Document Detail


Methylxanthines and human health: epidemiological and experimental evidence.
MedLine Citation:
PMID:  20859811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
When considering methylxanthines and human health, it must be recognized that in many countries most caffeine is consumed as coffee. This is further confounded by the fact that coffee contains many bioactive substances in addition to caffeine; it is rich in phenols (quinides, chlorogenic acid, and lactones) and also has diterpenes (fatty acid esters), potassium, niacin, magnesium, and the vitamin B(3) precursor trigonelline. There is a paradox as consumption of either caffeine or caffeinated coffee results in a marked insulin resistance and yet habitual coffee consumption has repeatedly been reported to markedly reduce the risk for type 2 diabetes. There is strong evidence that caffeine reduces insulin sensitivity in skeletal muscle and this may be due to a combination of direct antagonism of A(1) receptors and indirectly β-adrenergic stimulation as a result of increased sympathetic activity. Caffeine may also induce reduced hepatic glucose output. With the exception of bone mineral, there is little evidence that caffeine impacts negatively on other health issues. Coffee does not increase the risk of cardiovascular diseases or cancers and there is some evidence suggesting a positive relationship for the former and for some cancers, particularly hepatic cancer.
Authors:
Marie-Soleil Beaudoin; Terry E Graham
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Handbook of experimental pharmacology     Volume:  -     ISSN:  0171-2004     ISO Abbreviation:  Handb Exp Pharmacol     Publication Date:  2011  
Date Detail:
Created Date:  2010-09-22     Completed Date:  2011-01-03     Revised Date:  2011-04-12    
Medline Journal Info:
Nlm Unique ID:  7902231     Medline TA:  Handb Exp Pharmacol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  509-48     Citation Subset:  IM    
Affiliation:
Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, ON, Canada, N1G 2W1.
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MeSH Terms
Descriptor/Qualifier:
Adipose Tissue / drug effects,  metabolism
Adrenal Medulla / drug effects,  metabolism
Animals
Caffeine / pharmacology*
Cardiovascular Diseases / etiology
Coffee
Gastrointestinal Tract / drug effects
Glucose / metabolism
Homeostasis / drug effects
Humans
Liver / drug effects,  metabolism
Muscle, Skeletal / drug effects,  metabolism
Chemical
Reg. No./Substance:
0/Coffee; 50-99-7/Glucose; 58-08-2/Caffeine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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