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Coffee Is Generally Heart-Friendly

By Ed Edelson

HealthDay Reporter by Ed Edelson

healthday Reporter Wed Mar 3, 11:50 pm ET

TUESDAY, March 2 (HealthDay News) -- Coffee drinkers can take heart from a

series of studies presented this week at American Heart Association conferences

in San Francisco.

For example, coffee drinkers appear to have a lower risk of hospitalization for

abnormal heart rhythms. And there's no indication that having a few cups every

day increases the risk of atherosclerosis, the thickening of blood vessel walls

that can lead to heart attacks and other problems. What's more, something in

coffee other than caffeine might be responsible for a reduced risk of diabetes

for women who regularly imbibe java.

Not every report at the AHA's annual conferences on Cardiovascular Disease

Epidemiology and Prevention and Nutrition, Physical Activity and Metabolism was

totally upbeat for coffee lovers. One report did find a potential link between

coffee drinking and high blood pressure, but the effect was described as

"modest." And, like the other studies, it came hedged with the caveat that the

finding wasn't based on a controlled trial -- the gold standard for assessing

risk and benefit -- but from observational studies, which don't exclude all

possible factors.

The heart rhythm research looked at the rate at which 130,054 members of the

Kaiser Permanente Medical Care Program were hospitalized for heart rhythm

disturbances. About 2 percent of them had hospital stays because of such

abnormalities, the most common being atrial fibrillation. But the risk was 18

percent lower for those who reported drinking four or more cups of coffee a

day, compared to those who didn't drink coffee, said Dr. Arthur Klatsky, a

senior consultant in cardiology for the program, who led the study.

"It might be a surprise, because coffee does give some people the jitters,"

Klatsky said. "And I don't think we're ready to tell people they should drink

coffee to prevent heart rhythm problems."

The study didn't offer any reason why coffee might reduce heart rhythm

problems, Klatsky said. "It could be that coffee drinkers have better diets or

exercise more. We can't say for sure that it might not be related to minor

heart rhythm problems that don't require hospitalization."

The bottom line: "Coffee drinkers don't have to quit because they have heart

rhythm problems," Klatsky said. "That's about as far as we can go."

Another study that has followed more than 3,000 men and women for 20 years

found no association between coffee consumption and atherosclerosis for just

about every demographic group -- men and women, blacks and whites, smokers and

nonsmokers. Participants in the study included people whose coffee consumption

ranged from none to more than four cups a day.

"Based on these data, there does not appear to be any substantial association

between coffee drinking and increased or decreased odds of developing

atherosclerosis or its progression over time," study leader Jared Reis, an

epidemiologist with the U.S. National Heart, Lung, and Blood Institute, said in

a prepared statement.

The third study, based on a report from the long-running Women's Health Study,

provided a possible explanation for a lower incidence of type 2 diabetes -- the

kind that generally develops later in life -- among coffee drinkers.

Researchers compared 359 post-menopausal women newly diagnosed with type 2

diabetes and 359 women without the disease. They found that women who drank

four or more cups of caffeinated coffee a day had a 56 percent lower risk of

developing the condition than those who did not drink coffee.

That reduced risk appears to be due to the effects of caffeine on a protein

that binds to sex hormones, said Dr. Atsushi Goto, of the University of

California, Los Angeles, who presented the report. But the finding is

preliminary and requires further study, Goto added.

The report linking consumption of one to three cups of coffee a day with a

slightly increased risk of high blood pressure came from Dr. Liwei Chen,

assistant professor of epidemiology at the Louisiana State University School of

Public Health, using data from six studies that included more than 172,000

participants.

"Based on our results, long-term coffee drinking might be a risk factor for

hypertension, but the effect is very moderate," Chen said. "We definitely need

more research and evidence to clarify our findings based on the meta-analysis

of published prospective studies. Meanwhile, I think it is important for people

to consider lowering their coffee drinking if they are concerned about their

blood pressure."