do not only perceive the atmosphere established between us and others but also between us and outer nature. Patients learn that anxiety is not to be eliminated but to be accepted as it is. So we just accept and do "nothing" to eliminate anxiety. We address that Morita Therapy is not only indicated for "shinkeishitu" personality but also for other anxiety based disorders, such as cancer patients, traumatized patients, etc.

Anxiety Disorders↗
PubMed2003

Induction of apoptosis by caffeine is mediated by the p53, Bax, and caspase 3 pathways.

Caffeine is a key component of many popular drinks, especially tea and coffee. Previous reports have shown that caffeine may contribute to the chemopreventive effect of tea in animals. Here, we report that treatment with low concentrations of caffeine induced apoptosis in JB6 Cl41 cells. JB6 Cl41 cells were starved in 0.1% fetal bovine serum/MEM for 72 h and then treated with 50-450 microM caffeine for 24 h. Cells showed the typical DNA laddering pattern and other characteristics of apoptosis. The IC(50) of caffeine on JB6 Cl41 cells was 2.7 mM. Induction of apoptosis by caffeine appeared to be p53-dependent because cells lacking p53 (p53(-/-)) showed no signs of apoptosis after treatment with caffeine. Immunoprecipitation assays and Western blot analysis showed that caffeine induced phosphorylation of p53 at Ser(15) in JB6 Cl41 cells. The same low concentration of caffeine that was effective for inducing phosphorylation of p53 was also shown to increase p53 activation. Expression of Bax, another p53 target, distinctly increased in a time- and dose-dependent manner. Cleaved caspase 3 was also increased in a time- and dose-dependent manner. These data show that a low concentration of caffeine can induce p53-dependent apoptosis in JB6 cells through the Bax and caspase 3 pathways.

Animals↗
PubMed2006

Color stability of resin composites after immersion in different drinks.

The purpose of this study was to evaluate the discoloration of two nanohybrids, two microhybrids, and a posterior composite resin restorative material upon exposure to different drinks--namely tea, cola, coffee, red wine, and water. The colors of all specimens before and after storage in the solutions were measured by a colorimeter based on CIE Lab system, and the color differences thereby calculated. Data were analyzed by two-way analysis of variance (ANOVA) and Tukey's HSD test. According to ANOVA, the restorative material, staining agent, and their interaction were found to play a statistically significant role (P = 0.0001) in color change. Among the staining agents, water consistently showed the lowest deltaE* value for all materials, whereas red wine showed the highest deltaE* value. In other words, for all the materials tested, their color change in staining agents ranked in this increasing order: water < cola < tea < coffee < red wine. In terms of comparison among the five restorative materials, Filtek P60 and Z250 were observed to manifest less color change than the nanohybrids and Quadrant LC.

Beverages↗
PubMed1991

Effects of Folia orthosiphonis on urinary stone promoters and inhibitors.

Yaa-Knuatmaeo or Folia orthosiphonis showed both favourable and non favourable effects of stone prevention. Uric acid and uric acid containing stone may be prevented by the increased alkalinity of the urine after drinking Orthosiphon tea. The unfavourable effect of orthosiphon being the excretion of oxalate in the urine may result in higher risk of stone formation. However, this study may or may not apply to the stone patients since it has been done only on healthy persons and all parameters were within normal limits. We feel that Orthosiphon tea may be beneficial in prevention of uric acid stone formation. This study was supported by a grant from the Medicinal Herbs Development Fund, Mahidol University.

Drug Evaluation↗
PubMed1990

Hormonal and renal responses to arterial chemoreceptor stimulation by almitrine in healthy and normotensive men.

Healthy and normotensive men (n = 11) were hospitalized and kept under controlled fluid and sodium intake (120 mequ/d) for 5 days. Their systemic arterial blood pressures as well as heart and breathing rates were measured, and venous blood and urine samples were collected at intervals of 1-4 h. Diuresis was induced by scheduled drinking of tea (150 ml/h). Electrolytes, osmolality, and creatinine were determined in both plasma and urine samples. Aldosterone, cortisol, and vasopressin concentrations were measured only in the plasma. On the 2nd and 3rd day of the experiments the participants received orally either a placebo-pill or 100 mg almitrine bismesylate (Vectarion). Each subject was tested in a placebo- and an almitrine experiment. The subjects responded to the almitrine treatment with a suppression of the plasma aldosterone content, a transient rise of glomerular filtration rate, a natriuresis and an increase of renal concentrating ability. In the placebo-experiments, only the transient rise of filtration rate was significant. The data indicate that almitrine, by stimulating the peripheral arterial chemoreceptors, suppresses plasma aldosterone and inhibits renal proximal sodium reabsorption by so far unknown mechanisms. They also suggest that oral and intravenous almitrine administrations, respectively, might differently affect renal hemodynamics and excretory function.

Adult↗