Let Them Eat Cake

A cardiologist challenges the conventional wisdom about diet, exercise, and heart health.
Rob Siegel is a cardiology fellow at the Albert Einstein College of Medicine. He treats patients and investigates the interaction between lifestyle, obesity, and heart health. See full bio

Comments on "The Claim: Caffeine Causes Birth Defects"

The Claim: Caffeine Causes Birth Defects

My pregnant friend has studiously avoided cats (toxoplasmosis), alcohol (fetal alcohol syndrome), tuna (mercury), soft cheese (listeriosis), and sushi (oy gevalt). Recently she sent me this, wondering if she should also give up her daily macchiato habit:

“Too much caffeine during pregnancy may increase the risk of miscarriage, a new study says.”
New York Times, January 21, 2008, “Pregnancy Problems Tied to Caffeine” Read More

The Myth of Mechanism

Excellent post. Two points I might add:
1. You note that not knowing how caffeine might cause harm doesn't stop scientists from concluding that it may. This is the same non-rational "science" that underlies many medications. Aspirin, Prozac, angioplasty, and many other meds and procedures have been routinely employed without any serious understanding of how they work.
2. This seems one area where an evolutionary perspective may be useful. It stands to reason that many of the substances/experiences encountered in the ancestral environment would be unthreatening to us, as we've had the opportunity to evolve defenses. In fact, many of the seemingly threatening substances have been shown to be beneficial (e.g., diseases caused by the lack of exposure to soil-borne pathogens). I suspect TV and caffeine are potent threats (real or not) because they did not exist until recently and so people instinctively suspect they may be vulnerable to them on some cellular level.

Why is blogging synonymous with not proof-reading?

It's "oy gevalt", not "oy gevault." Geez.

anonymous

Thank you for finding the typo. Text corrected.

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