Coffee: Friend or Foe?

The magic bean gets us through early morning shift reports and many night shifts, but does it have a dark side?

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Coffee: Friend or Foe?

The mere mention of coffee can make one imagine their favourite mug, the swirl of cream and sugar, and that irresistible aroma. Coffee is a friend that helps pull you out of bed in the morning with its promise of warmth and energy, just a few sips away. But does coffee have a dark side? Does dependence on this elixir of energy, the nectar of the gods, come with a price?

Does Coffee Have a Dark Side? Benefits?

Early research suggested that coffee increases the risks of heart disease and even asthma. The public was warned of consuming coffee, and to this day, many 'cleanses' include eliminating caffeine from the diet. However, the latest coffee research suggests that it may hold health benefits. The original research was confounded by an association with cigarette smoking. When smoking was eliminated from the research some surprising health benefits emerged.  Moderate coffee consumption (2-5 cups a day) was associated with increased life expectancy and protection against:

  • Parkinson's Disease
  • Type 2 Diabetes
  • Liver Disease
  • Heart Attack and Stroke

Coffee Side Effects

Coffee consumption does come with some side effects due to its high caffeine content. The significance of these side effects will depend on how each person responds to caffeine and how much caffeine is consumed. Some of these side effects include:

  • Anxiety
  • Restlessness
  • Shakiness
  • Headache
  • Fast Heart Rate
  • Temporary Increase in Blood Pressure 
  • Insomnia
  • Heartburn

Caffeine Consumption

It's not just coffee that contains caffeine; soft drinks, especially energy drinks, can have an astonishing amount of caffeine. All that caffeine counts!

As a shift worker, it's important to consider how caffeine consumption can impact sleep. It is wise to eliminate coffee consumption several hours before bed. At 3 a.m., the allure of a hot cup of coffee might seem irresistible. However, a few hours after that, while you're struggling to fall asleep amidst the daylight and noise of the outdoor world, that same coffee might come back to haunt you as it keeps you awake when you would much rather be asleep.

Another caveat from the research suggests that it's important to brew coffee through a paper filter to remove impurities. These impurities have been linked to increases in LDL cholesterol.

It's also important to consider how much sugar might be in your favourite hot drink. Sugar has landed itself in the hot seat lately, and research shows how detrimental our addiction to sugar is to our health. Most people consume far more sugar than they should, and much of that sugar is in liquid form, in the coffee and soda that we drink. For example, a Grande Cinnamon Dolce Latte has 40 grams of sugar in it. That makes up 80% of the recommended daily sugar intake.

Coffee consumption may be hazardous during pregnancy, so pregnant women are advised to limit their caffeine consumption to 200 mg a day (One 8 oz cup of coffee is around 100 mg, depending on the type and how it is brewed). There is also not a lot of research regarding caffeine consumption in children. So it's probably best to keep the kids out of the coffee.

Coffee: Friend or Foe?

In conclusion, coffee can be both a friend and a foe, depending on how it's consumed. Moderate coffee consumption has been associated with health benefits and potentially longer life expectancy. However, excessive caffeine consumption can lead to side effects like anxiety, restlessness, and insomnia. It's essential to be mindful of how much coffee we consume and when we consume it, especially for shift workers and pregnant women. While the warm cup of Joe may be a staple in our daily routine, it's important to remember that with much power comes much responsibility! So, enjoy your coffee with gratitude and peace, knowing that moderation and mindfulness are key.


References/Resources

Caffeine: Medline Plus

Is coffee good or bad for your health?: Harvard T.H. Chan School of Public Health

Caffeine During Pregnancy: MyHealth.Alberta.ca

Laura-Lee Nuttall has 19 years experience as a BSN and specializes in Critical Care, Clinical Instruction.

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Specializes in ICU.

Nice article! Coffee is definitely my friend. I've tried to quit caffeine a few times in my life including when I was in basic military training where we had to quit, but I've always gone back. I'd say it's just my main vice, but I try not to overdo it with the additives. 

Specializes in Critical Care, Clinical Instruction.
0.9%NormalSarah said:

Nice article! Coffee is definitely my friend. I've tried to quit caffeine a few times in my life including when I was in basic military training where we had to quit, but I've always gone back. I'd say it's just my main vice, but I try not to overdo it with the additives. 

Totally! I love my coffee!! I've given it up a few times for my "health". I was surprised to learn that it's actually good for you - in the right amounts. I don't think I'll ever give it up again ?

Specializes in Critical Care, Procedural, Care Coordination, LNC.

Great article! When I first started night shifts, I consumed way too much coffee and definitely made it my foe. I had to deal with all the adverse effects until I realized it was the coffee, not night shift.  These days 1, maybe 2 cups before switching to tea. Coffee and I have a much better relationship now. 

Specializes in Critical Care, Clinical Instruction.
Erin Lee said:

Great article! When I first started night shifts, I consumed way too much coffee and definitely made it my foe. I had to deal with all the adverse effects until I realized it was the coffee, not night shift.  These days 1, maybe 2 cups before switching to tea. Coffee and I have a much better relationship now. 

I have a relationship with coffee too!! I'm glad you were able to find the balance that works for you. I started drinking tea this year as well. It satisfies my need for a hot drink when I've already had enough coffee. I still think tea tastes a bit like muddy water though ?‍♀️

Specializes in Critical Care, Procedural, Care Coordination, LNC.
Laura-Lee Nuttall said:

I have a relationship with coffee too!! I'm glad you were able to find the balance that works for you. I started drinking tea this year as well. It satisfies my need for a hot drink when I've already had enough coffee. I still think tea tastes a bit like muddy water though ?‍♀️

What kind of tea are you drinking?! There are so many different flavors and varieties, have you branched away from the classic green or black TEAS? White tea with fruit flavors is so yummy and lately, I have been on a Yogi tea kick, Elderberry Lemon Balm and Sweet Tangerine are my current favorites. 

Specializes in Critical Care, Clinical Instruction.
Erin Lee said:

What kind of tea are you drinking?! There are so many different flavors and varieties, have you branched away from the classic green or black TEAS? White tea with fruit flavors is so yummy and lately, I have been on a Yogi tea kick, Elderberry Lemon Balm and Sweet Tangerine are my current favorites. 

Yogi tea? I haven't even heard of that one. I don't mind loose-leaf TEAS fruity TEAS. David's tea is my favourite. But I would still take a Starbucks coffee any day over that.  

Specializes in Health Writer, Registered Nurse.

I find my morning cup of coffee meditative and part of my daily ritual.  As much as I love it, I do think more coffee throughout the day definitely affects my sleep at night. But on those busy work shifts when you feel tired, its soooo tempting!!

Specializes in Critical Care, Clinical Instruction.
Jennifer Romans said:

I find my morning cup of coffee meditative and part of my daily ritual.  As much as I love it, I do think more coffee throughout the day definitely affects my sleep at night. But on those busy work shifts when you feel tired, its soooo tempting!!

I love a morning coffee... BUT I might love that 2:30 coffee even more... it's the perfect pick me up!

Have you ever heard of an Aeropress coffee?