Artigo Acesso aberto Revisado por pares

Scientific Opinion on the safety of caffeine

2015; Wiley; Volume: 13; Issue: 5 Linguagem: Inglês

10.2903/j.efsa.2015.4102

ISSN

1831-4732

Tópico(s)

Tea Polyphenols and Effects

Resumo

EFSA JournalVolume 13, Issue 5 4102 OpinionOpen Access Scientific Opinion on the safety of caffeine EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA), EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)Search for more papers by this author EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA), EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA)Search for more papers by this author First published: 27 May 2015 https://doi.org/10.2903/j.efsa.2015.4102Citations: 111 Panel members: Carlo Agostoni, Roberto Berni Canani, Susan Fairweather-Tait, Marina Heinonen, Hannu Korhonen, Sébastien La Vieille, Rosangela Marchelli, Ambroise Martin, Androniki Naska, Monika Neuhäuser-Berthold, Grażyna Nowicka, Yolanda Sanz, Alfonso Siani, Anders Sjödin, Martin Stern, Sean (J.J.) Strain, Inge Tetens, Daniel Tomé, Dominique Turck and Hans Verhagen. Correspondence: nda@efsa.europa.eu Acknowledgement: The Panel wishes to thank the members of the Working Group on caffeine: Diane Benford, Ursula Gunder-Remy, Monika Neuhäuser-Berthold, Anders Sjödin, Josef Schlatter and Hans Verhagen for the preparatory work on this scientific opinion and EFSA staff: Davide Arcella, Arianna Chiusolo, Wolfgang Gelbmann and Silvia Valtueña Martínez for the support provided to this scientific opinion. Adoption date: 23 April 2015 Published date: 27 May 2015 Question number: EFSA-Q-2013-00220 On request from: European Commission AboutPDF ToolsExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies was asked to deliver a scientific opinion on the safety of caffeine, providing advice on caffeine intakes, from all dietary sources that do not give rise to concerns about adverse health effects for the general healthy population and subgroups thereof. Possible interactions between caffeine and other constituents of so-called “energy drinks”, alcohol, p-synephrine and physical exercise should also be addressed. Single doses of caffeine up to 200 mg (about 3 mg/kg bw for a 70-kg adult) do not give rise to safety concerns. The same amount does not give rise to safety concerns when consumed < 2 hours prior to intense physical exercise under normal environmental conditions. Other constituents of “energy drinks” at typical concentrations in such beverages (about 300–320, 4 000 and 2 400 mg/L of caffeine, taurine and d-glucurono-γ-lactone, respectively), as well as alcohol at doses up to about 0.65 g/kg bw, would not affect the safety of single doses of caffeine up to 200 mg. Habitual caffeine consumption up to 400 mg per day does not give rise to safety concerns for non-pregnant adults. Habitual caffeine consumption up to 200 mg per day by pregnant women does not give rise to safety concerns for the fetus. Single doses of caffeine and habitual caffeine intakes up to 200 mg consumed by lactating women do not give rise to safety concerns for breastfed infants. For children and adolescents, the information available is insufficient to derive a safe caffeine intake. The Panel considers that caffeine intakes of no concern derived for acute caffeine consumption by adults (3 mg/kg bw per day) may serve as a basis to derive single doses of caffeine and daily caffeine intakes of no concern for these population subgroups. References Abernethy DR and Todd EL, 1985. Impairment of caffeine clearance by chronic use of low-dose oestrogen-containing oral contraceptives. European Journal of Clinical Pharmacology, 28, 425– 428. Abernethy DR, Todd EL and Schwartz JB, 1985. Caffeine disposition in obesity. British Journal of Clinical Pharmacology, 20, 61– 66. Agudelo GM, Velasquez CM, Cardona OL, Duque M, Posada M and Pineda V, 2008. Changes in blood pressure in a group of