Only three studies have systematically investigated the effects of caffeine in children during exercise (Barta, Acta Paediatr.,1982; Turley, Med. Sci. Sports Exerc., 2005; Turley, Ped. Exerc. Sci., 2006) and all used relatively high doses of caffeine (4-5mg/ kg). No study has investigated the physiological dose response effects of caffeine in children during submaximal exercise. PURPOSE: Determine the influence of low (1mg/kg), moderate (3mg/kg), and high (5mg/kg) doses of caffeine on physiological responses to exercise in young children. METHODS: Forty children (20 boys and 20 girls) ages 7–9 years participated in a randomized, double-blind, counter-balanced, cross-over study. Over four separate visits each child consumed a placebo (PL-cherry flavored drink), 1.0 mg/kg (CAF-1), 3.0 mg/kg (CAF-3), and 5 mg/kg (CAF-5) of anhydrous caffeine mixed with PL, and then rested. After an hour wash-in period, resting measurements were taken (heart rate (HR) and blood pressure (BP)) and the children then rode at 25 W and 60% VO2max for eight minutes each. During exercise HR, VO2, and respiratory exchange ratio (RER) were measured continuously and BP was measured every two minutes. RESULTS: Resting HR was significantly (p<0.05) lower at 3 and 5 mg/kg vs PL (79.9±9.1 and79.0±6.8vs 84.8±10.4, respectively). HR was significantly lower in CAF-3 and CAF-5 vs PL at 25W (122.8±12.2 and 122.0±10.9 vs 128.4±12. respectively) and 60% VO2max (153.5±13.4 and 154.0±15.0 vs 158.9±13.9, respectively). Resting diastolic BP (DBP) was significantly higher in CAF-1, CAF-3, and CAF-5 vs PL (65.2±6.6, 66. 0±5.9, 66.6±7.8 vs 61.3±7.0, respectively). Resting systolic BP (SBP) was significantly higher at CAF-5 vs and PL (109.7±8.7 vs 104.9±9.0 respectively). RER, at 60% VO2max was significantly higher in CAF-5 vs andPL(1.02±0.04vs 1.00±0.04, respectively) CONCLUSIONS: In this study low, moderate, and high doses of caffeine were found to significantly increase DBP at rest. During rest and exercise, moderate and high doses of caffeine significantly lowered HR. Although there was a trend for CAF-5 to elevate BP during exercise, it was not significant.