Coffee is known for its health benefits and a new review has shown that the drink has its effects on digestion and the gut and its impact on organs involved in digestion. In the new scientific review, published in Nutrients, the researchers finds that the drink has a stimulating effect on some digestive processes, and a possible protective effect against common digestive complaints such as gallstones as well as certain liver diseases.
The Institute for Scientific Information on Coffee (ISIC) supported the review. The review of 194 research publications suggests that moderate coffee consumption (defined by EFSA as 3-5 cups per day 5) was not found to generate harmful effects on the various organs of the digestive tract. Two areas of particular interest emerging from the research are the association between coffee and a reduced risk of gallstones 24-31 and the evidence linking coffee consumption with a reduced risk of pancreatitis, although more research is still needed.
- Coffee associated with gastric, biliary and pancreatic secretions, all necessary for the digestion of food. Coffee was found to stimulate production of the digestive hormone gastrin; and hydrochloric acid, present in gastric juice – both of which help break down food in the stomach.
- It also stimulates the secretion of cholecystokinin (CCK), a hormone that increases the production of bile, also involved in digestion.
- The drink is associated with changes in the composition of gut microbiota. In the reviewed studies, coffee consumption was found to induce changes in the composition of the gut microbiota, mainly at the population level of Bifidobacteria – a ubiquitous inhabitant of the gastrointestinal tract.
- Coffee associated with colon motility – the process by which food travels through the digestive tract. The data reviewed suggests that coffee may stimulate motility in the colon as much as cereals, 23% more than decaffeinated coffee or 60% more than a glass of water and it may be linked to a reduced risk of chronic constipation. The latest research also strongly supports the protective effect of the drink against liver diseases, including hepatocellular carcinoma15 – one of the most common types of liver cancer. Despite the evidence to suggest coffee consumption may support with the first stages of digestion, most data did not support the finding that the drink had a direct effect on gastro-oesophageal reflux. Instead, this is a combined or additive effect of other risk factors such as obesity and a poor diet.
The new review, titled ‘Effects of coffee on the gastro-intestinal tract: a narrative review and literature update was conducted by Astrid Nehlig, Ph.D., Emeritus Research Director at the French National Institute of Health and Medical Research (INSERM).
Nehlig commented, “Contrary to some assumptions, coffee consumption is not overall linked to bowel or digestive problems. In some instances, it has a protective effect against common digestive complaints such as constipation. Emerging data also indicate there may be an association with improved levels of gut bacterial groups such as Bifidobacteria which have recognised beneficial effects. Although additional data will be needed to understand it’s effects throughout the digestive tract, this is an extremely encouraging place to begin.”