normotensevolunteers after consumption or different doses of filtered coffee. Revista Colombiana de Cardiología, 15, 289– 296. Ahmed HN, Levitan EB, Wolk A and Mittleman MA, 2009. Coffee consumption and risk of heart failure in men: an analysis from the Cohort of Swedish Men. American Heart Journal, 158, 667– 672. Aldridge A, Aranda JV and Neims AH, 1979. Caffeine metabolism in the newborn. Clinical Pharmacology and Therapeutics, 25, 447– 453. Aldridge A, Bailey J and Neims AH, 1981. The disposition of caffeine during and after pregnancy. Seminars in Perinatology, 5, 310– 314. Alford C, Hamilton-Morris J and Verster JC, 2012. The effects of energy drink in combination with alcohol on performance and subjective awareness. Psychopharmacology, 222, 519– 532. Alsene K, Deckert J, Sand P and De Wit H, 2003. Association between A(2a) receptor gene polymorphisms and caffeine-induced anxiety. Neuropsychopharmacology, 28, 1694– 1702. Ammon HP, Bieck PR, Mandalaz D and Verspohl EJ, 1983. Adaptation of blood pressure to continuous heavy coffee drinking in young volunteers. A double-blind crossover study. British Journal of Clinical Pharmacology, 15, 701– 706. Ammon HP, 1991. Biochemical mechanism of caffeine tolerance. Archiv der Pharmazie (Weinheim), 324, 261– 267. Andersen LF, Jacobs DR Jr, Carlsen MH and Blomhoff R, 2006. Consumption of coffee is associated with reduced risk of death attributed to inflammatory and cardiovascular diseases in the Iowa Women's Health Study. American Journal of Clinical Nutrition, 83, 1039– 1046. Anderson TJ, 2006. Arterial stiffness or endothelial dysfunction as a surrogate marker of vascular risk. Canadian Journal of Cardiology, 22(Suppl. B), 72– 80. ANSES (Agence nationale de sécurité sanitaire de l'alimentation), 2013. Opinion of the French Agency for Food, Environmental and Occupational Health & Safety on the assessment of risks concerning the consumption of so-called “energy drinks”. Opinion Request no 2012-SA-0212, 108 pp. ANSES (Agence nationale de sécurité sanitaire de l'alimentation), 2014. AVIS de l'Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail relatif aux risques liés à la présence dans les compléments alimentaires de p-synéphrine ou d'ingrédients obtenus à partir de fruits de Citrus spp. en contenant. Saisine no 2012-SA-0200. Arab L, Liu W and Elashoff D, 2009. Green and black tea consumption and risk of stroke: a meta-analysis. Stroke, 40, 1786– 1792. Aranda JV, Collinge JM, Zinman R and Watters G, 1979. Maturation of caffeine elimination in infancy. Archives of Disease in Childhood, 54, 946– 949. Arciero PJ, Gardner AW, Benowitz NL and Poehlman ET, 1998. Relationship of blood pressure, heart rate and behavioral mood state to norepinephrine kinetics in younger and older men following caffeine ingestion. European Journal of Clinical Nutrition, 52, 805– 812. Arciero PJ and Ormsbee MJ, 2009. Relationship of blood pressure, behavioral mood state, and physical activity following caffeine ingestion in younger and older women. Applied Physiology, Nutrition, and Metabolism, 34, 754– 762. Armstrong LE, 2002. Caffeine, body fluid-electrolyte balance, and exercise performance. International Journal of Sport Nutrition and Exercise Metabolism, 12, 189– 206. Armstrong LE, Pumerantz AC, Roti MW, Judelson DA, Watson G, Dias JC, Sokmen B, Casa DJ, Maresh CM, Lieberman H and Kellogg M, 2005. Fluid, electrolyte, and renal indices of hydration during 11 days of controlled caffeine consumption. International Journal of Sport Nutrition and Exercise Metabolism, 15, 252– 265. Arnaud M, 1993. Metabolism of caffeine and other components of coffee. In: Caffeine, coffee and health. Ed S. Garattini Raven Press, New York, NY, USA, 43– 95. Aronsen L, Orvoll E, Lysaa R, Ravna AW and Sager G, 2014. Modulation of high affinity ATP-dependent cyclic nucleotide transporters by specific and non-specific cyclic nucleotide phosphodiesterase