Health benefits and concerns
Anxiety
People with high levels of anxiety appear to be more susceptible to
the actions of caffeine. All sources of caffeine should be
avoided, including caffeine-containing tea.
Chamomile tea is an old folk remedy for anxiety,
particularly when it causes insomnia. Often 1 cup of tea
is taken three or more times per day.
Age-related
cognitive decline
Caffeine may improve cognitive
performance. Higher levels of coffee consumption were
associated with improved cognitive performance in elderly British people in a preliminary
study. Older people appeared to be more susceptible to the performance-improving effects of
caffeine than were younger people. Similar but weaker associations were found for tea
consumption. These associations have not yet been studied in clinical trials.
Atherosclerosis
Quercetin, a flavonoid found in black and
green tea protects LDL (“bad”) cholesterol against oxidation. Oxidation of LDL
is thought to cause or accelerate atherosclerosis. Several studies have found that eating
foods high in quercetin lowers the risk of
heart disease, and much of the research documenting the health benefits of green tea is
based on the amount of green tea typically drunk in Asian countries—about three cups per
day (providing 240–320mg of polyphenols).
Cancer prevention
Several animal and test tube studies have demonstrated an anticancer
effect of polyphenols from green tea. In one of these studies, a polyphenol called catechin
from green tea effectively inhibited metastasis (uncontrolled spread) of melanoma (skin
cancer) cells. The polyphenols in green tea have also been associated with reduced risk of
several types of cancer in humans.
Canker sores
Because of its soothing effect on mucous membranes (including the
lining of the mouth) and healing properties, chamomile can
be tried for canker sores and other mouth irritations. A strong tea made from chamomile
tincture can be swished in the mouth three to four times per day.
Chronic venous insufficiency
Proanthocyanidins (OPCs),
a group of flavonoids found in both green and black tea, have been shown to strengthen
capillaries.
Diarrhea
Chamomile may reduce intestinal
cramping and ease the irritation and inflammation associated with diarrhea. Chamomile is
typically drunk as a tea; many doctors recommend dissolving 2–3 grams of powdered
chamomile or adding 3–5mL of a chamomile liquid extract to hot water and drinking it
three or more times per day, between meals. Two to three teaspoons of the dried flowers can be
steeped in a cup of hot water, covered, for 10 to 15 minutes as well.
Female infertility
Caffeine is found in black and
green tea. While not every study finds that caffeine reduces female fertility, many doctors
recommend that women trying to get pregnant avoid caffeine.
In one study, consumption of 3 cups of decaffeinated coffee per day was associated with an
increased risk of miscarriage. In another study, caffeine consumption compounded the negative
effects of alcohol consumption on female fertility. Some researchers suspect that the tannic
acid found in any kind of coffee and black tea may
contribute to infertility.
Fibrocystic breast disease
Long-term, complete avoidance of
caffeine reduces symptoms of what is commonly called fibrocystic disease. The decrease in
breast tenderness can take six months or more to occur after caffeine is eliminated. Breast
lumpiness has been reported to not respond well to avoidance of caffeine, but the pain
decreases significantly in some women.
Gastritis
Caffeine found in black and green
tea, increases stomach acid. Avoiding these substances should therefore aid in the healing of
gastritis.
Gastroesophageal reflux disease (GERD)
Acidic beverages, such as tea, have been linked to increased
heartburn pain and may contribute to symptoms in people with GERD.
High cholesterol
Green tea has been shown to lower
total cholesterol levels and to improve the cholesterol profile (decreasing LDL cholesterol
and increasing HDL cholesterol). However, not all trials have found that green tea intake
lowers lipid levels.
High triglycerides
In a study of heavy caffeine users
(people who were consuming an average of 560mg of caffeine per day from coffee and tea),
changing to decaffeinated coffee and eliminating all other caffeinated products for two weeks
resulted in a statistically significant 25% reduction in triglyceride levels.
Although green tea contains a small amount of caffeine, intake of 3 cups or less of green
tea daily has been shown not to affect blood triglyceride levels. Intake of four or more cups
per day has been correlated with lower triglyceride levels. Overall, the evidence is unclear
on how much of an effect high levels of intake of green tea has on triglyceride levels. It is
likely that other constituents in green tea compensate for the presence of caffeine in the
beverage.
Hives
Green tea contains polyphenols with significant antihistamine
effects. However, human trials have not studied the effect of green tea or its constituents
for the treatment or prevention of hives. Doctors sometimes recommend 3 cups of green tea per
day to prevent hives.
Hypertension
Right after consuming caffeine
from coffee or tea, blood pressure increases briefly. While the effects of long-term avoidance
of caffeine on blood pressure remain unclear, a few reports have even claimed that long-term
coffee drinkers tend to have lower blood pressure than do those who avoid coffee.
Despite the lack of clarity in published research, many doctors tell people with high blood
pressure to avoid consumption of caffeine.
Hibiscus tea (made from Hibiscus sabdariffa) has been reported to reduce blood
pressure in people with hypertension. Boil two tablespoons of tea in 1 cup of water for 20 to
30 minutes and consume daily for at least two weeks.
Hypoglycemia
Even modest amounts of caffeine
may increase symptoms of hypoglycemia. For this reason, people with low blood sugar should
avoid caffeinated beverages, including tea.
Immune function
While green tea has stimulated
production of immune cells and has shown anti-bacterial properties in some studies, more
research is needed to evaluate the effectiveness of green tea in protecting against
infection.
