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Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis
CF 362: Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis Today we’re going to talk about Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis But first, here’s that sweet sweet bumper music
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [email protected] If you haven’t yet I have a few things you should do.
You have found yourself smack dab in the middle of Episode #362 Now if you missed last week’s episode, we talked about Healthcare Expenditures & Sleep And Pain Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
Hey hey, here’s another for you this week. I used to be so solid with this podcast. Every single week without fail. Just banging ‘em out. Here’s what I noticed. It doesn’t make any difference. Consistency didn’t seem to matter when it came to listenership. We just reached a peak number and it just stays there. No matter what I do. I don’t have the opportunity to plan and do interviews these days. I’d love to. I just don’t have the time and lots of weeks, I just don’t have the energy to be honest. Life has been hitting pretty heavy in the last 3-4 months so my consistency has been a bit off. I am trying to get better. Another issue is that, as I’ve discussed several times here on the podcast, I am bringing in a partner organization. Bringing them into our practice to help me grow more and depend less on my sole efforts to accomplish that goal. With that though comes some time-consuming activities.
Like a call with the transition team every Tuesday afternoon. Which used to be when I would get the podcast all wrapped up and recorded. So that’s been a challenge.
Plus I decided to hire a personal trainer twice a week to get this 52 year old body of mine back into some sort of healthy shape. I’m not getting any younger and if I keep waiting until I have more time to make it a priority, well, sooner or later, I’m just going to run out of time all together. I tell my patients that the best way to create a new habit is to have buy in and accountability so hiring a personal trainer makes a lot of sense. I decided to take my own advice. Leg day was a few days ago and I’m still walking around my office like I have a stick stuck up my butt. I’m so sore, y’all. It’s real.
All of that to say that I am trying to get back to being consistent with the episodes. I would ask that you try to help me as well. Help me to get this podcast out to others. Recommend us, review the podcast wherever you do your listening. Advocate for us. We are trying to change the profession by bringing it closer to the center of the healthcare industry instead of some outlying satellite floating by itself in outer space. Sharing is easy, I ask you to help me and, by proxy, help the profession.
Item #1 The first one today is called, “Drinking coffee only in the morning lowers risk of death from any cause” by the StudyFinds Staff and research by Dr. Lu Qi at Tulane University. It was released on January 8, 2025 and that’s a hot one. Remember, the citations can be found at chiropracticforward.com under this episode.
https://academic.oup.com/eurheartj/article/46/8/749/7928425?login=false Xuan Wang, Hao Ma, Qi Sun, Jun Li, Yoriko Heianza, Rob M Van Dam, Frank B Hu, Eric Rimm, JoAnn E Manson, Lu Qi, Coffee drinking timing and mortality in US adults, European Heart Journal, Volume 46, Issue 8, 21 February 2025, Pages 749–759, https://doi.org/10.1093/eurheartj/ehae871
Why They Did It
A recent study led by Dr. Lu Qi at Tulane University, published in the European Heart Journal, examined the impact of coffee consumption timing on mortality risks. Analyzing data from over 40,000 American adults, researchers identified two primary groups: “morning-type” coffee drinkers, who consumed coffee between 4 a.m. and noon, and “all-day-type” drinkers, who spread their intake throughout the day.
The study found that morning coffee drinkers had a 16% lower risk of death from all causes and a 31% lower risk of death from heart disease compared to non-coffee drinkers. Notably, those who consumed two to three cups in the morning experienced a 29% reduction in all-cause mortality risk. In contrast, individuals who drank coffee throughout the day did not exhibit significant mortality benefits.
The researchers suggest that consuming coffee later in the day may disrupt circadian rhythms and melatonin production, potentially diminishing coffee’s health benefits. Additionally, coffee’s anti-inflammatory properties may be more effective when aligned with the body’s natural inflammatory cycles, which are higher in the morning.
These findings indicate that not only the quantity but also the timing of coffee consumption plays a crucial role in its health effects. While the study highlights an association between morning coffee consumption and reduced mortality risk, it does not establish causation. Further research is needed to understand the underlying mechanisms and to determine if adjusting coffee consumption timing can directly influence health outcomes. Nonetheless, these insights may inform future dietary guidelines, emphasizing the importance of considering not just what we consume, but also when we consume it.
Item #2
The second one today is. “PLATELET-RICH PLASMA VERSUS CORTICOSTEROID IN THE TREATMENT OF KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS” by Wang et al and published in Georgian Medical News in April of 2024 and that’s hot enough for some hot talk.