inhibitors. European Journal of Pharmacology, 745, 249– 253. Astorino TA, Rohmann RL, Firth K and Kelly S, 2007. Caffeine-induced changes in cardiovascular function during resistance training. International Journal of Sport Nutrition and Exercise Metabolism, 17, 468– 477. Astorino TA, Martin BJ, Schachtsiek L and Wong K, 2013. Caffeine ingestion and intense resistance training minimize postexercise hypotension in normotensive and prehypertensive men. Research in Sports Medicine, 21, 52– 65. Attwood AS, Rogers PJ, Ataya AF, Adams S and Munafo MR, 2012. Effects of caffeine on alcohol-related changes in behavioural control and perceived intoxication in light caffeine consumers. Psychopharmacology, 221, 551– 560. Azcona O, Barbanoj MJ, Torrent J and Jane F, 1995. Evaluation of the central effects of alcohol and caffeine interaction. British Journal of Clinical Pharmacology, 40, 393– 400. Baer RA, 1987. Effects of caffeine on classroom behavior, sustained attention, and a memory task in preschool children. Journal of Applied Behavior Analysis, 20, 225– 234. Bak AA and Grobbee DE, 1990. A randomized study on coffee and blood pressure. Journal of Human Hypertension, 4, 259– 264. Bak AA and Grobbee DE, 1991. Caffeine, blood pressure, and serum lipids. American Journal of Clinical Nutrition, 53, 971– 975. Bakker R, Steegers EA, Obradov A, Raat H, Hofman A and Jaddoe VW, 2010. Maternal caffeine intake from coffee and tea, fetal growth, and the risks of adverse birth outcomes: the Generation R Study. American Journal of Clinical Nutrition, 91, 1691– 1698. Balogh A, Klinger G, Henschel L, Borner A, Vollanth R and Kuhnz W, 1995. Influence of ethinylestradiol-containing combination oral contraceptives with gestodene or levonorgestrel on caffeine elimination. European Journal of Clinical Pharmacology, 48, 161– 166. Baylin A, Hernandez-Diaz S, Kabagambe EK, Siles X and Campos H, 2006. Transient exposure to coffee as a trigger of a first nonfatal myocardial infarction. Epidemiology, 17, 506– 511. Bech BH, Obel C, Henriksen TB and Olsen J, 2007. Effect of reducing caffeine intake on birth weight and length of gestation: randomised controlled trial. British Medical Journal, 334, 409. Benson S, Verster JC, Alford C and Scholey A, 2014. Effects of mixing alcohol with caffeinated beverages on subjective intoxication: A systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 47C, 16– 21. Bernstein GA, Carroll ME, Crosby RD, Perwien AR, Go FS and Benowitz NL, 1994. Caffeine effects on learning, performance, and anxiety in normal school-age children. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 407– 415. Bernstein GA, Carroll ME, Thuras PD, Cosgrove KP and Roth ME, 2002. Caffeine dependence in teenagers. Drug and Alcohol Dependence, 66, 1– 6. Berthou F, Flinois JP, Ratanasavanh D, Beaune P, Riche C and Guillouzo A, 1991. Evidence for the involvement of several cytochromes P-450 in the first steps of caffeine metabolism by human liver microsomes. Drug Metabolism and Disposition: The Biological Fate of Chemicals, 19, 561– 567. Bertoia ML, Triche EW, Michaud DS, Baylin A, Hogan JW, Neuhouser ML, Freiberg MS, Allison MA, Safford MM, Li WJ, Mossavar-Rahmani Y, Rosal MC and Eaton CB, 2013. Long-term alcohol and caffeine intake and risk of sudden cardiac death in women. American Journal of Clinical Nutrition, 97, 1356– 1363. BfR (Bundesinstitut für Risikobewertung), 2008. New Human Data on the Assessment of Energy Drinks. BfR Information No 016/2008. BfR (Bundesinstitut für Risikobewertung), 2009. Gesundheitliche Risiken durch den übermäßigen Verzehr von Energy Shots. Stellungnahme Nr 001/2010 des BfR. BfR (Bundesinstitut für Risikobewertung), 2012. Health assessment of sports and weight loss products containing synephrine and caffeine. BfR Opinion No 004/2013, of 16 November 2012. Bidel S, Hu G, Qiao Q, Jousilahti P, Antikainen R and Tuomilehto J, 2006. Coffee consumption and