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Why Three out of Four Athletes Take Caffeine Before Competition

In January 2004, the World Anti-Doping Agency removed caffeine from its prohibited drug list to allow athletes to take coffee, tea, chocolate, cocoa, guarana, cola drinks, energy drinks and so forth. Researchers have now measured the caffeine concentration in 20,686 urine samples obtained for doping control from 2004 to 2008. They found that 75 percent of athletes in official national and international competitions had consumed caffeine before or during competition (Appl Physiol Nutr Metab, Aug 2011;36(4):555-61). As expected, athletes in endurance sports (triathlon, cycling, and rowing) had the highest urine concentrations of caffeine. Gymnasts had the lowest urine caffeine concentration. Athletes older than 30 had higher levels of caffeine in their urine than those younger than 20. Males and females had the same urine concentrations.

HOW CAFFEINE INCREASES ENDURANCE: The limiting factor to how fast you can move during a race is the amount of oxygen that you can take in and use. Since sugar requires less oxygen than fat to power your muscles, you want to get sugar into your muscles as quickly as possible. Anything that increases the amount of sugar that can be absorbed from your intestines into your bloodstream will help you ride or run faster and longer.

When you exercise, caffeine can increase endurance by increasing the absorption of sugar from your intestines (Medicine & Science in Sports & Exercise, July, 2010) and by increasing the uptake of sugar by your exercising muscles by as much as 26 percent (Journal of Applied Physiology, June 2006).

Caffeine helps athletes run faster in both short and long-distance races. In short races, it makes athletes faster by causing the brain to send messages along nerves to cause a greater percentage of muscle fibers to contract at the same time. In longer races, it delays fatigue by preserving stored muscle sugar. Muscles get their energy from sugar and fat in the bloodstream, and from sugar, fat and protein stored in the muscles. When muscles run out of their stored sugar, they hurt and become more difficult to coordinate. Caffeine causes muscles to burn more fat, thus sparing stored muscle sugar to delay fatigue.

HOW MUCH DO YOU NEED? Most research shows that it doesn't take much more than one or two soft drinks to increase endurance. Caffeine loses its beneficial effects with repeated exposure, so athletes who want to gain maximum advantage from caffeine during competition should avoid drinking caffeinated beverages when they are not competing.

HOW MUCH IS SAFE? Nobody really knows how much caffeine you can take in without harming yourself. At rest, caffeine is a diuretic, but during exercise it does not increase urination. Caffeine is a potent stimulant that can cause irregular heartbeats and raise blood pressure.

RESTRICT CAFFEINE WHEN NOT COMPETING: Caffeine increases sugar absorption from the gut. Taking caffeine when you eat carbohydrate-containing foods can double your rise in blood sugar (Journal of Caffeine Research, April 16, 2011). Since more than 35 percent of North Americans will become diabetic and have high rises in blood sugar levels after meals, most people should not take caffeinated drinks with meals that contain carbohydrates: bread, spaghetti, or sugared foods and drinks. If you are already diabetic, your blood sugar levels rise even higher and you suffer cell damage. This cell damage causes all of the horrible side effects of diabetes: blindness, deafness, heart attacks, strokes and so forth.

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No Raw Milk

The Food and Drug Administration, the Centers for Disease Control and Prevention (CDC) and other public health officials warn that raw milk can contain at least 11 disease-causing bacteria that can cause vomiting, diarrhea, and even kidney failure, paralysis, and even death. Advocates for raw milk make unsubstantiated claims that pasteurization destroys nutrients as well as enzymes important for calcium absorption.

A study from The Harvard School of Public Health shows that from 2006 to 2008, the states with the most restrictions on the sale of raw milk had the lowest annual rate of illnesses from raw milk outbreaks (0.01 per 100,000 people), while the least restrictive states had the highest annual rate (0.04-0.13 illnesses per 100,000 people). The authors estimate that 35,000 illnesses occurred from drinking raw milk over the 11-year time period.

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Statins Can Cause Diabetes

Statins are the most prescribed medications in the world because they help to prevent heart attacks. However, a review of the medical literature shows that statins are associated with a nine percent increased risk of developing diabetes, and the higher the dose, the more likely they are to cause diabetes (Current Opinion in Lipidology, December 2011;22(6):460-466). For every three patients protected from a heart attack, one additional patient developed diabetes.

Since having diabetes is one of the major risk factors for suffering a heart attack, every person who takes a statin drug should follow the rules to help prevent diabetes:

AVOID:
• sugared drinks
• refined carbohydrates (if you are overweight, avoid foods made from flour)
• red meat
• being overweight
• smoking
• taking more than two drinks a day

DO:
• exercise
• eat lots of fruits and vegetables
• keep blood levels of vitamin D above 75 nmol/L (by sunlight and/or pills)
• grow large muscles.

Common statin brand names include: Advicor®, Altoprev®, Caduet®, Crestor®, Juvisync®, Lescol®, Lescol XL, Lipitor®, Livalo®, Mevacor®, Pravachol®, Simcor®, Vytorin®, Zocor®.

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Recipe of the Week:

Seafood Stir-Fry

You'll find lots of recipes and helpful tips in The Good Food Book - it's FREE

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November 27th, 2011
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About the Author: Gabe Mirkin, MD

Sports medicine doctor, fitness guru and long-time radio host Gabe Mirkin, M.D., brings you news and tips for your healthful lifestyle. A practicing physician for more than 50 years and a radio talk show host for 25 years, Dr. Mirkin is a graduate of Harvard University and Baylor University College of Medicine. He is board-certified in four specialties: Sports Medicine, Allergy and Immunology, Pediatrics and Pediatric Immunology. The Dr. Mirkin Show, his call-in show on fitness and health, was syndicated in more than 120 cities. Read More
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