Indigestion
Chamomile (Matricaria
recutita) has been used traditionally to relieve inflamed or irritated mucous membranes
of the digestive tract. Since heartburn sometimes involves reflux of stomach acid into the
esophagus, the anti-inflammatory properties of chamomile are also useful. In addition,
chamomile appears to promote normal digestion. However, modern studies are lacking to prove
chamomile beneficial for people with heartburn or indigestion. Roman chamomile (Anthemis
nobilis) has not been studied for indigestion, though it has traditionally been used
similarly to German chamomile.
Insomnia
Chamomile tea is an old folk remedy for anxiety, particularly when it causes insomnia. Often 1 cup of tea
is taken three or more times per day.
Iron-deficiency anemia
Black tea contains tannins that strongly inhibit the absorption of
non-heme iron (e.g., iron from non-animal sources). This iron-blocking effect is so strong
that drinking black tea can help treat hemochromatosis, a disease of iron overload.
Irritable bowel syndrome
Chamomile essential oils have
eased intestinal cramping and irritation in laboratory experiments on animals. Herbalists
sometimes recommend chamomile to relieve alternating bouts of diarrhea and
constipation, though research has yet to investigate these effects. Chamomile is typically
taken three times per day, between meals, in a tea form by dissolving 2–3 grams of
powdered chamomile or by adding 3–5mL of herbal extract tincture to hot water.
Kidney stones
Increasing dietary oxalate can lead to an increase in urinary oxalate
excretion. Increased urinary oxalate increases the risk of stone formation. As a result, most
doctors agree that kidney stone formers should reduce their intake of oxalate from food as a way to reduce urinary oxalate. Many
foods contain oxalate; however, only a few—including tea—appear to significantly
increase urinary oxalate levels.
Drinking caffeine-containing beverages increases urinary
calcium levels. Long-term caffeine consumers are reported to
have an increased risk of osteoporosis, suggesting
that the increase in urinary calcium caused by caffeine consumption may be significant.
However, tea consists mostly of water, and increasing water consumption is known to reduce the
risk of forming a kidney stone. While many doctors are concerned about the possible negative
effects of caffeine consumption in people with a history of kidney stones, preliminary studies
in both men and women have found that tea consumption is actually associated with a
reduced risk of forming a kidney stone. These reports suggest that the helpful effect of
consuming more water by drinking tea may compensate for the theoretically harmful effect that
caffeine has in elevating urinary calcium. Therefore, the bulk of current research suggests
that it is not important for kidney stone formers to avoid tea.
Osteoporosis
Like salt, caffeine increases
urinary loss of calcium. Caffeine intake has been linked to increased risk of hip fractures,
and to a lower bone mass in women who consumed inadequate
calcium. Many doctors recommend decreasing caffeinated coffee, black tea, and
caffeine-containing soft drinks as a way to
improve bone mass.
Curiously, while caffeine-containing tea consumption has been linked to osteoporosis in
some studies, others have reported that tea drinkers have a lower risk of osteoporosis than do
people who do not drink tea. Possibly, other constituents of tea, such as flavonoids, might override the calcium-depleting effect of
caffeine in tea.
Peptic ulcers
Tea drinking can aggravate or interfere with the healing of peptic
ulcers in some people.
Chamomile has a soothing effect on inflamed and
irritated mucous membranes. It is also high in the
flavonoid apigenin. Apigenin inhibits growth of Helicobacter pylori—the
organism that causes peptic ulcers—in test
tubes. Many doctors recommend drinking 2 to 3 cups of strong chamomile tea each day. The tea
can be made by combining 3–5mL of chamomile tincture with hot water or by steeping
2–3 teaspoons of chamomile flowers in the water, covered, for 10 to 15 minutes.
Chamomile is also available in capsules; two can be taken three times per day.
Premenstrual
syndrome (PMS)
In a study of Chinese women, increasing tea consumption was
associated with increasing prevalence of PMS. Among a group of college students in the United
States, consumption of caffeine-containing beverages was
associated with increases in both the prevalence and severity of PMS. The more caffeine women
consumed, the more likely they were to suffer from PMS. A preliminary study showed that women
with heavy caffeine consumption were more likely to have shorter menstrual periods and shorter
cycle length compared with women who did not consume caffeine. Therefore, many doctors
recommend that women with PMS avoid caffeine-containing beverages, including tea.
Tooth decay (dental caries)
Compounds present in both green
tea and black tea have been shown to inhibit the growth and activity of bacteria
associated with tooth decay. Animals given tea compounds in their drinking water develop fewer
dental caries than those drinking plain water. Human volunteers rinsing with an alcohol
extract of tea leaves before bed each night for four days had significantly less plaque
formation, but similar amounts of plaque-causing bacteria compared with those with no
treatment. Tea drinking has not yet been tested as a tooth decay preventative in humans.
Ulcerative colitis
German doctors practicing herbal medicine have recommended chamomile for people with colitis. A cup of strong chamomile tea
drunk three times per day is standard, along with chamomile tea enemas.
Weight loss and obesity
Green tea extract rich in polyphenols (epigallocatechin gallate, or
EGCG) may support a weight-loss program by increasing energy expenditure. However, clinical
trials on weight loss in humans are needed to confirm these preliminary observations. No
studies have tested the effect in humans on energy expenditure of drinking brewed tea.