risk of total and cardiovascular mortality among patients with type 2 diabetes. Diabetologia, 49, 2618– 2626. Blanchard J and Sawers SJ, 1983. The absolute bioavailability of caffeine in man. European Journal of Clinical Pharmacology, 24, 93– 98. Bonati M, Latini R, Galletti F, Young JF, Tognoni G and Garattini S, 1982. Caffeine disposition after oral doses. Clinical Pharmacology and Therapeutics, 32, 98– 106. Boylan SM, Greenwood DC, Alwan N, Cooke MS, Dolby VA, Hay AW, Kirk SF, Konje JC, Potdar N, Shires S, Simpson NA, Taub N, Thomas JD, Walker JJ, White KL, Wild CP and Cade JE, 2013. Does nausea and vomiting of pregnancy play a role in the association found between maternal caffeine intake and fetal growth restriction? Maternal and Child Health Journal, 17, 601– 608. Bui LT, Nguyen DT and Ambrose PJ, 2006. Blood pressure and heart rate effects following a single dose of bitter orange. Annals of Pharmacotherapy, 40, 53– 57. Bull S, Brown T, Burnett K, Ashdown L and Rushton L, 2014. Extensive literature search as preparatory work for the safety assessment for caffeine. EFSA supporting publication 2014:EN-561, 98 pp. Burr ML, Gallacher JE, Butland BK, Bolton CH and Downs LG, 1989. Coffee, blood pressure and plasma lipids: a randomized controlled trial. European Journal of Clinical Nutrition, 43, 477– 483. Buscemi S, Verga S, Batsis JA, Donatelli M, Tranchina MR, Belmonte S, Mattina A, Re A and Cerasola G, 2010. Acute effects of coffee on endothelial function in healthy subjects. European Journal of Clinical Nutrition, 64, 483– 489. Buscemi S, Mattina A, Tranchina MR and Verga S, 2011. Acute effects of coffee on QT interval in healthy subjects. Nutrition Journal, 10, 15. Byrne EM, Johnson J, McRae AF, Nyholt DR, Medland SE, Gehrman PR, Heath AC, Madden PAF, Montgomery GW, Chenevix-Trench G and Martin NG, 2012. A genome-wide association study of caffeine-related sleep disturbance: confirmation of a role for a common variant in the adenosine receptor. Sleep, 35, 967– 975. Caldeira D, Martins C, Alves LB, Pereira H, Ferreira JJ and Costa J, 2013. Caffeine does not increase the risk of atrial fibrillation: a systematic review and meta-analysis of observational studies. Heart, 99, 1383– 1389. CARE Study Group, 2008. Maternal caffeine intake during pregnancy and risk of fetal growth restriction: a large prospective observational study. British Medical Journal, 337, a2332. Carrillo JA and Benitez J, 2000. Clinically significant pharmacokinetic interactions between dietary caffeine and medications. Clinical Pharmacokinetics, 39, 127– 153. Cheng M, Hu Z, Lu X, Huang J and Gu D, 2014. Caffeine intake and atrial fibrillation incidence: dose response meta-analysis of prospective cohort studies. Canadian Journal of Cardiology, 30, 448– 454. Cheuvront SN, Ely BR, Kenefick RW, Michniak-Kohn BB, Rood JC and Sawka MN, 2009. No effect of nutritional adenosine receptor antagonists on exercise performance in the heat. American Journal of Physiology Regulatory Integrative and Comparative Physiology, 296, R394– 401. Childs E and De Wit H, 2006. Subjective, behavioral, and physiological effects of acute caffeine in light, nondependent caffeine users. Psychopharmacology (Berl), 185, 514– 523. Childs E, Hohoff C, Deckert J, Xu K, Badner J and De Wit H, 2008. Association between ADORA2A and DRD2 polymorphisms and caffeine-induced anxiety. Neuropsychopharmacology, 33, 2791– 2800. Conen D, Chiuve SE, Everett BM, Zhang SM, Buring JE and Albert CM, 2010. Caffeine consumption and incident atrial fibrillation in women. American Journal of Clinical Nutrition, 92, 509– 514. Cornelis MC, El-Sohemy A, Kabagambe EK and Campos H, 2006. Coffee, CYP1A2 genotype, and risk of myocardial infarction. Journal of the American Medical Association, 295, 1135– 1141. COT (Committee on toxicity of chemicals in food, consumer products and the environment), 2008. Reproductive effects of caffeine. COT (Committee on toxicity of chemicals in food, consumer products and the environment), 2012. COT statement on the interaction of caffeine and alcohol and their combined effects on health and behaviour. DaCosta LA, 2011. Genetic modifiers of caffeine consumption and risk of myocardial infarction. PhD Thesis, University of Toronto, Toronto, ON, Canada. Davis RE and Osorio I, 1998. Childhood caffeine tic syndrome. Pediatrics, 101, E4. De Koning Gans JM, Uiterwaal CS, Van der Schouw YT, Boer JM, Grobbee DE, Verschuren WM and Beulens JW, 2010. Tea and coffee consumption and cardiovascular morbidity and mortality. Arteriosclerosis, Thrombosis, and Vascular Biology, 30, 1665– 1671. Del Coso J, Estevez E and Mora-Rodriguez R, 2008. Caffeine effects on short-term performance during prolonged exercise in the heat. Medicine and Science in Sports and Exercise, 40, 744– 751. Ding M, Bhupathiraju SN, Satija A, Van Dam RM and Hu FB, 2014. Long-term coffee consumption and risk of cardiovascular disease: a systematic review and a dose–response meta-analysis of prospective cohort studies. Circulation, 129, 643– 659. Djordjevic N, Ghotbi R, Jankovic S and Aklillu E, 2010. Induction of CYP1A2 by heavy coffee consumption is associated with the CYP1A2-163C>A polymorphism. European Journal of Clinical Pharmacology, 66, 697– 703. Dobmeyer DJ, Stine RA, Leier CV, Greenberg R and Schaal SF, 1983. The arrhythmogenic effects of caffeine in human beings. New England Journal of Medicine, 308, 814– 816. Doherty M and Smith PM, 2005. Effects of caffeine ingestion on rating of perceived exertion during and after exercise: a meta-analysis. Scandinavian Journal of Medicine & Science in Sports, 15, 69– 78. Dorfman LJ and Jarvik ME, 1970. Comparative stimulant and diuretic actions of caffeine and theobromine in man. Clinical Pharmacology and Therapeutics, 11, 869– 872. Driessen MT, Koppes LL, Veldhuis L, Samoocha D and Twisk JW, 2009. Coffee consumption is not related to the metabolic syndrome at the age of 36 years: the Amsterdam Growth and Health Longitudinal Study. European Journal of Clinical Nutrition, 63, 536– 542. EFSA (European Food Safety Authority), 2009. Scientific Opinion of the Panel on Food Additives and Nutrient Sources added to Food (ANS) on a request from the European Commission on the use of taurine and D-glucurono-γ-lactone as constituents of the so-called “energy” drinks. The EFSA Journal 2009, 935, 1– 31. EFSA (European Food Safety Authority), 2011a. Scientific report on the Evaluation of the FoodEx, the food classification system applied to the development of the EFSA Comprehensive European Food Consumption Database. EFSA Journal 2011; 9(3): 1970, 27 pp. doi:10.2903/j.efsa.2011.1970. EFSA (European Food Safety Authority), 2011b. Guidance of EFSA on the use of the EFSA Comprehensive European Food Consumption Database in Intakes Assessment. EFSA Journal 2011; 9(3): 2097, 34 pp. doi:10.2903/j.efsa.2011.2097. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA), 2011a. Scientific Opinion on the substantiation of health claims related to caffeine and increase in physical performance during short-term high-intensity exercise (ID 737, 1486, 1489), increase in endurance performance (ID 737, 1486), increase in endurance capacity (ID 1488) and reduction in the rated perceived exertion/effort during exercise (ID 1488, 1490) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2011; 9(4): 2053, 24 pp, doi:10.2903/j.efsa.2011.2053. EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA), 2011b. Scientific Opinion on the substantiation of health claims related to caffeine and increased fat oxidation leading to a reduction in body fat mass (ID 735, 1484), increased energy expenditure leading to a reduction in body weight (ID 1487), increased alertness (ID 736, 1101, 1187, 1485, 1491, 2063, 2103) and increased attention (ID 736, 1485, 1491, 2375) pursuant to Article 13(1) of