Wang R, Xie Y, Xie L, Liu J, Jia J, Chen X, Wu Q. PLATELET-RICH PLASMA VERSUS CORTICOSTEROID IN THE TREATMENT OF KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Georgian Med News. 2024 Apr;(349):169-182. PMID: 38963222.
Why They Did It
The aim of this meta-analysis is to evaluate the clinical effectiveness of intra-articular injections of platelet-rich plasma (PRP) versus corticosteroid (CS) in treating knee osteoarthritis (KOA).
How They Did It
A comprehensive search of the PubMed, Embase, and Web of Science databases was conducted for literature on intra-articular PRP and CS injections for the treatment of knee osteoarthritis, with the search period extending to December 2023. The risk of bias was assessed using the Cochrane Risk of Bias tool, and statistical analysis was subsequently carried out using Review Manager 5.4.1 software. The efficacy of PRP versus CS injections across various studies was compared based on the weighted mean difference and 95% confidence interval for scores from the Visual Analogue Scale (VAS), Knee Osteoarthritis Outcome Score (KOOS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). In our analysis, we incorporated twelve studies encompassing a total of 801 joints, of which 404 were in the PRP group and 397 in the CS group.
What They Found
The PRP group was significantly reduced the VAS score than CS group in 3-month, 6-month and 9-month; PRP group was significantly reduced the WOMAC total score compared to CS group in 1-month, 6-month, 9-month and 12-month; In 3-month and 6-month, PRP group were significantly increased the KOOS pain relief score, the KOOS activities of daily living scores and the KOOS quality of life score compared to CS group; PRP group also were significantly increased the KOOS sports score in 3-month compared to CS group. The leukocyte-poor PRP (LP-PRP) group had significantly reduced VAS scores compared to CS group.
Wrap It Up
Recent findings indicate that intra-articular injections of PRP yield superior results in alleviating pain and enhancing functionality in individuals with knee osteoarthritis, as opposed to CS injections. During short-term follow-up, no significant difference was observed between knee injections of PRP and CS.
However, the benefits of PRP injections primarily become apparent in the medium to long-term management of clinical symptoms, including pain relief, enhancing patients’ quality of life, increasing activities of daily living, and improving sports capabilities.
Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
Store Remember the evidence-informed brochures and posters at chiropracticforward.com.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!
Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!
Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.
Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.
Website http://www.chiropracticforward.com
Social Media Links https://www.facebook.com/chiropracticforward/
Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/
Twitter https://twitter.com/Chiro_Forward
YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q
iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2
Player FM Link https://player.fm/series/2291021
Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through
TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/
About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis appeared first on Chiropractic Forward.
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CF 362: Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis Today we’re going to talk about Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis But first, here’s that sweet sweet bumper music
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
OK, we are back and you have found the Chiropractic Forward Podcast where we are giving evidence-based chiropractic a little personality and making it profitable. We’re not the stuffy, elitist, pretentious kind of research. We’re research talk over a couple of beers. So grab you a bushel. I’m Dr. Jeff Williams and I’m your host for the Chiropractic Forward podcast. I’m so glad you’re spending your time with us learning together. Chiropractors – I’m hiring at my personal clinic. I need talent, ambition, smarts, personality, and easy to get along with associates. If this is you and Amarillo, TX is your speed, send me an email at [email protected] If you haven’t yet I have a few things you should do.
You have found yourself smack dab in the middle of Episode #362 Now if you missed last week’s episode, we talked about Healthcare Expenditures & Sleep And Pain Make sure you don’t miss that info. Keep up with the class.
On the personal end of things…..
Hey hey, here’s another for you this week. I used to be so solid with this podcast. Every single week without fail. Just banging ‘em out. Here’s what I noticed. It doesn’t make any difference. Consistency didn’t seem to matter when it came to listenership. We just reached a peak number and it just stays there. No matter what I do. I don’t have the opportunity to plan and do interviews these days. I’d love to. I just don’t have the time and lots of weeks, I just don’t have the energy to be honest. Life has been hitting pretty heavy in the last 3-4 months so my consistency has been a bit off. I am trying to get better. Another issue is that, as I’ve discussed several times here on the podcast, I am bringing in a partner organization. Bringing them into our practice to help me grow more and depend less on my sole efforts to accomplish that goal. With that though comes some time-consuming activities.
