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Medical Forum / Diseases and Disorders / Hepatitis / June 2009

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Re: caffeine

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kip - 03 Jun 2009 15:40 GMT
Chuck wrote:

> I did, and I learned that there's quite a controversy about the subject
> since the release of an article by an author, hired by the Beverage
> Institute for Health & Wellness (BIHW) of the Coca-Cola Company. So, I
> consider the source and read between the lines. Then I consider that here,
> on ash-c, we're talking about caffeine in combination with tx for hep c,
> which (also) causes dehydration. Back to where we started: drink your
> coffee, but water to compensate. Period.

I did too but didn't find much controversy out there. In fact, the
research I dug up provides evidence indicating caffeine does NOT have
a dehydrating effect. Basing and stating an opinion of one lone study
on an analysis of the author's industry connections and motives is not
good science. I'd do more research and look for published studies in
known and respected  journals within the medical and nutrional
communities. For example:

A report appeared in  in The International Journal of Sport Nutrition
and Exercise Metabolism (June 2002) looked at studies comparing
caffeine with water or placebo seldom found a statistical difference
in urine volume, the author wrote. “In the 10 studies reviewed,
consumption of a caffeinated beverage resulted in 0 to 84 percent
retention of the initial volume ingested, whereas consumption of water
resulted in 0 to 81 percent retention.”

that means caffeine actually appears to be slightly LESS diuretic than
water.

Another study, in the same journal in 2005, involved scientists
following 59 active adults over 11 days while controlling their
caffeine intake. They were given caffeine in capsule form on some days
and on other days were given a placebo. Researchers found no
significant differences in levels of excreted electrolytes or urine
volume.

The American Journal of Physiology (Aug 2002) cites a University of
Nebraska study that found no reason why caffeinated beverages should
not be counted toward a daily fluid total. This article focused on the
effects of moderate caffeine consumption (1-4 cups of coffee a day)
and concluded:

- Moderate caffeine consumption causes a mild diuresis very similar to
that of water (water, when consumed in large volume, increases urine
output).
- There is no evidence that consumption of caffeinated beverages
causes a fluid-electrolyte imbalance that is detrimental to health or
exercise performance.
- A person who regularly consumes caffeine has a higher tolerance to
the diuretic effect.

This article can be found at http://www.humankinetics.com/products/journals/

Thanks. No disrespect intended, btw--just interested in seeing a bit
more objectivity in this discussion.
Waterspider - 04 Jun 2009 09:51 GMT
Chuck wrote:

> I did, and I learned that there's quite a controversy about the subject
> since the release of an article by an author, hired by the Beverage
[quoted text clipped - 3 lines]
> which (also) causes dehydration. Back to where we started: drink your
> coffee, but water to compensate. Period.

I did too but didn't find much controversy out there. In fact, the
research I dug up provides evidence indicating caffeine does NOT have
a dehydrating effect. Basing and stating an opinion of one lone study
on an analysis of the author's industry connections and motives is not
good science. I'd do more research and look for published studies in
known and respected  journals within the medical and nutrional
communities. For example:

A report appeared in  in The International Journal of Sport Nutrition
and Exercise Metabolism (June 2002) looked at studies comparing
caffeine with water or placebo seldom found a statistical difference
in urine volume, the author wrote. “In the 10 studies reviewed,
consumption of a caffeinated beverage resulted in 0 to 84 percent
retention of the initial volume ingested, whereas consumption of water
resulted in 0 to 81 percent retention.”

that means caffeine actually appears to be slightly LESS diuretic than
water.

Another study, in the same journal in 2005, involved scientists
following 59 active adults over 11 days while controlling their
caffeine intake. They were given caffeine in capsule form on some days
and on other days were given a placebo. Researchers found no
significant differences in levels of excreted electrolytes or urine
volume.

The American Journal of Physiology (Aug 2002) cites a University of
Nebraska study that found no reason why caffeinated beverages should
not be counted toward a daily fluid total. This article focused on the
effects of moderate caffeine consumption (1-4 cups of coffee a day)
and concluded:

- Moderate caffeine consumption causes a mild diuresis very similar to
that of water (water, when consumed in large volume, increases urine
output).
- There is no evidence that consumption of caffeinated beverages
causes a fluid-electrolyte imbalance that is detrimental to health or
exercise performance.
- A person who regularly consumes caffeine has a higher tolerance to
the diuretic effect.

This article can be found at http://www.humankinetics.com/products/journals/

Thanks. No disrespect intended, btw--just interested in seeing a bit
more objectivity in this discussion.

The Human Journal of Kinetics is not in my realm of credible medical
references and, even if it was, its target readership (and thus its focus)
is healhty, sports-minded individuals; not hepatitis patients. No disrespect
intended. Now drink your water.
Sara - 04 Jun 2009 15:05 GMT
> Chuck wrote:
> > I did, and I learned that there's quite a controversy about the subject
[quoted text clipped - 55 lines]
> is healhty, sports-minded individuals; not hepatitis patients. No disrespect
> intended. Now drink your water.

agree with Spidey here (getting awful mellow in my old age!)

you guys gotta quit trying to find excuses not to do what you know is
good for you, and just DO it!   The water intake is one of the most
important things you can do to get through this treatment with the
side effects somewhat under control.   The water will help your
dizziness/light headedness, will help with nausea, will help dry skin
and scalp, and it flushes a lot of nastiness through your system,
helping your organs cope with the poisons you are putting into your
body.

so please!   drink your water :))

Sara
 
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