Regulation (EC) No 1924/2006. EFSA Journal 2011; 9(4): 2054, 29 pp. doi:10.2903/j.efsa.2011.2054. Eggertsen R, Andreasson A, Hedner T, Karlberg BE and Hansson L, 1993. Effect of coffee on ambulatory blood pressure in patients with treated hypertension. Journal of Internal Medicine, 233, 351– 355. Elkins RN, Rapoport JL, Zahn TP, Buchsbaum MS, Weingartner H, Kopin IJ, Langer D and Johnson C, 1981. Acute effects of caffeine in normal prepubertal boys. American Journal of Psychiatry, 138, 178– 183. Ely BR, Ely MR and Cheuvront SN, 2011. Marginal effects of a large caffeine dose on heat balance during exercise-heat stress. International Journal of Sport Nutrition and Exercise Metabolism, 21, 65– 70. Evira, 2013. Food supplements containing synephrine and caffeine withdrawn from sale. 06.09.2013, 15, 22. Farag NH, Vincent AS, McKey BS, Whitsett TL and Lovallo WR, 2005a. Hemodynamic mechanisms underlying the incomplete tolerance to caffeine's pressor effects. American Journal of Cardiology, 95, 1389– 1392. Farag NH, Vincent AS, Sung BH, Whitsett TL, Wilson MF and Lovallo WR, 2005b. Caffeine tolerance is incomplete: Persistent blood pressure responses in the ambulatory setting. American Journal of Hypertension, 18, 714– 719. Farag NH, Whitsett TL, McKey BS, Wilson MF, Vincent AS, Everson-Rose SA and Lovallo WR, 2010. Caffeine and blood pressure response: sex, age, and hormonal status. Journal of Womens Health, 19, 1171– 1176. Fenster L, Quale C, Hiatt RA, Wilson M, Windham GC and Benowitz NL, 1998. Rate of caffeine metabolism and risk of spontaneous abortion. American Journal of Epidemiology, 147, 503– 510. Ferre S, 2008. An update on the mechanisms of the psychostimulant effects of caffeine. Journal of Neurochemistry, 105, 1067– 1079. Ferreira SE, De Mello MT, Pompeia S and De Souza-Formigoni ML, 2006. Effects of energy drink ingestion on alcohol intoxication. Alcoholism, Clinical and Experimental Research, 30, 598– 605. Fillmore MT and Vogel-Sprott M, 1999. An alcohol model of impaired inhibitory control and its treatment in humans. Experimental and Clinical Psychopharmacology, 7, 49– 55. Fillmore MT, Roach EL and Rice JT, 2002. Does caffeine counteract alcohol-induced impairment? The ironic effects of expectancy. Journal of Studies on Alcohol, 63, 745– 754. Fisone G, Borgkvist A and Usiello A, 2004. Caffeine as a psychomotor stimulant: mechanism of action. Cellular and Molecular Life Sciences, 61, 857– 872. Fitt E, Pell D and Cole D, 2013. Assessing caffeine intake in the United Kingdom diet. Food Chemistry, 140, 421– 426. Floegel A, Pischon T, Bergmann MM, Teucher B, Kaaks R and Boeing H, 2012. Coffee consumption and risk of chronic disease in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Germany study. American Journal of Clinical Nutrition, 95, 901– 908. Franks AM, Schmidt JM, McCain KR and Fraer M, 2012. Comparison of the effects of energy drink versus caffeine supplementation on indices of 24-hour ambulatory blood pressure. Annals of Pharmacotherapy, 46, 192– 199. Fredholm BB, Bättig K, Holmén J, Nehlig A and Zvartau EE, 1999. Actions of Caffeine in the Brain with Special Reference to Factors That Contribute to Its Widespread Use. Pharmacological Reviews, 51, 83– 133. Freedman ND, Park Y, Abnet CC, Hollenbeck AR and Sinha R, 2012. Association of coffee drinking with total and cause-specific mortality. New England Journal of Medicine, 366, 1891– 1904. Frost L and Vestergaard P, 2005. Caffeine and risk of atrial fibrillation or flutter: the Danish Diet, Cancer, and Health Study. American Journal of Clinical Nutrition, 81, 578– 582. FSANZ (Food Standards Australia New Zealand), 2000. Report from the expert working group on the safety aspects of dietary caffeine. Funatsu K, Yamashita T and Nakamura H, 2005. Effect of coffee intake on blood pressure in male habitual alcohol drinkers. Hypertension Research, 28, 521– 527. Gaemperli O, Schepis T, Koepfli