Like a call with the transition team every Tuesday afternoon. Which used to be when I would get the podcast all wrapped up and recorded. So that’s been a challenge.
Plus I decided to hire a personal trainer twice a week to get this 52 year old body of mine back into some sort of healthy shape. I’m not getting any younger and if I keep waiting until I have more time to make it a priority, well, sooner or later, I’m just going to run out of time all together. I tell my patients that the best way to create a new habit is to have buy in and accountability so hiring a personal trainer makes a lot of sense. I decided to take my own advice. Leg day was a few days ago and I’m still walking around my office like I have a stick stuck up my butt. I’m so sore, y’all. It’s real.
All of that to say that I am trying to get back to being consistent with the episodes. I would ask that you try to help me as well. Help me to get this podcast out to others. Recommend us, review the podcast wherever you do your listening. Advocate for us. We are trying to change the profession by bringing it closer to the center of the healthcare industry instead of some outlying satellite floating by itself in outer space. Sharing is easy, I ask you to help me and, by proxy, help the profession.
Item #1 The first one today is called, “Drinking coffee only in the morning lowers risk of death from any cause” by the StudyFinds Staff and research by Dr. Lu Qi at Tulane University. It was released on January 8, 2025 and that’s a hot one. Remember, the citations can be found at chiropracticforward.com under this episode.
https://academic.oup.com/eurheartj/article/46/8/749/7928425?login=false Xuan Wang, Hao Ma, Qi Sun, Jun Li, Yoriko Heianza, Rob M Van Dam, Frank B Hu, Eric Rimm, JoAnn E Manson, Lu Qi, Coffee drinking timing and mortality in US adults, European Heart Journal, Volume 46, Issue 8, 21 February 2025, Pages 749–759, https://doi.org/10.1093/eurheartj/ehae871
Why They Did It
A recent study led by Dr. Lu Qi at Tulane University, published in the European Heart Journal, examined the impact of coffee consumption timing on mortality risks. Analyzing data from over 40,000 American adults, researchers identified two primary groups: “morning-type” coffee drinkers, who consumed coffee between 4 a.m. and noon, and “all-day-type” drinkers, who spread their intake throughout the day.
The study found that morning coffee drinkers had a 16% lower risk of death from all causes and a 31% lower risk of death from heart disease compared to non-coffee drinkers. Notably, those who consumed two to three cups in the morning experienced a 29% reduction in all-cause mortality risk. In contrast, individuals who drank coffee throughout the day did not exhibit significant mortality benefits.
The researchers suggest that consuming coffee later in the day may disrupt circadian rhythms and melatonin production, potentially diminishing coffee’s health benefits. Additionally, coffee’s anti-inflammatory properties may be more effective when aligned with the body’s natural inflammatory cycles, which are higher in the morning.
These findings indicate that not only the quantity but also the timing of coffee consumption plays a crucial role in its health effects. While the study highlights an association between morning coffee consumption and reduced mortality risk, it does not establish causation. Further research is needed to understand the underlying mechanisms and to determine if adjusting coffee consumption timing can directly influence health outcomes. Nonetheless, these insights may inform future dietary guidelines, emphasizing the importance of considering not just what we consume, but also when we consume it.
Item #2
The second one today is. “PLATELET-RICH PLASMA VERSUS CORTICOSTEROID IN THE TREATMENT OF KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS” by Wang et al and published in Georgian Medical News in April of 2024 and that’s hot enough for some hot talk.
Wang R, Xie Y, Xie L, Liu J, Jia J, Chen X, Wu Q. PLATELET-RICH PLASMA VERSUS CORTICOSTEROID IN THE TREATMENT OF KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. Georgian Med News. 2024 Apr;(349):169-182. PMID: 38963222.
Why They Did It
The aim of this meta-analysis is to evaluate the clinical effectiveness of intra-articular injections of platelet-rich plasma (PRP) versus corticosteroid (CS) in treating knee osteoarthritis (KOA).
How They Did It
A comprehensive search of the PubMed, Embase, and Web of Science databases was conducted for literature on intra-articular PRP and CS injections for the treatment of knee osteoarthritis, with the search period extending to December 2023. The risk of bias was assessed using the Cochrane Risk of Bias tool, and statistical analysis was subsequently carried out using Review Manager 5.4.1 software. The efficacy of PRP versus CS injections across various studies was compared based on the weighted mean difference and 95% confidence interval for scores from the Visual Analogue Scale (VAS), Knee Osteoarthritis Outcome Score (KOOS), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). In our analysis, we incorporated twelve studies encompassing a total of 801 joints, of which 404 were in the PRP group and 397 in the CS group.
