The good, the bad and your coffee: Study exposes risks, benefits

Many people start their day with a nice cup of coffee, and though it has its benefits, it also comes with some disadvantages.

A new study published in the New England Journal of Medicine found that the daily consumption of at least one cup of joe positively affects movement but negatively impacts sleep. It may also raise the risk of a certain type of heart palpitation.

Researchers looked at 100 healthy adults from the San Francisco area, with an average age of 39. Participants wore Fitbits to track steps and sleep. They were also provided with continuous blood glucose monitors and electrocardiogram devices to track heart rhythms, CNN reported.

Participants were told at random to drink as much coffee as they wished for two days, avoid it for two days and then repeat that cycle for a two-week period.

“The big picture finding is that there isn’t just one single health-related consequence of consuming coffee, but that the reality is more complicated than that,” lead author Dr. Gregory Marcus, cardiologist and professor of medicine at the University of California in San Francisco, told CNN.


Photo of a young woman sitting at her desktop computer, having some hot coffee to help her trough a late night shift
Researchers found no evidence of a direct relationship between drinking coffee and premature atrial contractions, which are “very common, early heartbeats that we all experience arising from the top chambers of the heart,” said Dr. Gregory Marcus, the study’s lead author.
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On days that they consumed coffee, their step count hit an average of 1,058 more steps than on days without coffee.

However, on the coffee days, participants also got 36 minutes less sleep.

People who drink coffee tend to have more motivation to exercise and might perform better once they do, but Marcus warned that people “shouldn’t extrapolate that to taking energy drinks or high-dose caffeine as a way to enhance workouts.”


Side portrait of a smiling african american woman walking in the city with cellphone
People who drink coffee tend to have more motivation to exercise and might perform better once they do.
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The study noted that the reason people who drink more coffee get less sleep might be due to a genetic factor.

Researchers gathered DNA samples and discovered that those who got less slumber after drinking coffee had certain genetic variants that were linked to slower caffeine metabolism.

The study suggested that coffee could also affect the heart, with one cup per day resulting in about a 50% higher risk of premature ventricular contractions — extra heartbeats that disrupt the regular heart rhythm and can lead to a fluttering sensation, or the feeling of skipped beats, originating from one’s chest, according to Mayo Clinic.


A female entrepreneur and businesswoman is working on her start up company in her office. She has fallen asleep at the office with her head on her desk. Empty coffee cups are on the table.
On the coffee days, participants slept for 36 minutes less on average.
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But the researchers found no evidence of a direct relationship between drinking coffee and premature atrial contractions, which are “very common, early heartbeats that we all experience arising from the top chambers of the heart,” according to Marcus.

“This provides some compelling evidence that experimenting with (going) off coffee might be worthwhile in those individuals who experience bothersome palpitations related to PVCs,” he said.

Marcus added, “There’s also evidence that in some people, more PVCs can lead to a weakening of the heart or heart failure. So it may be that if someone is especially concerned about risks of heart failure — such as they have a family history of it or there’s some other indication that their physician tells them (makes) them at risk — they may want to steer clear of coffee.”


Exhausted woman in bed wanting more coffee.
There might be a genetic reason for why people who drink more coffee get less sleep.
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While personally moderating one’s own coffee consumption is advisable in determining its health effects on an individual scale, Marcus concluded that there’s no immediate cause for concern.

“Individuals can be reassured that there’s certainly no imminently dangerous effects of drinking coffee,” Marcus said.