P, Siegrist PT, Fleischman S, Nguyen P, Olmsted A, Wang W, Lieu H and Kaufmann PA, 2008. Interaction of caffeine with regadenoson-induced hyperemic myocardial blood flow as measured by positron emission tomography: a randomized, double-blind, placebo-controlled crossover trial. Journal of the American College of Cardiology, 51, 328– 329. Ghotbi R, Christensen M, Roh HK, Ingelman-Sundberg M, Aklillu E and Bertilsson L, 2007. Comparisons of CYP1A2 genetic polymorphisms, enzyme activity and the genotype–phenotype relationship in Swedes and Koreans. European Journal of Clinical Pharmacology, 63, 537– 546. Giggey PP, Wendell CR, Zonderman AB and Waldstein SR, 2011. Greater coffee intake in men is associated with steeper age-related increases in blood pressure. American Journal of Hypertension, 24, 310– 315. Ginsberg G, Hattis D, Russ A and Sonawane B, 2004. Physiologically based pharmacokinetic (PBPK) modeling of caffeine and theophylline in neonates and adults: implications for assessing children's risks from environmental agents. Journal of Toxicology and Environmental Health, Part A, 67, 297– 329. Goldstein A and Wallace ME, 1997. Caffeine dependence in schoolchildren? Experimental and Clinical Psychopharmacology, 5, 388– 392. Gougeon R, Harrigan K, Tremblay JF, Hedrei P, Lamarche M and Morais JA, 2005. Increase in the thermic effect of food in women by adrenergic amines extracted from citrus aurantium. Obesity Research, 13, 1187– 1194. Grasser E, Yepuri G, Dulloo A and Montani J-P, 2014. Cardio- and cerebrovascular responses to the energy drink Red Bull in young adults: a randomized cross-over study. European Journal of Nutrition, 53, 1– 71. Greenberg JA, Dunbar CC, Schnoll R, Kokolis R, Kokolis S and Kassotis J, 2007. Caffeinated beverage intake and the risk of heart disease mortality in the elderly: a prospective analysis. American Journal of Clinical Nutrition, 85, 392– 398. Greenberg JA, Chow G and Ziegelstein RC, 2008. Caffeinated coffee consumption, cardiovascular disease, and heart valve disease in the elderly (from the Framingham Study). American Journal of Cardiology, 102, 1502– 1508. Greenland S, 1993. A meta-analysis of coffee, myocardial infarction, and coronary death. Epidemiology, 4, 366– 374. Greenwood DC, Alwan N, Boylan S, Cade JE, Charvill J, Chipps KC, Cooke MS, Dolby VA, Hay AW, Kassam S, Kirk SF, Konje JC, Potdar N, Shires S, Simpson N, Taub N, Thomas JD, Walker J, White KL and Wild CP, 2010. Caffeine intake during pregnancy, late miscarriage and stillbirth. European Journal of Epidemiology, 25, 275– 280. Grobbee DE, Rimm EB, Giovannucci E, Colditz G, Stampfer M and Willett W, 1990. Coffee, caffeine, and cardiovascular disease in men. New England Journal of Medicine, 323, 1026– 1032. Grosso LM, Triche EW, Belanger K, Benowitz NL, Holford TR and Bracken MB, 2006. Caffeine metabolites in umbilical cord blood, cytochrome P-450 1A2 activity, and intrauterine growth restriction. American Journal of Epidemiology, 163, 1035– 1041. Gyntelberg F, Hein HO, Suadicani P and Sorensen H, 1995. Coffee consumption and risk of ischaemic heart disease–a settled issue? Journal of Internal Medicine, 237, 55– 61. Hakim AA, Ross GW, Curb JD, Rodriguez BL, Burchfiel CM, Sharp DS, Yano K and Abbott RD, 1998. Coffee consumption in hypertensive men in older middle-age and the risk of stroke: The Honolulu Heart Program. Journal of Clinical Epidemiology, 51, 487– 494. Hale KL, Hughes JR, Oliveto AH and Higgins ST, 1995. Caffeine self-administration and subjective effects in adolescents. Experimental and Clinical Pharmacology, 3, 364– 370. Haller CA, Benowitz NL and Jacob P 3rd, 2005a. Hemodynamic effects of ephedra-free weight-loss supplements in humans. American Journal of Medicine, 118, 998– 1003. Haller CA, Jacob P and Benowitz NL, 2005b. Short-term metabolic and hemodynamic effects of ephedra and guarana combinations. Clinical Pharmacol

Referência(s)