What They Found
The PRP group was significantly reduced the VAS score than CS group in 3-month, 6-month and 9-month; PRP group was significantly reduced the WOMAC total score compared to CS group in 1-month, 6-month, 9-month and 12-month; In 3-month and 6-month, PRP group were significantly increased the KOOS pain relief score, the KOOS activities of daily living scores and the KOOS quality of life score compared to CS group; PRP group also were significantly increased the KOOS sports score in 3-month compared to CS group. The leukocyte-poor PRP (LP-PRP) group had significantly reduced VAS scores compared to CS group.
Wrap It Up
Recent findings indicate that intra-articular injections of PRP yield superior results in alleviating pain and enhancing functionality in individuals with knee osteoarthritis, as opposed to CS injections. During short-term follow-up, no significant difference was observed between knee injections of PRP and CS.
However, the benefits of PRP injections primarily become apparent in the medium to long-term management of clinical symptoms, including pain relief, enhancing patients’ quality of life, increasing activities of daily living, and improving sports capabilities.
Alright, that’s it. Keep on keepin’ on. Keep changing our profession from your corner of the world. The world needs evidence-based, patient-centered practitioners driving the bus. The profession needs us in the ACA and involved in leadership of state associations. So quit griping about the profession if you’re doing nothing to make it better. Get active, get involved, and make it happen. Let’s get to the message. Same as it is every week.
Store Remember the evidence-informed brochures and posters at chiropracticforward.com.
Purchase Dr. Williams’s book, a perfect educational tool and chiropractic research reference for the daily practitioner, from the Amazon store TODAY!
The Message I want you to know with absolute certainty that when Chiropractic is at its best, you can’t beat the risk vs reward ratio because spinal pain is primarily a movement-related pain and typically responds better to movement-related treatment rather than chemical treatments like pills and shots. When compared to the traditional medical model, research and clinical experience show us patients can get good to excellent results for headaches, neck pain, back pain, and joint pain to name just a few. It’s safe and cost-effective can decrease surgeries & disability and we do it through conservative, non-surgical means with minimal hassle to the patient. And, if the patient treats preventatively after initial recovery, we can usually keep it that way while raising the overall level of health!
Key Point: At the end of the day, patients should have the guarantee of having the best treatment that offers the least harm. When it comes to non-complicated musculoskeletal complaints…. That’s Chiropractic!
Contact Send us an email at dr dot williams at chiropracticforward.com and let us know what you think of our show and tell us your suggestions for future episodes. Feedback and constructive criticism is a blessing and so are subscribes and excellent reviews on podcast platforms. We know how this works by now. If you value something, you have to share it, interact with it, review it, talk about it from time to time, and actively hit a few buttons to support it here and there when asked. It really does make a big difference.
Connect We can’t wait to connect with you again next week. From the Chiropractic Forward Podcast flight deck, this is Dr. Jeff Williams saying upward, onward, and forward.
Website http://www.chiropracticforward.com
Social Media Links https://www.facebook.com/chiropracticforward/
Chiropractic Forward Podcast Facebook GROUP https://www.facebook.com/groups/1938461399501889/
Twitter https://twitter.com/Chiro_Forward
YouTube https://www.youtube.com/channel/UCtc-IrhlK19hWlhaOGld76Q
iTunes https://itunes.apple.com/us/podcast/chiropractic-forward-podcast-chiropractors-practicing/id1331554445?mt=2
Player FM Link https://player.fm/series/2291021
Stitcher: https://www.stitcher.com/podcast/the-chiropractic-forward-podcast-chiropractors-practicing-through
TuneIn https://tunein.com/podcasts/Health–Wellness-Podcasts/The-Chiropractic-Forward-Podcast-Chiropractors-Pr-p1089415/
About the Author & Host Dr. Jeff Williams – Fellow of the International Academy of Neuromusculoskeletal Medicine (FIANM) and Board Certified Diplomate of the American Board of Forensic Professionals (DABFP) – Chiropractor in Amarillo, TX, Chiropractic Advocate, Author, Entrepreneur, Educator, Businessman, Marketer, and Healthcare Blogger & Vlogger
The post Coffee In The Morning & PRP Beats Cortisone In Meta-Analysis appeared first on Chiropractic Forward.
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