Abstract

Excessive sugar-sweetened beverage (SSB) consumption has been associated with overweight and obesity. Caffeine is a common additive to SSB, and through dependence effects, it has the potential to promote the consumption of caffeine-containing foods. The objective of the present study was to assess the influence that caffeine has on the consumption of SSB. Participants (n 99) were blindly assigned to either a caffeinated SSB (C-SSB) or a non-caffeinated SSB (NC-SSB) group. Following randomisation, all participants completed a 9 d flavour-conditioning paradigm. They then completed a 28 d ad libitum intake intervention where they consumed as much or as little of C-SSB or NC-SSB as desired. The amount consumed (ml) was recorded daily, 4 d diet diaries were collected and liking of SSB was assessed at the start and end of the intervention. Participants (n 50) consuming the C-SSB had a daily SSB intake of 419 (sd 298) ml (785 (sd 559) kJ/d) over the 28 d intervention, significantly more than participants (n 49) consuming the NC-SSB (273 (sd 278) ml/d, 512 (sd 521) kJ/d) (P=0.05). However, participants who consumed the C-SSB liked the SSB more than those who consumed the NC-SSB (6.3 v. 6.0 on a nine-point hedonic scale, P= 0.022). The addition of low concentrations of caffeine to the SSB significantly increases the consumption of the SSB. Regulating caffeine as a food additive may be an effective strategy to decrease the consumption of nutrient-poor high-energy foods and beverages.

Highlights

  • Excessive sugar-sweetened beverage (SSB) consumption has been associated with overweight and obesity

  • The objective of the present study was to assess in a free-living population whether caffeine, at levels found in common cola SSB, increased SSB consumption compared with a flavour-equivalent non-caffeinated SSB

  • The addition of 0·57 mM-caffeine to a lemon-flavoured SSB did not alter the flavour of the SSB, but was responsible for significantly increasing consumption in comparison to the non-caffeinated SSB (NC-SSB)

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Summary

Introduction

Excessive sugar-sweetened beverage (SSB) consumption has been associated with overweight and obesity. Caffeine is a common additive to SSB, and through dependence effects, it has the potential to promote the consumption of caffeine-containing foods. Despite the limited evidence for a role in flavour, the amount of caffeine delivered in 500 ml common cola soft drinks (approximately 53– 65 mg, 0·55– 0·67 mM) is high enough to modify consumption behaviour, potentially increasing the consumption of the beverage as a form of caffeine redosing[14]. Caffeine may promote the consumption of these beverages via the development of flavour preferences where individuals associate (unconsciously) a food/flavour with its ability to alleviate caffeine-withdrawal symptoms(18 – 20). Flavour preference for sweetness is immediate, whereas the influence of caffeine occurs post-ingestion[21] Redosing with caffeine becomes a problem when the form of redosing is high in energy, promoting increased energy intake

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