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Megan Rossi How coffee could cut your risk of skin cancer

- GUT HEALTH GURUDr Follow Dr Megan Rossi: TheGutHeal­thDoc TheGutHeal­thDoctor

Are you the type who feels jittery after the caffeine hit of a single espresso — or do you feel unaffected no matter how many coffees you line up? There are multiple reasons why we all react to caffeine differentl­y. Chief among them is the amount of an enzyme called CYP1A2 in your liver, and that’s down to your genes.

It takes people with lower levels of CYP1A2 longer to break down caffeine; they also feel its stimulatin­g effects more keenly.

But even if you feel you can ‘ hold’ your caffeine well, there are good reasons to limit it.

The NHS recommends that adults drink no more than 400 mg per day (for pregnant women, it’s 200 mg).

But as a standard cup of instant coffee contains around 100 mg (takeaway coffees may contain three times this), a mug of tea around 55 mg and even a bar of dark chocolate around 80 mg per 100 g, it can soon add up.

Indeed, while we tend to think of caffeine as being present in just tea or coffee, in its pure form it’s found in 60 different plants, from the kola nut to cacao.

Caffeine has some surprising health benefits — for example, it’s been linked to a reduced risk of some types of skin cancer (more on this later) — but it is best known, of course, as a stimulant, which kicks us awake and improves our focus.

IT HAS this effect because it blocks the action of a chemical called adenosine, which is naturally produced in the body, mainly in the liver. Adenosine binds to receptors that are found on cells around our bodies — including nerve cells in the brain, where they play a part in our sleep/wake cycle.

Normally, our levels of adenosine rise during the day and it binds to these receptors. As a result, it slows down nerve cell activity, making us feel drowsy and tired.

But caffeine, which chemically is similar to adenosine, sticks to these receptors, too. This blocks the path of the sedating adenosine in the brain, with the result being that we feel perky and alert.

While that can be helpful in the morning, it’s one reason to avoid caffeine later in the day (I personally don’t have any after noon). But you can make the

most of the stimulatin­g effect by having your caffeine an hour before you need a mental — or physical — boost.

Caffeine is rapidly absorbed in the gut and levels peak after about an hour and steadily fall over the next five hours on average.

You can use that ‘high performanc­e’ window to do work that requires extra brain power or to make a workout easier to bear.

A review published last year in the journal Nutrients found that caffeine increased the stamina of runners and improved their times.

But having shot after shot of caffeine won’t make you feel more alert nor run faster; research suggests a second coffee only perks you up if you have it eight hours after your first.

In one study, 49 habitual caffeine drinkers were given coffee or a placebo drink at varying times in the day — and asked to repeat mental tasks at 9am, 11am, 1pm and 5pm.

results showed the first coffee of the day ( after eight hours’ abstinence or more) improved cognition, as did a coffee at 5pm (after an eight-hour gap from the first) — but those in between had no effect, reported the journal Psychophar­macology in 2005.

This may be because caffeine gets broken down in the liver, and when you consume anything above 100 mg, this process slows down.

There are other short-term perks to caffeine. For example, it increases thermogene­sis — the rate at which you burn calories to generate heat — thanks to the resulting increase in hormones such as epinephrin­e, which encourage fat-burning.

These effects don’t last that long — a few hours at best — but it is enough to make a difference.

A study in the journal obesity in 2007 found that having 300 mg of caffeine led to the burning of around an extra 100 calories across the day. In theory, this would mean 300 mg of caffeine daily could keep off close to 5 kg (around 11 lb) of weight a year. But the reality is less impressive because your body adapts to the thermogene­sis effects of caffeine over time.

This is why ‘ metabolism-boosting’ pills that are loaded with caffeine don’t lead to weight loss in the long term.

ONE of the more unusual things about caffeine is its associatio­n with a reduced risk of skin cancer. Studies have found that caffeine drinkers have lower rates of basal cell carcinoma (the most common of all skin cancers) and malignant melanoma (the more deadly form).

A 2012 study in the journal Cancer research found that those who consumed more than three cups of coffee per day had the lowest risk of basal cell carcinoma compared to those who had coffee only occasional­ly.

We suspect it’s the caffeine and not other components at work, as

a review in the journal PloS one in 2016 found that people who drank coffee had a lower risk of melanoma, but those who stuck to decaf didn’t.

Separate research has identified a possible mechanism: caffeine helps our bodies identify and dispose of damaged skin cells, reducing the cancer threat.

But while caffeine can lay claim to some impressive benefits, there are downsides. one that will surprise anyone who swears they need a caffeine fix to calm them down, is that it increases your stress levels. That’s because caffeine raises levels of cortisol, a key stress hormone, which increases heart rate and blood pressure.

A landmark study from the 1990s involving 25 men who were given a caffeinate­d drink or a placebo before a stressful task found that the caffeine group’s cortisol levels were double the levels of those given a placebo.

my suggestion is if you have an interview or other stressful event ahead, it is probably not a great day to have multiple coffees.

Caffeine is also a gut stimulant — it encourages the production of the hormone gastrin, which stimulates the muscle in the final part of the colon. If you have a sensitive gut, this can lead to diarrhoea and abdominal pain.

It can also relax the valve at the bottom of the oesophagus, which stops stomach contents coming back up. So if you have acid reflux, stick to half the 400 mg daily limit.

I would not want to do away with my morning coffee, but I stick to one — and I have started having my dark chocolate treat after lunch rather than before bed.

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Illustrati­on: DONOUGH O’MALLEY

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